CAHU TOP 10 BILLS

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CAHU TOP 10 BILLS
Top 10
AB 786	(Jones) Individual health care coverage: coverage choice categories.
	Would require individual health care service plan contracts and individual health insurance policies issued, amended, or renewed on or after January 1, 2011, to contain a maximum limit on out-of-pocket costs for covered benefits provided by in-network providers and for covered emergency services , as specified. The bill would require, by July 1, 2012, the Department of Managed Health Care and the Department of Insurance to jointly, by regulation, develop standard definitions and terminology for benefits and cost-sharing provisions applicable to individual contracts and policies, as specified, and to develop a system to categorize those contracts and policies into coverage choice categories that meet specified requirements. The bill would require plans and insurers to submit certain information to the departments by a specified date and would require the Director of the Department of Managed Health Care and the Insurance Commissioner to categorize the contracts and policies into the appropriate coverage choice category by a specified date . The bill would require the Office of Patient Advocate to develop and maintain on its Internet Web site a uniform benefits matrix of those contracts and policies arranged by coverage choice category along with other specified information. The bill would require health care service plans, health insurers, solicitors, solicitor firms, brokers, and agents to make prospective enrollees or insureds aware of the availability and contents of the benefits matrix when marketing or selling a contract or policy in the individual market. This bill contains other related provisions and other existing laws.
	Attachments: AB 786 Oppose 4.20.09 AB 786 Opose A. Floor 6.3.09 AB 786 Oppose 8.18.09 AB 786 07.21.09 AB 786 Oppose 8.31.09
	Organization CAHU		Position Oppose	Priority Top 10

AB 1521	(Jones) Health care coverage: solicitation.
	Would prohibit a plan or insurer from entering into an agreement with a solicitor, among others , that provides for or results in the compensation paid to the solicitor for the sale or offer of, or application for, an individual health care service plan contract or individual health insurance policy to be varied because of the health status, claims experience, industry, or occupation of the individual , but would authoriz e the plan or insurer to establish standardized or tiered compensation for a solicitor, as specified. The bill would also specify the compensation rate for a solicitor at the time of renewal of an individual contract or policy or transfer to another individual contract or policy with the same plan or insurer . The bill would require a plan or insurer, or person or entity representing a plan or insurer, at the time of an individual's application to change to a different individual health care service plan contract or individual health insurance policy, to notify the individual that application for a different contract or policy may result in an offer, an offer for a higher premium, or denial of coverage for that different contract or policy. This bill contains other related provisions and other existing laws.
	Attachments: AB 1521 Oppose 4.13.09
	Organization CAHU	Assigned Steve Snitchler	Position Watch	Priority Top 10

SB 227	(Alquist) Health care coverage.
	Would require a health care service plan and a health insurer to elect either to accept for coverage at rates set by MRMIB and under specified conditions persons eligible for MRMIP that have been assigned to the plan or insurer by MRMIB regardless of health status or previous health care claims experience, or alternatively to pay a fee set by MRMIB based on its market share, as specified. Because the fee would be deposited in the fund, the bill would make an appropriation by increasing the amount of revenue in a continuously appropriated fund. The bill would authorize MRMIB, with the approval of the Department of Finance, to obtain loans from the General Fund for expenses related to administration of the fund. This bill contains other related provisions and other existing laws.
	Attachments: SB 227 Support if Amended 6.23.09
	Organization CAHU	Assigned Craig Gussin	Position Support If Amended	Priority Top 10

SB 316	(Alquist) Health care coverage: disclosures.
	Would instead require that this disclosure be made when presenting a plan contract or policy for examination or sale to an individual purchaser or to the representative of a group consisting of 50 or fewer individuals. The bill would make other technical, nonsubstantive changes. This bill contains other related provisions and other existing laws.
	Attachments: SB 316 1.19.10 Remove Opposition
	Organization CAHU	Assigned Craig Gussin	Position Watch	Priority Top 10

SB 810	(Leno) Single-payer health care coverage.
	Would establish the California Healthcare System to be administered by the newly created California Healthcare Agency under the control of a Healthcare Commissioner appointed by the Governor and subject to confirmation by the Senate. The bill would make all California residents eligible for specified health care benefits under the California Healthcare System, which would, on a single-payer basis, negotiate for or set fees for health care services provided through the system and pay claims for those services. The bill would provide that a resident of the state with a household income, as specified, at or below 200% of the federal poverty level would be eligible for the type of benefits provided under the Medi-Cal program. The bill would require the commissioner to seek all necessary waivers, exemptions, agreements, or legislation to allow various existing federal, state, and local health care payments to be paid to the California Healthcare System, which would then assume responsibility for all benefits and services previously paid for with those funds. This bill contains other related provisions and other existing laws.
	Attachments: SB 810 Oppose 3.23.09 SB 810 Senate Floor Alert 1.26.10
	Organization CAHU		Position Oppose	Priority Top 10

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