AB 52(Feuer) Health care coverage: rate approval.
Introduced: 12/06/2010
Last Amend: 06/01/2011
Status: 09/01/2011-Ordered to inactive file at the request of Senator Leno.
Is Fiscal: Y
Is Urgency: N
Location: 09/01/2011-S INACTIVE FILE
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Summary: Would further require a health care service plan or health insurer that issues individual or group contracts or policies to file with the Department of Managed Health Care or the Department of Insurance, on and after January 1, 2012, a complete rate application for any proposed rate, as defined, or rate change, and would prohibit the Department of Managed Health Care or the Department of Insurance from approving any rate or rate change that is found to be excessive, inadequate, or unfairly discriminatory. The bill would require the rate application to include certain rate information. The bill would authorize the Department of Managed Health Care or the Department of Insurance to approve, deny, or modify any proposed rate or rate change, and would authorize the Department of Managed Health Care and the Department of Insurance to review any rate or rate change that went into effect between January 1, 2011, and January 1, 2012, and to order refunds, subject to these provisions. The bill would authorize the imposition of fees on health care service plans and health insurers for purposes of implementation, for deposit into newly created funds, subject to appropriation. The bill would impose civil penalties on a health care service plan or health insurer, and subject a health care service plan to discipline, for a violation of these provisions, as specified. The bill would establish proceedings for the review of any action taken under those provisions related to rate applications and would require the Department of Managed Health Care and the Department of Insurance, and plans and insurers, to disclose specified information on the Internet pertaining to rate applications and those proceedings. The bill would require the Department of Managed Health Care or the Department of Insurance, or the court, to award reasonable advocate's fees , including expert witness fees, and other reasonable costs in those proceedings under specified circumstances, to be paid by the plan or insurer. This bill contains other related provisions and other existing laws.
Organization: CAHU
Assigned:
JULI,MDB,
Position: Oppose
Priority: AA--folder
Groups:
CAHU TOP 10,
Notes: CAHU TOP 10 BILL
CAHU opposes AB 52 that seeks to impose an unprecedented system of rate regulation on health plans and health insurers in California. AB 52 mandates that any change in premium rates, level of service, co-pays, deductibles and annual out-of-pocket maximums must be approved by either the Department of Managed Health or the Department of Insurance. CAHU believes this will cause excessive bureaucratic interference and delays that will likely increase health care costs for consumers.
AB 310(Ma) Prescription drugs.
Introduced: 02/09/2011
Last Amend: 04/25/2011
Status: 01/20/2012-Failed Deadline pursuant to Rule 61(b)(2). (Last location was 2 YEAR on 5/28/2011)
Is Fiscal: Y
Is Urgency: N
Location: 01/20/2012-A DEAD
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Summary: Would prohibit health care service plans and health insurers that offer outpatient prescription drug coverage from requiring coinsurance, as defined, from the enrollee as a basis for cost sharing. The bill would also impose certain limitations on copayments, as defined, and out-of-pocket expenses for outpatient prescription drugs. The bill would make these provisions inoperative upon a determination by the department and commissioner that these provisions would result in additional costs to the state as a result of laws governing federal health care reform. This bill contains other related provisions and other existing laws.
Organization: CAHU
Assigned:
JULI,
Position: Watch
Priority: AA--folder
Groups:
CAHU TOP 10,
Notes: CAHU TOP 10 BILL
CAHU believes that AB 310 may hinder health care cost containment ability by prohibiting health plan contracts and health insurance policies that cover outpatient prescription drugs from requiring coinsurance as a basis for cost sharing for outpatient prescription drug benefits. AB 310 also imposes limitations on co-payments and out-of-pocket expenses for outpatient prescription drugs.
AB 428(Portantino) Health care coverage: fertility preservation.
Introduced: 02/14/2011
Last Amend: 04/27/2011
Status: 01/20/2012-Failed Deadline pursuant to Rule 61(b)(2). (Last location was APPR. on 1/19/2012)
Is Fiscal: Y
Is Urgency: N
Location: 01/20/2012-A DEAD
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Summary: Would require a health care service plan and a health insurer to provide, on a group and individual basis, coverage for medically necessary expenses for standard fertility preservation services when a necessary medical treatment may directly or indirectly cause iatrogenic infertility to an enrollee or insured. This bill contains other related provisions and other existing laws.
Organization: CAHU
Assigned:
MDB,
Position: Oppose
Priority: AA--folder
Notes:
CAHU opposes AB 428, , which further exacerbates the problem of rising health care costs by adding yet another health care insurance policy mandate for infertility treatments where infertility is direct result of other medical treatments.
AB 736(Calderon, Charles) Insurance: licenses: fraud prevention.
Introduced: 02/17/2011
Last Amend: 04/04/2011
Status: 01/20/2012-Failed Deadline pursuant to Rule 61(b)(2). (Last location was 2 YEAR on 5/28/2011)
Is Fiscal: Y
Is Urgency: N
Location: 01/20/2012-A DEAD
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Summary: Would remove the prohibition on transacting disability and health insurance. This bill contains other related provisions and other existing laws.
Organization: CAHU
Assigned:
JULI,MDB,
Position: Support
Priority: AA--folder
Groups:
CAHU TOP 10,
Notes: CAHU TOP 10 BILL
CAHU supports AB 736 which removes the outdated prohibitions on an insurance broker from transacting disability and health insurance in California to more accurately reflect current marketplace activities, including provisions allowing an insurance broker to charge service fees to clients in addition to being paid sales commissions.
AB 792(Bonilla) Health care coverage: California Health Benefit Exchange.
Introduced: 02/17/2011
Last Amend: 08/17/2011
Status: 08/26/2011-Failed Deadline pursuant to Rule 61(a)(11). (Last location was APPR. SUSPENSE FILE on 8/17/2011)
Is Fiscal: Y
Is Urgency: N
Location: 08/26/2011-S 2 YEAR
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Summary: Would require the disclosure of information on health care coverage through the California Health Benefit Exchange, under specified circumstances, by health care service plans, health insurers, employers, employee associations or other entities, or, on and after January 1, 2013, by the court, upon the filing of a petition for dissolution of marriage, nullity of marriage, legal separation, or adoption. This bill contains other related provisions and other existing laws.
Organization: CAHU
Assigned:
JULI,MDB,
Position: Oppose
Priority: AA--folder
Groups:
CAHU TOP 10,
Notes: CAHU TOP 10 BILL
CAHU opposes AB 792, which creates significant privacy and contractual issues related to the automatic enrollment of individuals losing health insurance of any type into the new Health Benefit Exchanges.
AB 922(Monning) Office of Patient Advocate.
Introduced: 02/18/2011
Last Amend: 09/02/2011
Status: 10/07/2011-Chaptered by the Secretary of State, Chapter Number 552, Statutes of 2011
Is Fiscal: Y
Is Urgency: N
Location: 10/07/2011-A CHAPTERED
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Summary: Would transfer the Department of Managed Health Care and, effective July 1, 2012, the Office of Patient Advocate to the California Health and Human Services Agency. The bill would delete the requirement that the patient advocate be recommended to the Governor by the Business, Transportation and Housing Agency. The bill, effective January 1, 2013, would add additional duties and responsibilities to the existing duties of the Office of Patient Advocate with regard to providing outreach and education about health care coverage to consumers. The bill, effective January 1, 2013, would authorize the office to contract with community organizations, subject to specified requirements, to provide certain services and would also require the office to adopt certain standards and procedures regarding those organizations. The bill, effective January 1, 2013, would require specified state agencies to report to the office regarding consumer complaints submitted to those agencies by individuals with complaints about their health care coverage. The bill would provide that funding for the actual and necessary expenses of the office shall be provided, subject to appropriation by the Legislature, from transfers of moneys from the Managed Care Fund and the Insurance Fund, to be based on the number of covered lives in the state that are covered by plans or insurers, as determined by the Department of Managed Health Care and the Department of Insurance, in proportion to the total number of covered lives in the state. The bill would establish the Office of Patient Advocate Trust Fund for those purposes and would make moneys deposited into that fund available for purposes of administering the program, subject to appropriation by the Legislature. The bill would also authorize the office to apply to the federal government for moneys to fund the office and authorize the office to request from the federal government specified grant moneys.
Organization: CAHU
Assigned:
JULI,MDB,
Position: Watch-High Priority
Priority: AA--folder
Notes:
AB 922 transfers the Office of the Patient Advocate (OPA) from the Department of Managed Health Care (DMHC) to operate as an independent entity within state government. AB 922 expands existing OPA duties to apply to apply to health insurers regulated by the California Department of Insurance and their insured (in addition to DMHC-regulated health plans) and assigns new duties to OPA consistent with requirements under federal PPACA.
AB 999(Yamada) Long-term care insurance.
Introduced: 02/18/2011
Last Amend: 06/09/2011
Status: 07/08/2011-Failed Deadline pursuant to Rule 61(a)(10). (Last location was INS. on 6/9/2011)
Is Fiscal: Y
Is Urgency: N
Location: 07/08/2011-S 2 YEAR
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Summary: Would require an insurer of long-term care insurance to clearly post on its Internet Web site and provide written notice at the time of solicitation that a specimen individual policy form or group master policy and certificate form for each policy form offered by the insurer is available upon request and to provide that form within 15 calendar days upon request. This bill would require the annual consumer rate guide to include a specimen outline of coverage for each product currently marketed by each insurer listed in the rate guide. This bill contains other related provisions and other existing laws.
Organization: CAHU
Assigned:
JULI,MDB,
Position: Oppose
Priority: AA--folder
Groups:
CAHU TOP 10,
Notes: CAHU TOP 10 BILL
CAHU OPPOSES AB 999s costly provisions imposing a five year ban on increasing rates on long-term care insurance policies sold prior to 2002 and a ten year ban on increasing rates for rate-stabilized LTCi policies. CAHU remains concerned that the proposed bans will result in much higher premiums when waiting five or ten years between increases. CAHU believes it is imperative to protect against unnecessary spikes in LTCi costs and instead ensure that Californians continue to have a broad choice of affordable long- term care insurance options.
AB 1059(Huffman) Emergency medical care.
Introduced: 02/18/2011
Last Amend: 09/07/2011
Status: 10/02/2011-Chaptered by the Secretary of State, Chapter Number 403, Statutes of 2011
Is Fiscal: Y
Is Urgency: N
Location: 10/02/2011-A CHAPTERED
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Summary: Would require the report to provide additional information regarding the moneys collected and disbursed, including, but not limited to, a description of the other medical services purposes, and the total amount of allowable claims, if the moneys are disbursed to hospitals on a claims basis, and the names and contact information of the entity responsible for the collection and disbursement of prescribed funds. By increasing the duties of local officials, this bill would impose a state-mandated local program. This bill contains other related provisions and other existing laws.
Organization: CAHU
Assigned:
JULI,MDB,
Position: Neutral
Priority: AA
Groups:
CAHU TOP 10,
Notes: CAHU TOP 10 BILL
Originally opposed by CAHU as unnecessarily imposing new administrative penalties in virtually all cases of underpayments to a health care provider, AB 1059 was subsequently amended 7/12/11 to address concerns raised by both health plans and CAHU.
AB 1083(Monning) Health care coverage.
Introduced: 02/18/2011
Last Amend: 09/02/2011
Status: 09/08/2011-Ordered to inactive file at the request of Senator Hernandez.
Is Fiscal: Y
Is Urgency: N
Location: 09/08/2011-S INACTIVE FILE
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Summary: Would also require all policies of individual health insurance that are offered, sold, renewed, or delivered on or after January 1, 2014, to provide coverage for essential health benefits, as defined, except as specified. This bill contains other related provisions and other existing laws.
Organization: CAHU
Assigned:
JULI,MDB,
Position: Neutral
Priority: AA--folder
Groups:
CAHU TOP 10,
Notes: CAHU TOP 10 BILL
Originally opposed by CAHU, AB 1083 was amended to remove provisions of concern that would have imposed unprecedented new obligations and mandates on agents and insurers. CAHU is now neutral on AB 1083 as proposed to be amended.
AB 1334(Feuer) Health care coverage.
Introduced: 02/18/2011
Last Amend: 05/05/2011
Status: 07/08/2011-Failed Deadline pursuant to Rule 61(a)(10). (Last location was HEALTH on 6/16/2011)
Is Fiscal: Y
Is Urgency: N
Location: 07/08/2011-S 2 YEAR
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Summary: Would require plans and insurers to categorize all products offered in the individual market into 5 tiers according to actuarial value, as specified, and would require plans and insurers to disclose this value and other information in certain disclosure forms. These requirements would become operative 30 days after the issuance of federal guidance on minimum essential benefits. This bill contains other related provisions and other existing laws.
Organization: CAHU
Assigned:
JULI,MDB,
Position: Watch
Priority: AA--folder
Groups:
CAHU TOP 10,
Notes: CAHU TOP 10 BILL
AB 1334 requires each health insurance product offered or renewed in the individual market from July 2012 through December 2013 to disclose whether or not it offers minimum essential benefits. Additionally, AB 1334 mandates that a health plan or insurer to categorize products offered or renewed in the individual market on the basis of actuarial value into one of five tiers specified in federal PPACA.
SB 615(Calderon) Health care service plans: accident and health agents: licensure.
Introduced: 02/18/2011
Last Amend: 05/10/2011
Status: 07/08/2011-Failed Deadline pursuant to Rule 61(a)(10). (Last location was HEALTH on 6/9/2011)
Is Fiscal: Y
Is Urgency: N
Location: 07/08/2011-A 2 YEAR
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Summary: Would change the director's authority as described above to make it mandatory. On and after January 1, 2013, the bill would also require solicitors and solicitor firms, and principal persons engaged in the supervision of solicitation for health care service plan contracts, specialized health care service plan contracts, Medicare Advantage Plans under Medicare Part C, or Medicare supplement contracts, to complete solicitor training that includes, among other things, information relating to the act, the federal Patient Protection and Affordable Care Act, and the California Health Benefit Exchange. The bill would require the department to consult with the Insurance Commissioner with respect to developing the curriculum for the solicitor training. This bill contains other related provisions and other existing laws.
Organization: CAHU
Assigned:
JULI,MDB,
Position: Sponsor
Priority: AA--folder
Groups:
CAHU TOP 10,
Notes: CAHU TOP 10 BILL
SB 615 is the CAHU-sponsored vehicle slated to eventually hold much needed clarifying language that addresses the role of agents and brokers placing business into the California Health Benefit Exchange. SB 615 is jointly co-sponsored by IBA-West and NAIFA-California.
SB 850(Leno) Medical records: confidential information.
Introduced: 02/18/2011
Last Amend: 09/01/2011
Status: 10/09/2011-Chaptered by the Secretary of State, Chapter Number 714, Statutes of 2011
Is Fiscal: N
Is Urgency: N
Location: 10/09/2011-S CHAPTERED
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Summary: Would require an electronic health or medical record system to automatically record and preserve any change or deletion of electronically stored medical information, and would require the record to include, among other things, the identity of the person who accessed and changed the medical information and the change that was made to the medical information.
Organization: CAHU
Assigned:
JULI,MDB,
Position: Support
Priority: AA
Groups:
CAHU TOP 10,
Notes: CAHU TOP 10 BILL
CAHU SUPPORTS SB 850 that requires electronic health record systems or electronic medical record systems to automatically record any change or deletion of any electronically stored medical information and would enact related requirements.
