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CA AB2533

Bill

Status

Engrossed

5/13/2010

Primary Sponsor

Felipe Fuentes

Click for details

Origin

State Assembly

2009-2010 Session

AI Summary

  • Requires health care service plans and health insurers to file descriptions of economic profiling and quality rating policies with their respective departments immediately upon adoption and within 30 days of any changes (replacing previous annual filing requirement).

  • Expands filing requirements to cover quality rating practices in addition to economic profiling, including how ratings are used to designate providers within networks and encourage patients to see only designated providers.

  • Mandates that plans and insurers provide profiled or rated providers, medical groups, and individual practice associations access to their economic profiling and quality rating information upon request for 60 days after contract termination.

  • Requires plans and insurers to include in filings a description of how economic profiling and quality rating results are shared with patients and how risk adjustments are applied to account for case mix, data reliability, illness severity, age, and other relevant factors.

  • Requires entities that filed descriptions prior to January 1, 2011 to update their filings by March 31, 2011 to comply with the bill's requirements and reflect current policies and procedures.

Legislative Description

Health care coverage: quality rating.

Last Action

From Consent Calendar. Ordered to third reading. To inactive file on motion of Senator Padilla.

8/5/2010

Committee Referrals

Appropriations7/1/2010
Health5/27/2010
Rules5/13/2010
Appropriations4/7/2010
Health3/18/2010

Full Bill Text

No bill text available