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CA AB1800
Bill
Status
5/30/2012
Primary Sponsor
Fiona Ma
Click for details
AI Summary
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Requires health care service plans and health insurance policies (except specialized plans) issued, amended, or renewed on or after January 1, 2014, to limit annual out-of-pocket expenses for essential health benefits to amounts not exceeding federal limits under the Patient Protection and Affordable Care Act.
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Applies the out-of-pocket expense limit to all cost-sharing forms including copayments, coinsurance, deductibles, and outpatient prescription drugs that qualify as essential health benefits.
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Preserves the ability of eligible insureds to receive reduced cost sharing as described in federal law and does not affect existing federal cost-sharing reduction provisions.
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Clarifies that health care service plans cannot waive their obligation to comply with the Knox-Keene Health Care Service Plan Act of 1975 by delegating services to medical groups, independent practice associations, or other contracting entities.
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Replaces the term "telemedicine" with "telehealth" throughout Section 1367 and updates cross-references to prescription drug benefit provisions.
Legislative Description
Health care coverage.
Last Action
In committee: Held under submission.
8/16/2012