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CA AB1800

Bill

Status

Engrossed

5/30/2012

Primary Sponsor

Fiona Ma

Click for details

Origin

State Assembly

2011-2012 Session

AI Summary

  • 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.

  • 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.

  • 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.

  • 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.

  • 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

Committee Referrals

Appropriations6/25/2012
Health6/14/2012
Rules5/31/2012
Appropriations4/30/2012
Health3/1/2012

Full Bill Text

No bill text available