SB 1005 Summary

• Creates the California Health Exchange Program for All Californians to provide health coverage to individuals ineligible for federal exchange plans solely due to immigration status, with enrollment required by January 1, 2016.

• Extends full-scope Medi-Cal eligibility to individuals who meet all requirements except immigration status, with benefits funded by state-only funds when federal funds unavailable.

• Requires health insurers and health care service plans participating in the program to offer at least one product in each of five coverage levels and charge the same rates whether products are sold through the program or outside markets.

• Establishes the California Health Trust Fund for All Californians as a continuously appropriated fund, with program implementation contingent on board determination that sufficient financial resources exist.

• Imposes state-mandated local program requirements on counties administering Medi-Cal eligibility determinations due to expanded eligibility under the bill.