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CA SB780
Bill
Status
1/28/2014
Primary Sponsor
Hannah-Beth Jackson
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AI Summary
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Reduces pre-termination filing deadline from 75 days to 30 days for health care service plans and health insurers terminating contracts with provider groups or general acute care hospitals.
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Requires health care service plans and insurers to send department-approved written notices to affected enrollees/insureds within five business days of contract termination, with specific thresholds determining when department filings are required (2,000 enrollees for assigned providers; 1,700 for unassigned providers).
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Mandates continued access to authorized or scheduled services for at least 60 days after contract termination, with same copayments and deductibles as currently contracted providers, and reimbursement at rates agreed upon or per terminating contract.
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Requires health insurers to include additional disclosure information in policies, including limitations on provider choice, cancellation/rescission procedures, and basic methods of provider reimbursement, plus written summaries of financial bonuses or incentives upon request.
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Authorizes the Department of Managed Health Care and Department of Insurance to develop standard formats for required notices and adopt different filing thresholds by regulation.
Legislative Description
Health care coverage.
Last Action
Set, second hearing. Held under submission.
8/14/2014