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CA SB780

Bill

Status

Engrossed

1/28/2014

Primary Sponsor

Hannah-Beth Jackson

Click for details

Origin

Senate

2013-2014 Session

AI Summary

  • 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.

  • 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).

  • 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.

  • 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.

  • 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

Committee Referrals

Appropriations6/26/2014
Health5/12/2014
Appropriations5/7/2013
Health3/11/2013
Rules2/22/2013

Full Bill Text

No bill text available