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CA SB1135

Bill

Status

Passed

9/23/2016

Primary Sponsor

William Monning

Click for details

Origin

Senate

2015-2016 Session

AI Summary

  • Requires health care service plans and health insurers with alternative rate contracts to provide enrollees with information about timely access to care standards annually, effective July 1, 2017.

  • Mandates plans and insurers disclose appointment wait times for urgent care, nonurgent primary care, specialty care, and telephone screening, plus availability of interpreter services.

  • Requires information be provided through multiple channels including evidence of coverage, provider directories (starting January 1, 2018), websites, newsletters, and annual renewals to both enrollees and contracting providers.

  • Obligates plans and insurers to inform contracting providers about California's timely access requirements, complaint procedures, and how to contact the plan if patients cannot obtain timely referrals.

  • Applies to Medi-Cal managed care plans and specifies no state reimbursement is required as costs result from changes to crime penalties under state-mandated local program exemptions.

Legislative Description

Health care coverage: notice of timely access to care.

Last Action

Chaptered by Secretary of State. Chapter 500, Statutes of 2016.

9/23/2016

Committee Referrals

Appropriations6/29/2016
Health6/13/2016
Appropriations4/7/2016
Health3/3/2016
Rules2/18/2016

Full Bill Text

No bill text available