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CA SB1135
Bill
AI Summary
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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.
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Mandates plans and insurers disclose appointment wait times for urgent care, nonurgent primary care, specialty care, and telephone screening, plus availability of interpreter services.
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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.
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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.
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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