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CA AB2080
Bill
Status
5/26/2022
Primary Sponsor
Jim Wood
Click for details
AI Summary
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Prohibits health care service plans, health insurers, medical groups, hospitals, and health facilities from entering contracts on or after January 1, 2023, that restrict steering of patients to other providers, require bundled contracting with affiliates, or prevent sharing of cost and quality information with patients and referral providers.
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Requires medical groups, hospitals, health facilities, health care service plans, health insurers, and pharmacy benefit managers to obtain Attorney General written consent before making material changes valued at $15,000,000 or more, with a 90-day review period extendable by 45 days.
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Requires health care service plans intending to acquire or obtain control of entities to secure prior approval from the Department of Managed Health Care, and authorizes the director to disapprove transactions that would substantially lessen competition in the health system or among particular categories of health care providers.
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Mandates the Attorney General conduct public meetings before deciding on major transactions, with at least one meeting held in the county where the affected entity is located, with notice provided in English and threshold languages for Medi-Cal beneficiaries.
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Authorizes the Attorney General to contract with consultants to review proposed material changes and monitor compliance, with costs paid by the entities seeking consent.
Legislative Description
Health Care Consolidation and Contracting Fairness Act of 2022.
Last Action
In committee: Hearing postponed by committee.
6/22/2022