CA AB1092

Requires health care service plans that intend to acquire or obtain control of an entity through change of governance or control of material assets to notify and receive prior approval from the Director of the Department of Managed Health Care, in addition to existing merger and consolidation notification requirements.

Authorizes the director to disapprove transactions that would substantially lessen competition in the health system or among particular categories of health care providers, and requires the director to provide competition-related information to the Attorney General.

Permits the director to conditionally approve transactions and contract with independent entities to monitor compliance with established conditions; requires health care service plans to cooperate with the department in obtaining information from federal and out-of-state agencies.

Prohibits the director from waiving or delaying implementation of requirements imposed on health care service plans under this section, notwithstanding other provisions of law.

Requires health care service plans to reimburse the director for reasonable costs of independent monitoring, analysis, consultant opinions, public meetings, and transaction statements related to merger and acquisition reviews.