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CA AB2028

Bill

Status

Introduced

2/1/2024

Primary Sponsor

Liz Ortega

Click for details

Origin

State Assembly

2023-2024 Session

AI Summary

  • Requires health care service plans and health insurers that issue specialized dental health care contracts or policies to maintain a minimum medical loss ratio (MLR) of 85%

  • Mandates annual rebates to enrollees or insureds on a pro rata basis if the MLR falls below 85%, calculated as the difference between 85% and the actual MLR multiplied by total premium revenue

  • Applies MLR requirements to dental-specific coverage while exempting Medi-Cal, Medi-Cal Access Program, and California Major Risk Medical Insurance Program policies

  • Exempts disability insurance for dental-only coverage that pays fixed benefits on a cash payment only basis from the MLR requirements

  • Declares no state reimbursement is required under Article XIII B of the California Constitution because violations constitute crimes under existing health care service plan regulations

Legislative Description

Medical loss ratios.

Last Action

In committee: Set, first hearing. Hearing canceled at the request of author.

4/18/2024

Committee Referrals

Health2/12/2024

Full Bill Text

No bill text available