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CA SB1290

Bill

Status

Engrossed

5/20/2024

Primary Sponsor

Richard Roth

Click for details

Origin

Senate

2023-2024 Session

AI Summary

  • Expresses legislative intent to review California's essential health benefits benchmark plan and establish a new benchmark plan for the 2027 plan year.

  • Limits the current benchmark plan (Kaiser Foundation Health Plan Small Group HMO 30 plan from Q1 2014) to plan years on or before 2027 in both health care service plan contracts and health insurance policies.

  • Applies to individual and small group health care service plans and health insurance policies issued, amended, or renewed on or after January 1, 2017.

  • Requires coverage of essential health benefits consistent with the Patient Protection and Affordable Care Act (PPACA) categories including ambulatory services, emergency care, hospitalization, maternity care, mental health services, prescription drugs, rehabilitation services, laboratory services, preventive care, and pediatric services.

  • Specifies that no state reimbursement is required for this act under California Constitution Article XIII B because any costs incurred by local agencies or school districts would result from crime-related changes only.

Legislative Description

Health care coverage: essential health benefits.

Last Action

Ordered to inactive file on request of Assembly Member Bonta.

8/28/2024

Committee Referrals

Appropriations6/26/2024
Health5/28/2024
Appropriations4/11/2024
Health2/29/2024
Rules2/15/2024

Full Bill Text

No bill text available