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CA AB2165

Bill

Status

Introduced

2/18/2026

Primary Sponsor

Alexandra Macedo

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Origin

State Assembly

2025-2026 Regular Session

AI Summary

  • Expands the definition of "loss of minimum essential coverage" to include situations where a joint agreement between health care service plans or health insurers to provide coverage expires, dissolves, or is otherwise terminated, specifically for enrollees in federally designated medically underserved areas

  • Requires health care service plans and health insurers to provide written or electronic notice to enrollees at least 60 days before the effective date of any joint agreement termination

  • Mandates that the 60-day notice inform enrollees that the termination may constitute a loss of minimum essential coverage, which would trigger eligibility for a special enrollment period to obtain new coverage

  • Applies to both the Department of Managed Health Care (health care service plans) and the Department of Insurance (health insurers) regulatory frameworks

  • Creates a state-mandated local program because willful violation of these provisions by a health care service plan would constitute a crime under existing Knox-Keene Act enforcement mechanisms

Legislative Description

Triggering event: loss of minimum essential coverage.

Last Action

From committee chair, with author's amendments: Amend, and re-refer to Com. on HEALTH. Read second time and amended.

3/16/2026

Committee Referrals

Health3/16/2026

Full Bill Text

No bill text available