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CA AB2165
Bill
Status
2/18/2026
Primary Sponsor
Alexandra Macedo
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AI Summary
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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
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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
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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
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Applies to both the Department of Managed Health Care (health care service plans) and the Department of Insurance (health insurers) regulatory frameworks
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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