Senate Bill No. 2130 Summary

• Creates a new exemption for high-deductible health plans under federal law 26 U.S.C. 223, allowing them to be exempt from state-mandated health insurance coverage requirements if the mandate would disqualify them as high-deductible plans.

• Requires all legislative measures mandating health insurance coverage or payment for specified providers to be accompanied by a cost-benefit analysis from the legislative management before committee action.

• Mandates cost-benefit analyses must evaluate the extent to which proposed mandates would increase or decrease service costs, increase appropriate use, affect administrative expenses, and impact total health care costs.

• Allows mandates to apply only to public employees and retiree health insurance programs with automatic expiration on June 30 of the next odd-numbered year, requiring the Public Employees Retirement System to request reintroduction of bills for extension with updated utilization and cost reports.

• Effective May 1, 2021, and declared an emergency measure; Senate passed 46-1 and House passed 91-0.