V. Manuel Perez
Author
Existing law, the Knox-Keene Health Care Service Plan Act of 1975, provides for the licensure and regulation of health care service plans by the Department of Managed Health Care and makes a willful violation of that act a crime. Existing law also provides for the regulation of health insurers by the Department of Insurance. Existing law requires every health care service plan or health insurer that covers hospital, medical, or surgical expenses on a group basis to provide certain preventive health care benefits for children, including immunizations. Existing law prohibits a risk-based contract between a health care service plan and a physician or physician group from including a provision requiring the physician or physician group to assume financial risk for the acquisition costs of required immunizations for children and specifies the reimbursement rate with respect to immunizations that are not part of the current contract between a health care service plan and a physician or physician group. This bill would prohibit a plan from requiring a physician or physician group to assume financial risk for the acquisition or administration costs of required immunizations and would require a health care service plan or health insurer that provides coverage for childhood and adolescent immunizations to include in its reimbursement of a physician or physician group a reimbursement for the cost of administration of the vaccine, as specified. The bill would specify that these requirements would not apply to services provided pursuant to contracts or policies with the Board of Administration of the Public Employees' Retirement System or to services provided pursuant to Medi-Cal or the Healthy Families Program. The bill would make other related changes. Because a willful violation of the bill's requirements relative to health care service plans would be a crime, the bill would impose a state-mandated local program. The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement. This bill would provide that no reimbursement is required by this act for a specified reason.
Vetoed by Governor.
Enrolled and to the Governor at 3 p.m.
Senate amendments concurred in. To enrollment. (Ayes 74. Noes 2. Page 6658.)
Assembly Rule 77 suspended. (Page 6644.)
Read third time, passed, and to Assembly. (Ayes 24. Noes 9. Page 4846.)
In Assembly. Concurrence in Senate amendments pending. May be considered on or after August 26 pursuant to Assembly Rule 77.
Read second time. To third reading.
(Corrected August 27.)
Read third time, amended. To second reading.
Read second time and amended. Ordered to third reading.
From committee: Amend, and do pass as amended. (Ayes 7. Noes 1.) (August 2).
From committee: Amend, do pass as amended, and re-refer to Com. on APPR. (Ayes 7. Noes 1.) (June 30).
Read second time and amended. Re-referred to Com. on APPR.
In committee: Set, first hearing. Hearing canceled at the request of author.
In Senate. Read first time. To Com. on RLS. for assignment.
Read third time, passed, and to Senate. (Ayes 73. Noes 1. Page 5498.)
Read second time. To third reading.
From committee: Amend, and do pass as amended. (Ayes 13. Noes 4.) (May 28).
Read second time and amended. Ordered returned to second reading.
In committee: Set, first hearing. Referred to APPR. suspense file.
From committee: Do pass, and re-refer to Com. on APPR. Re-referred. (Ayes 15. Noes 0.) (April 6).
From printer. May be heard in committee March 23.
Read first time. To print.
| Bill Text Versions | Format |
|---|---|
| AB2093 | HTML |
| 02/18/10 - Introduced | |
| 05/28/10 - Amended Assembly | |
| 07/15/10 - Amended Senate | |
| 08/09/10 - Amended Senate | |
| 08/20/10 - Amended Senate | |
| 08/31/10 - Enrolled |
| Document | Format |
|---|---|
| No related documents. |
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