Mary Hayashi
- Democratic
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 its provisions a crime. Existing law also provides for the regulation of health insurers by the Department of Insurance. Existing law requires contracts between plans or insurers and providers to be fair and reasonable and requires plans and insurers to reimburse a claim for covered services within a specified period of time of receiving the claim. This bill would, with respect to a contract between a health care service plan, specialized health care service plan, or insurer covering dental services and a dentist to provide dental services to enrollees or insureds, prohibit the contract from requiring a dentist to accept an amount set by the plan or insurer as payment for dental care services provided to an enrollee or insured that are not covered services under the enrollee's contract or the insured's policy. The bill would also prohibit a provider from charging more than his or her usual and customary rate for dental services not covered under a health care service plan contract or health insurance policy. The bill would require the evidence of coverage and disclosure form for a plan contract or health insurance policy covering dental services that is issued, amended, or renewed on or after July 1, 2011, to contain a specified statement regarding noncovered services. Because a willful violation of these requirements by a health care service plan 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.
Chaptered by Secretary of State - Chapter 673, Statutes of 2010.
Approved by the Governor.
Enrolled and to the Governor at 4 p.m.
Senate amendments concurred in. To enrollment. (Ayes 76. Noes 0. Page 6720.)
From committee: With recommendation: That Senate amendments be concurred in. (Ayes 18. Noes 0.) (August 24).
Joint Rule 62(a), file notice suspended. (Page 6557.)
Re-referred to Com. on HEALTH. pursuant to Assembly Rule 77.2.
Read third time, passed, and to Assembly. (Ayes 33. Noes 0. Page 4602.)
In Assembly. Concurrence in Senate amendments pending. May be considered on or after August 20 pursuant to Assembly Rule 77.
Read second time and amended. Ordered to third reading.
From committee: Amend, and do pass as amended. (Ayes 9. Noes 0.) (August 12).
From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on APPR.
In committee: Placed on APPR suspense file.
In committee: Hearing postponed by committee.
Read second time and amended. Re-referred to Com. on APPR.
From committee: Amend, do pass as amended, and re-refer to Com. on APPR. (Ayes 8. Noes 0.) (June 30).
Withdrawn from committee.
From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on G.O.
Read third time, passed, and to Senate. (Ayes 71. Noes 0. Page 5088.)
In Senate. Read first time. To Com. on RLS. for assignment.
Read second time. To Consent Calendar.
From committee: Do pass. To Consent Calendar. (May 4).
In committee: Hearing postponed by committee.
From printer. May be heard in committee March 21.
Read first time. To print.
| Bill Text Versions | Format |
|---|---|
| AB2275 | HTML |
| 02/18/10 - Introduced | |
| 06/10/10 - Amended Senate | |
| 07/15/10 - Amended Senate | |
| 08/10/10 - Amended Senate | |
| 08/17/10 - Amended Senate | |
| 09/03/10 - Enrolled | |
| 09/30/10 - Chaptered |
| Document | Format |
|---|---|
| No related documents. |
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