Fran Pavley
- 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 provides for the regulation of health insurers by the Department of Insurance. Existing law requires every health care service plan contract and health insurance policy to provide coverage for screening for, diagnosis of, and treatment for, breast cancer, including coverage for prosthetic devices or reconstructive surgery to restore and achieve symmetry for the patient incident to a mastectomy. Existing law requires every health care service plan contract and health insurance policy that provides coverage for mastectomies and lymph node dissections to allow the length of any hospital stay to be determined by the attending physician and surgeon in consultation with the patient, to cover prosthetic devices or reconstructive surgery, and to cover all complications from a mastectomy. Existing law defines mastectomy for those purposes as the removal of all or part of the breast for medically necessary reasons, as determined by a licensed physician and surgeon. This bill would revise and recast the definition of mastectomy and would specify that the partial removal of a breast includes, but is not limited to, lumpectomy, which includes surgical removal of the tumor with clear margins. The bill would require the consultation regarding the length of any hospital stay to be conducted postsurgery. Because a willful violation of these provisions by a health care service plan is 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 449, Statutes of 2012.
Approved by the Governor.
Enrolled and presented to the Governor at 9:45 a.m.
Assembly amendments concurred in. (Ayes 38. Noes 0. Page 5061.) Ordered to engrossing and enrolling.
In Senate. Concurrence in Assembly amendments pending.
Read third time. Passed. (Ayes 71. Noes 7. Page 6173.) Ordered to the Senate.
Read second time. Ordered to third reading.
From committee: Do pass. (Ayes 16. Noes 0.) (August 8).
From committee with author's amendments. Read second time and amended. Re-referred to Com. on APPR.
From committee: Do pass and re-refer to Com. on APPR. (Ayes 17. Noes 1.) (June 19). Re-referred to Com. on APPR.
In Assembly. Read first time. Held at Desk.
Read third time. Passed. (Ayes 27. Noes 6. Page 2696.) Ordered to the Assembly.
Read second time. Ordered to third reading.
From committee: Be placed on second reading file pursuant to Senate Rule 28.8.
From committee: Do pass and re-refer to Com. on APPR. (Ayes 7. Noes 0. Page 2648.) (January 11). Re-referred to Com. on APPR.
Set for hearing January 11.
Set, first hearing. Testimony taken. Further hearing to be set.
From committee with author's amendments. Read second time and amended. Re-referred to Com. on HEALTH.
Set for hearing April 27.
From printer. May be acted upon on or after March 13.
Introduced. Read first time. To Com. on RLS. for assignment. To print.
| Bill Text Versions | Format |
|---|---|
| SB255 | HTML |
| 02/10/11 - Introduced | |
| 04/25/11 - Amended Senate | |
| 08/06/12 - Amended Assembly | |
| 09/05/12 - Enrolled | |
| 09/22/12 - Chaptered |
| Document | Format |
|---|---|
| No related documents. |
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