Elaine Alquist
- 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 the act a crime. Existing law prohibits a health care service plan from expending for administrative costs, as defined, an excessive amount of the payments the plan receives for providing health care services to its subscribers and enrollees. Existing law provides for the regulation of health insurers by the Department of Insurance. The Insurance Commissioner is required to withdraw approval of an individual or mass-marketed health insurance policy if the commissioner finds that the benefits provided under the policy are unreasonable in relation to the premium charged, as specified. The federal Patient Protection and Affordable Care Act prohibits a health insurance issuer issuing health insurance coverage from establishing lifetime limits or unreasonable annual limits on the dollar value of benefits for any participant or beneficiary, as specified. The act also requires a health insurance issuer issuing health insurance coverage to comply with minimum medical loss ratios and to provide an annual rebate to each insured if the medical loss ratio of the amount of the revenue expended by the issuer on costs to the total amount of premium revenue is less than a certain percentage, as specified. This bill would require health care service plans and health insurers to comply with the requirements imposed under those federal provisions, as specified. The bill would authorize the Director of the Department of Managed Health Care and the Insurance Commissioner to promulgate regulations and emergency regulations to implement requirements relating to medical loss ratios, as specified. Because a willful violation of those requirements with respect 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.
Chaptered by Secretary of State. Chapter 644, Statutes of 2011.
Approved by the Governor.
Enrolled and presented to the Governor at 10:30 a.m.
Read third time. Passed. (Ayes 53. Noes 26. Page 3168.) Ordered to the Senate.
Assembly amendments concurred in. (Ayes 25. Noes 14. Page 2461.) Ordered to engrossing and enrolling.
In Senate. Concurrence in Assembly amendments pending.
Ordered to third reading.
Read third time and amended. (Page 2770.)
From committee: Do pass. (Ayes 12. Noes 5.) (August 25).
Read second time. Ordered to third reading.
Set, first hearing. Referred to APPR. suspense file.
Read second time and amended. Re-referred to Com. on APPR.
From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 13. Noes 6.) (July 5).
From committee with author's amendments. Read second time and amended. Re-referred to Com. on HEALTH.
In Assembly. Read first time. Held at Desk.
Read third time. Passed. (Ayes 25. Noes 15. Page 1235.) Ordered to the Assembly.
Read second time and amended. Ordered to third reading.
From committee: Do pass as amended. (Ayes 6. Noes 3. Page 1111.) (May 26).
Set for hearing May 26.
Placed on APPR. suspense file.
Set for hearing May 23.
Read second time and amended. Re-referred to Com. on APPR.
From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 6. Noes 3. Page 785.) (April 27).
From committee with author's amendments. Read second time and amended. Re-referred to Com. on HEALTH.
From committee with author's amendments. Read second time and amended. Re-referred to Com. on HEALTH.
Set for hearing April 27.
Read first time.
From printer. May be acted upon on or after January 15.
Introduced. To Com. on RLS. for assignment. To print.
| Bill Text Versions | Format |
|---|---|
| SB51 | HTML |
| 12/15/10 - Introduced | |
| 04/05/11 - Amended Senate | |
| 04/25/11 - Amended Senate | |
| 05/09/11 - Amended Senate | |
| 05/31/11 - Amended Senate | |
| 06/28/11 - Amended Assembly | |
| 07/11/11 - Amended Assembly | |
| 09/01/11 - Amended Assembly | |
| 09/13/11 - Enrolled | |
| 10/09/11 - Chaptered |
| Document | Format |
|---|---|
| No related documents. |
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