Richard Pan
- Democratic
Author
Existing federal law, the Patient Protection and Affordable Care Act (PPACA) , enacts various health care market reforms. 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 requires a health care service plan that issues, sells, renews, or offers plan contracts for health care coverage in the state to comply with the requirements of the PPACA, and any rules or regulations issued under the PPACA, that generally prohibit a health plan offering group or individual coverage from imposing lifetime or annual limits on the dollar value of benefits for a participant or beneficiary. Existing law requires a plan to comply with those provisions to the extent required by federal law. This bill would delete the requirement that a plan comply with the prohibition on lifetime or annual limits to the extent required by federal law, and would instead prohibit an individual or group health care service plan contract from establishing lifetime or annual limits on the dollar value of benefits for an enrollee, thereby indefinitely extending the prohibitions on lifetime or annual limits, except as specified. Because a willful violation of these provisions 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.
In Assembly. Read first time. Held at Desk.
Read third time. Passed. (Ayes 39. Noes 0. Page 3149.) Ordered to the Assembly.
Read second time. Ordered to third reading.
From committee: Be ordered to second reading pursuant to Senate Rule 28.8.
Set for hearing January 21.
From committee: Do pass and re-refer to Com. on APPR. (Ayes 7. Noes 0. Page 3100.) (January 15). Re-referred to Com. on APPR.
Set for hearing January 15.
Re-referred to Com. on RLS. pursuant to Senate Rule 29.10(c).
Read second time. Ordered to third reading.
From inactive file.
Ordered to second reading.
Read second time and amended. Ordered to second reading.
Ordered to inactive file on request of Senator Pan.
Read second time. Ordered to third reading.
From committee: Do pass. (Ayes 4. Noes 2. Page 1091.) (May 16).
Set for hearing May 16.
May 13 hearing: Placed on APPR. suspense file.
Set for hearing May 13.
From committee: Do pass and re-refer to Com. on APPR. (Ayes 4. Noes 2. Page 845.) (April 24). Re-referred to Com. on APPR.
Set for hearing April 24.
From committee: Do pass and re-refer to Com. on GOV. & F. (Ayes 6. Noes 1. Page 714.) (April 10). Re-referred to Com. on GOV. & F.
From committee with author's amendments. Read second time and amended. Re-referred to Com. on HEALTH.
Set for hearing April 10.
From printer. May be acted upon on or after February 28.
Introduced. Read first time. To Com. on RLS. for assignment. To print.
| Bill Text Versions | Format |
|---|---|
| SB175 | HTML |
| 01/28/19 - Introduced | |
| 04/03/19 - Amended Senate | |
| 01/06/20 - Amended Senate |
| Document | Format |
|---|---|
| No related documents. |
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