Adrin Nazarian
- 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 provides for the regulation of health insurers by the Department of Insurance. Existing law requires a health care service plan contract or health insurance policy that provides coverage for outpatient prescription drugs to cover medically necessary prescription drugs and subjects those policies to certain limitations on cost sharing and the placement of drugs on formularies. Existing law limits the maximum amount an enrollee or insured may be required to pay at the point of sale for a covered prescription drug to the lesser of the applicable cost-sharing amount or the retail price, and requires that payment to apply to the applicable deductible. This bill would require a health care service plan contract or health insurance policy issued, amended, delivered, or renewed on or after July 1, 2023, that provides prescription drug benefits and maintains one or more drug formularies to furnish specified information about a prescription drug upon request by an enrollee or insured, or their prescribing provider. The bill would require the plan or insurer to respond in real time to that request and ensure the information is current no later than one business day after a change is made. The bill would prohibit a health care service plan or health insurer from, among other things, restricting a prescribing provider from sharing the information furnished about the prescription drug or penalizing a provider for prescribing, administering, or ordering a lower cost or clinically appropriate alternative drug. 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.
Chaptered by Secretary of State - Chapter 590, Statutes of 2022.
Approved by the Governor.
Enrolled and presented to the Governor at 4 p.m.
Read third time. Passed. Ordered to the Assembly. (Ayes 40. Noes 0. Page 5367.).
Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 79. Noes 0.).
In Assembly. Concurrence in Senate amendments pending.
Ordered to special consent calendar.
Read second time. Ordered to third reading.
Read third time and amended. Ordered to second reading.
Read second time. Ordered to third reading.
From committee: Amend, and do pass as amended. (Ayes 7. Noes 0.) (August 11).
Read second time and amended. Ordered returned to second reading.
Read second time and amended. Re-referred to Com. on APPR.
From committee: Amend, and do pass as amended and re-refer to Com. on APPR. (Ayes 9. Noes 0.) (June 15).
In Senate. Read first time. To Com. on RLS. for assignment.
Read third time. Passed. Ordered to the Senate. (Ayes 70. Noes 1. Page 4842.)
Read second time. Ordered to third reading.
From committee: Do pass. (Ayes 15. Noes 1.) (May 19).
In committee: Set, first hearing. Referred to suspense file.
Read second time and amended.
From committee: Amend, and do pass as amended and re-refer to Com. on APPR. (Ayes 13. Noes 0.) (March 29).
From printer. May be heard in committee March 19.
Read first time. To print.
| Bill Text Versions | Format |
|---|---|
| AB2352 | HTML |
| 02/16/22 - Introduced | |
| 04/06/22 - Amended Assembly | |
| 06/20/22 - Amended Senate | |
| 08/11/22 - Amended Senate | |
| 08/24/22 - Amended Senate | |
| 09/02/22 - Enrolled | |
| 09/27/22 - Chaptered |
| Document | Format |
|---|---|
| 03/25/22- Assembly Health | |
| 04/25/22- Assembly Appropriations | |
| 05/20/22- ASSEMBLY FLOOR ANALYSIS | |
| 06/13/22- Senate Health | |
| 06/24/22- Senate Appropriations | |
| 08/11/22- Senate Appropriations | |
| 08/15/22- Sen. Floor Analyses | |
| 08/30/22- Sen. Floor Analyses | |
| 08/31/22- ASSEMBLY FLOOR ANALYSIS |
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