Jacqui Irwin
- Democratic
- Assemblymember
- District 42
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 sets forth specified prior authorization limitations for health care service plans and health insurers. This bill would prohibit a health care service plan contract or health insurance policy issued, amended, or renewed on or after January 1, 2025, that provides coverage for physical therapy from imposing prior authorization for the initial 12 treatment visits for a new episode of care for physical therapy. The bill would require a physical therapy provider to verify an enrollee's or an insured's coverage and disclose their share of the cost of care, as specified. The bill would require a physical therapy provider to obtain separate written consent for costs that may not be covered by the enrollee's or insured's plan contract or policy, that includes a written estimate of the cost of care for which the enrollee or insured is responsible if coverage is denied or otherwise not applicable. With respect to health care service plans, the bill would specify that its provisions do not apply to Medi-Cal managed care plan contracts. Because a willful violation of this provision 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.
Consideration of Governor's veto stricken from file.
Consideration of Governor's veto pending.
Vetoed by Governor.
Enrolled and presented to the Governor at 4 p.m.
Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 74. Noes 0. Page 3192.).
Read third time. Passed. Ordered to the Assembly. (Ayes 39. Noes 0. Page 2486.).
In Assembly. Concurrence in Senate amendments pending. May be considered on or after September 9 pursuant to Assembly Rule 77.
Read second time. Ordered to third reading.
Read second time and amended. Ordered returned to second reading.
From committee: Amend, and do pass as amended. (Ayes 6. Noes 0.) (September 1).
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 10. Noes 0.) (June 14).
In Senate. Read first time. To Com. on RLS. for assignment.
Read third time. Passed. Ordered to the Senate. (Ayes 62. Noes 1. Page 1411.)
Read second time. Ordered to third reading.
From committee: Do pass. (Ayes 12. Noes 2.) (April 26).
From committee: Do pass and re-refer to Com. on APPR. (Ayes 12. Noes 0.) (April 11). Re-referred to Com. on APPR.
From printer. May be heard in committee March 17.
Read first time. To print.
| Bill Text Versions | Format |
|---|---|
| AB931 | HTML |
| 02/14/23 - Introduced | |
| 06/15/23 - Amended Senate | |
| 09/01/23 - Amended Senate | |
| 09/12/23 - Enrolled |
| Document | Format |
|---|---|
| 04/07/23- Assembly Health | |
| 04/24/23- Assembly Appropriations | |
| 04/28/23- ASSEMBLY FLOOR ANALYSIS | |
| 06/12/23- Senate Health | |
| 06/23/23- Senate Appropriations | |
| 09/01/23- Senate Appropriations | |
| 09/02/23- Sen. Floor Analyses | |
| 09/07/23- ASSEMBLY FLOOR ANALYSIS | |
| 10/20/23- ASSEMBLY FLOOR ANALYSIS |
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