Health care coverage: federally eligible defined individuals: preferred provider products: premium rates.
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AB 718 — Health care coverage: federally eligible defined individuals: preferred provider products: premium rates.
Last action — From Senate committee without further action.
No card. One bill, free forever — alerts when it moves.
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✓Introduced
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✓In Committee
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3Passed Assembly
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4Passed Senate
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5To Executive
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6Enacted
This bill died with 2009-2010 Regular Session. It reached “Passed Assembly” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
This bill is no longer active — its legislative session has ended, so there is no live prognosis. It would have to be reintroduced in the current session to move again.
Summary
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 also provides for the regulation of health insurers by the Department of Insurance. Existing law requires a health care service plan or a health insurer offering individual plan contracts or individual health insurance policies to fairly and affirmatively offer, market, and sell certain individual contracts and policies to all federally eligible defined individuals, as defined, in each service area in which the plan or insurer provides or arranges for the provision of health care services. For those contracts and policies that offer services through a preferred provider arrangement, existing law requires that the premium not exceed the average premium paid by a similar subscriber of the Major Risk Medical Insurance Program (MRMIP) , as specified. This bill would define the "average premium paid" for purposes of this provision as an amount calculated on an annual basis by the Managed Risk Medical Insurance Board using a weighted average based on each plan's or insurer's enrollment in MRMIP, as specified. The bill would require plans and insurers to include a statement regarding those maximum premium rates in certain solicitation and sales materials. Existing law requires plans and insurers to file a specified notice with the Department of Managed Health Care or the Department of Insurance prior to renewing or amending a contract or policy issued to a federally eligible defined individual and prior to changing the premium rates applicable to that contract or policy. Existing law requires the notice or amendment to include a certification of compliance with specified premium requirements. This bill would specify that this certification binds the plan or insurer to the representation of compliance and subjects the plan or insurer to all remedies available to the Director of the Department of Managed Health Care or the Insurance Commissioner, as specified. Because a willful violation of the bill's 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. This bill would declare that it is to take effect immediately as an urgency statute.
Bill Text
- Amended 05/20/10 - Amended Senate Current pdf May 20, 2010
- Amended 09/01/09 - Amended Senate pdf September 01, 2009
- Amended 07/08/09 - Amended Senate pdf July 08, 2009
- Amended 06/30/09 - Amended Senate pdf June 30, 2009
- Amended 06/16/09 - Amended Senate pdf June 16, 2009
- Amended 05/27/09 - Amended Senate pdf May 27, 2009
- Amended 04/22/09 - Amended Assembly pdf April 22, 2009
- Amended 04/13/09 - Amended Assembly pdf April 13, 2009
- Introduced 02/26/09 - Introduced pdf February 26, 2009
- AB718 View text html
Action History
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From Senate committee without further action.
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In committee: Set, second hearing. Hearing canceled at the request of author.
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In committee: Hearing postponed by committee.
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From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on HEALTH.
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Re-referred to Com. on HEALTH.
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Withdrawn from committee. Re-referred to Com. on RLS.
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From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on APPR.
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In committee: Held under submission.
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In committee: Placed on Appropriations suspense file.
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In committee: Set, first hearing. Hearing canceled at the request of author.
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Read second time, amended, and re-referred to Com. on APPR.
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From committee: Amend, do pass as amended, and re-refer to Com. on APPR. (Ayes 9. Noes 0.) (July 6).
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From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on B., P. & E.D.
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From committee: Do pass, and re-refer to Com. on B., P. & E.D. Re-referred. (Ayes 11. Noes 0.) (June 25).
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In committee: Hearing postponed by committee.
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From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on HEALTH.
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In committee: Set, first hearing. Hearing canceled at the request of author.
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Re-referred to Coms. on HEALTH and B., P. & E.D.
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From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on RLS.
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Referred to Com. on RLS.
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In Senate. Read first time. To Com. on RLS. for assignment.
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Read third time, passed, and to Senate. (Ayes 78. Noes 0. Page 1363.)
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Read second time. To Consent Calendar.
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From committee: Do pass. To Consent Calendar. (April 28).
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Re-referred to Com. on B. & P.
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From committee chair, with author's amendments: Amend, and re-refer to Com. on B. & P. Read second time and amended.
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From committee: Do pass, and re-refer to Com. on B. & P. Re-referred. (Ayes 17. Noes 0.) (April 21).
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Re-referred to Com. on HEALTH.
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From committee chair, with author's amendments: Amend, and re-refer to Com. on HEALTH. Read second time and amended.
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Referred to Coms. on HEALTH and B. & P.
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From printer. May be heard in committee March 29.
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Read first time. To print.
Sponsors
- Negrete McLeod · Cosponsor
- Emmerson · Primary
Sponsorship breakdown
Export CSV (upgrade) →1 sponsors · 1 co-sponsors · 120 not signed on
Sponsors (1)
- Emmerson
Co-sponsors (1)
- Negrete McLeod
Not signed on (120)
120 members have not signed on to this bill.
Show all 120 →"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.
Votes
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 13 | 0 | 0 | 0 |
| Total | 13 | 0 | 0 | 0 |
| % of votes cast | 100% | 0% | 0% | 0% |
How each member voted (13)
| Member | Party | Vote |
|---|---|---|
| Yee | — | Yea |
| Hancock | — | Yea |
| Runner | — | Yea |
| Leno | — | Yea |
| Price | — | Yea |
| Wolk | — | Yea |
| Kehoe | — | Yea |
| Oropeza | — | Yea |
| Walters | — | Yea |
| Wyland | — | Yea |
| Corbett | — | Yea |
| Cox | — | Yea |
| Denham | — | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 10 | 0 | 0 | 1 |
| Total | 10 | 0 | 0 | 1 |
| % of votes cast | 91% | 0% | 0% | 9% |
How each member voted (11)
| Member | Party | Vote |
|---|---|---|
| Yee | — | Yea |
| Wyland | — | Yea |
| Corbett | — | Yea |
| Negrete | — | Yea |
| McLeod | — | Yea |
| Romero | — | Yea |
| Walters | — | Yea |
| Aanestad | — | Yea |
| Oropeza | — | Not Voting |
| Correa | — | Yea |
| Florez | — | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 11 | 0 | 0 | 0 |
| Republican | 1 | 0 | 0 | 0 |
| Total | 12 | 0 | 0 | 0 |
| % of votes cast | 100% | 0% | 0% | 0% |
How each member voted (12)
| Member | Party | Vote |
|---|---|---|
| Cedillo | — | Yea |
| Negrete | — | Yea |
| Maldonado | — | Yea |
| McLeod | — | Yea |
| Pavley | — | Yea |
| Wolk | — | Yea |
| Aanestad | — | Yea |
| Alquist | — | Yea |
| Leno | — | Yea |
| Cox | — | Yea |
| DeSaulnier | — | Yea |
| Strickland, Tony | Republican | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 82 | 0 | 0 | 2 |
| Democratic | 5 | 0 | 0 | 0 |
| Republican | 3 | 0 | 0 | 0 |
| Total | 90 | 0 | 0 | 2 |
| % of votes cast | 98% | 0% | 0% | 2% |
How each member voted (92)
| Member | Party | Vote |
|---|---|---|
| Cook | — | Yea |
| Carter | — | Yea |
| Chesbro | — | Yea |
| Conway | — | Yea |
| Bill | — | Yea |
| Berryhill | — | Yea |
| Tom | — | Yea |
| Berryhill | — | Yea |
| Charles | — | Yea |
| Ammiano | — | Yea |
| Beall | — | Yea |
| De | — | Yea |
| La | — | Yea |
| Torre | — | Yea |
| De | — | Yea |
| Leon | — | Yea |
| Eng | — | Yea |
| Yamada | — | Not Voting |
| Fletcher | — | Yea |
| Gaines | — | Yea |
| Bonnie | — | Yea |
| V. | — | Yea |
| Manuel | — | Yea |
| Perez | — | Yea |
| John | — | Yea |
| A. | — | Yea |
| Perez | — | Yea |
| Portantino | — | Yea |
| Salas | — | Yea |
| Saldana | — | Yea |
| Audra | — | Yea |
| Feuer | — | Yea |
| Davis | — | Yea |
| Duvall | — | Not Voting |
| Fuentes | — | Yea |
| Fuller | — | Yea |
| Galgiani | — | Yea |
| Bass | — | Yea |
| Garrick | — | Yea |
| Hagman | — | Yea |
| Hall | — | Yea |
| Hayashi | — | Yea |
| Hernandez | — | Yea |
| Huber | — | Yea |
| Huffman | — | Yea |
| Knight | — | Yea |
| Krekorian | — | Yea |
| Logue | — | Yea |
| Mendoza | — | Yea |
| Miller | — | Yea |
| Nava | — | Yea |
| Nestande | — | Yea |
| Price | — | Yea |
| Ruskin | — | Yea |
| Silva | — | Yea |
| Skinner | — | Yea |
| Solorio | — | Yea |
| Swanson | — | Yea |
| Torres | — | Yea |
| Torrico | — | Yea |
| Villines | — | Yea |
| Adams | — | Yea |
| Anderson | — | Yea |
| Blakeslee | — | Yea |
| Block | — | Yea |
| Blumenfield | — | Yea |
| Brownley | — | Yea |
| Buchanan | — | Yea |
| Harkey | — | Yea |
| Hill | — | Yea |
| Jeffries | — | Yea |
| Lieu | — | Yea |
| Ma | — | Yea |
| Monning | — | Yea |
| Nielsen | — | Yea |
| Smyth | — | Yea |
| Torlakson | — | Yea |
| Tran | — | Yea |
| Emmerson | — | Yea |
| Coto | — | Yea |
| Evans | — | Yea |
| DeVore | — | Yea |
| Furutani | — | Yea |
| Gilmore | — | Yea |
| Arambula, Joaquin | Democratic | Yea |
| Caballero, Anna M. | Democratic | Yea |
| Calderon, Lisa | Democratic | Yea |
| Fong, Mike | Democratic | Yea |
| Lowenthal, Josh | Democratic | Yea |
| Jones, Brian W. | Republican | Yea |
| Niello, Roger W. | Republican | Yea |
| Strickland, Tony | Republican | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 11 | 0 | 0 | 1 |
| Republican | 1 | 0 | 0 | 0 |
| Total | 12 | 0 | 0 | 1 |
| % of votes cast | 92% | 0% | 0% | 8% |
How each member voted (13)
| Member | Party | Vote |
|---|---|---|
| Conway | — | Yea |
| Eng | — | Yea |
| John | — | Yea |
| A. | — | Yea |
| Perez | — | Yea |
| Hayashi | — | Yea |
| Price | — | Not Voting |
| Ruskin | — | Yea |
| Smyth | — | Yea |
| Hernandez | — | Yea |
| Nava | — | Yea |
| Emmerson | — | Yea |
| Niello, Roger W. | Republican | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 19 | 0 | 0 | 4 |
| Republican | 2 | 0 | 0 | 0 |
| Democratic | 1 | 0 | 0 | 0 |
| Total | 22 | 0 | 0 | 4 |
| % of votes cast | 85% | 0% | 0% | 15% |
How each member voted (26)
| Member | Party | Vote |
|---|---|---|
| Hall | — | Yea |
| Carter | — | Yea |
| De | — | Yea |
| Leon | — | Yea |
| Fletcher | — | Yea |
| Bonnie | — | Yea |
| V. | — | Yea |
| Manuel | — | Yea |
| Perez | — | Yea |
| Salas | — | Yea |
| Audra | — | Yea |
| De | — | Not Voting |
| La | — | Not Voting |
| Torre | — | Not Voting |
| Gaines | — | Not Voting |
| Conway | — | Yea |
| Hayashi | — | Yea |
| Hernandez | — | Yea |
| Ammiano | — | Yea |
| Nava | — | Yea |
| Adams | — | Yea |
| Block | — | Yea |
| Emmerson | — | Yea |
| Lowenthal, Josh | Democratic | Yea |
| Jones, Brian W. | Republican | Yea |
| Strickland, Tony | Republican | Yea |
Subjects
Frequently asked questions
- What does AB 718 do?
- 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 also provides for the regulation of health insurers by the Department of Insurance. Existing law requires a health care service plan or a health insurer offering individual plan contracts or individual health insurance policies to fairly and affirmatively offer, market, and sell certain individual contracts and policies to all federally eligible defined individuals, as defined, in each service area in which the plan or insurer provides or arranges for the provision of health care services. For those contracts and policies that offer services through a preferred provider arrangement, existing law requires that the premium not exceed the average premium paid by a similar subscriber of the Major Risk Medical Insurance Program (MRMIP) , as specified. This bill would define the "average premium paid" for purposes of this provision as an amount calculated on an annual basis by the Managed Risk Medical Insurance Board using a weighted average based on each plan's or insurer's enrollment in MRMIP, as specified. The bill would require plans and insurers to include a statement regarding those maximum premium rates in certain solicitation and sales materials. Existing law requires plans and insurers to file a specified notice with the Department of Managed Health Care or the Department of Insurance prior to renewing or amending a contract or policy issued to a federally eligible defined individual and prior to changing the premium rates applicable to that contract or policy. Existing law requires the notice or amendment to include a certification of compliance with specified premium requirements. This bill would specify that this certification binds the plan or insurer to the representation of compliance and subjects the plan or insurer to all remedies available to the Director of the Department of Managed Health Care or the Insurance Commissioner, as specified. Because a willful violation of the bill's 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. This bill would declare that it is to take effect immediately as an urgency statute.
- Who sponsors AB 718?
- AB 718 is sponsored by Negrete McLeod and Emmerson.
- What is the current status of AB 718?
- This bill died with 2009-2010 Regular Session. It reached “Passed Assembly” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
- Where can I track AB 718?
- Track AB 718 free on One Click Politics — get push/email alerts when it moves.
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