AB 1126 — The Public Employees' Health Care Act: billing disputes.
Last action — From committee: Filed with the Chief Clerk pursuant to Joint Rule 56.
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✓Introduced
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2In 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 “In Committee” 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This bill is no longer active — its legislative session has ended, so there is no live prognosis.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
The Public Employees' Health Care Act (PEMHCA) allows an employee or annuitant to enroll in an approved health benefit plan, as specified. PEMHCA also authorizes the Board of Administration of the Public Employees' Retirement System to enter into contracts with carriers offering health benefit plans or with entities offering services relating to the administration of health benefit plans, as specified. The Knox-Keene Health Care Service Plan Act of 1975 requires billing disputes over emergency medical care to be resolved solely between the emergency room health care providers, who are entitled to a reasonable payment for their services, and the HMO, which is obligated to make that payment. The emergency room health care providers are prohibited from billing the patient for the disputed amount. Existing regulations define balance billing as an unfair billing pattern. This bill would prohibit a health care provider giving emergency services and care, as defined, from seeking reimbursement or attempting to obtain payment for any covered services provided to an employee or annuitant other than from the participating health benefit plan covering that employee or annuitant. The bill would specify that that provision would not apply to any copayments, coinsurance, or deductibles required for the covered services provided to that employee or annuitant other than from the participating health plan covering that employee or annuitant.
Bill Text
What changed in the latest version
1 added · 1 removed1 line(s) added, 1 removed.
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- Introduced 02/27/09 - Introduced Current pdf February 27, 2009
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Action History
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From committee: Filed with the Chief Clerk pursuant to Joint Rule 56.
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Died pursuant to Art. IV, Sec. 10(c) of the Constitution.
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In committee: Hearing postponed by committee.
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Referred to Com. on P.E.,R. & S.S.
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Read first time.
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From printer. May be heard in committee March 30.
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Introduced. To print.
Sponsors
- Hernandez · Primary
Sponsorship breakdown
Export CSV (upgrade) →1 sponsors · 0 co-sponsors · 121 not signed on
Sponsors (1)
- Hernandez
Co-sponsors (0)
None.
Not signed on (121)
121 members have not signed on to this bill.
Show all 121 →"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.
Subjects
Frequently asked questions
- What does AB 1126 do?
- The Public Employees' Health Care Act (PEMHCA) allows an employee or annuitant to enroll in an approved health benefit plan, as specified. PEMHCA also authorizes the Board of Administration of the Public Employees' Retirement System to enter into contracts with carriers offering health benefit plans or with entities offering services relating to the administration of health benefit plans, as specified. The Knox-Keene Health Care Service Plan Act of 1975 requires billing disputes over emergency medical care to be resolved solely between the emergency room health care providers, who are entitled to a reasonable payment for their services, and the HMO, which is obligated to make that payment. The emergency room health care providers are prohibited from billing the patient for the disputed amount. Existing regulations define balance billing as an unfair billing pattern. This bill would prohibit a health care provider giving emergency services and care, as defined, from seeking reimbursement or attempting to obtain payment for any covered services provided to an employee or annuitant other than from the participating health benefit plan covering that employee or annuitant. The bill would specify that that provision would not apply to any copayments, coinsurance, or deductibles required for the covered services provided to that employee or annuitant other than from the participating health plan covering that employee or annuitant.
- Who sponsors AB 1126?
- AB 1126 is sponsored by Hernandez.
- What is the current status of AB 1126?
- This bill died with 2009-2010 Regular Session. It reached “In Committee” 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 1126?
- Track AB 1126 free on One Click Politics — get push/email alerts when it moves.
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