Health care coverage: medical loss ratio.
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AB 812 — Health care coverage: medical loss ratio.
Last action — From committee: Filed with the Chief Clerk pursuant to Joint Rule 56.
No card. One bill, free forever — alerts when it moves.
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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This bill is no longer active — its legislative session has ended, so there is no live prognosis.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
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. Under existing law, a health care service plan is prohibited from expending for administrative costs, as defined, an excessive amount of the payments it receives for providing health care services to its subscribers and enrollees. Existing law also provides for the regulation of health insurers by the Department of Insurance. Under existing law, the Insurance Commissioner is required to withdraw approval of an individual or mass-marketed policy of disability insurance if the commissioner finds that the benefits provided under the policy are unreasonable in relation to the premium charged, as specified. This bill would require a health care service plan or health insurer to annually report to the Director of the Department of Managed Health Care or the Insurance Commissioner the medical loss ratio of each health care service plan product or health insurance policy form issued, amended, or renewed by the plan or insurer in California. The bill would require the director or commissioner to make the information reported available to the public and would require the departments to jointly adopt and amend regulations to implement these provisions in order to establish uniform medical loss ratio reporting. 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.
Bill Text
- Amended 05/05/09 - Amended Assembly Current pdf May 05, 2009
- Amended 04/14/09 - Amended Assembly pdf April 14, 2009
- Introduced 02/26/09 - Introduced pdf February 26, 2009
- AB812 View text html
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: Set, second hearing. Held under submission.
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In committee: Set, first hearing. Referred to APPR. suspense file.
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Re-referred to Com. on APPR.
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Read second time and amended.
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From committee: Amend, do pass as amended, and re-refer to Com. on APPR. (Ayes 12. Noes 4.) (April 28).
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From committee: Be re-referred to Com. on HEALTH. Re-referred. (Ayes 10. Noes 0.) (April 16).
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Re-referred to Com. on RULES.
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From committee chair, with author's amendments: Amend, and re-refer to Com. on RULES. Read second time and amended.
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Re-referred to Com. on RULES by unanimous consent.
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Referred to Com. on INS.
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From printer. May be heard in committee March 30.
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Read first time. To print.
Sponsors
- De La Torre · Primary
Sponsorship breakdown
Export CSV (upgrade) →1 sponsors · 0 co-sponsors · 121 not signed on · 1 voted No
Sponsors (1)
- De La Torre
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.
Votes
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 16 | 4 | 0 | 3 |
| Republican | 1 | 1 | 0 | 0 |
| Democratic | 1 | 0 | 0 | 0 |
| Total | 18 | 5 | 0 | 3 |
| % of votes cast | 69% | 19% | 0% | 12% |
How each member voted (26)
| Member | Party | Vote |
|---|---|---|
| Hall | — | Yea |
| Carter | — | Yea |
| Hernandez | — | Yea |
| Nava | — | Yea |
| De | — | Yea |
| La | — | Yea |
| Torre | — | Yea |
| De | — | Yea |
| Leon | — | Yea |
| Bonnie | — | Yea |
| V. | — | Yea |
| Manuel | — | Yea |
| Perez | — | Yea |
| Fletcher | — | Nay |
| Audra | — | Nay |
| Gaines | — | Not Voting |
| Salas | — | Not Voting |
| Conway | — | Nay |
| Adams | — | Not Voting |
| Ammiano | — | Yea |
| Block | — | Yea |
| Hayashi | — | Yea |
| Emmerson | — | Nay |
| Lowenthal, Josh | Democratic | Yea |
| Jones, Brian W. | Republican | Yea |
| Strickland, Tony | Republican | Nay |
| 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 |
|---|---|---|
| Hall | — | Yea |
| Gaines | — | Not Voting |
| Lieu | — | Yea |
| Mendoza | — | Yea |
| Silva | — | Yea |
| Swanson | — | Yea |
| Torlakson | — | Yea |
| Adams | — | Yea |
| Ammiano | — | Yea |
| Blakeslee | — | Yea |
| Yamada | — | Yea |
Subjects
Frequently asked questions
- What does AB 812 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. Under existing law, a health care service plan is prohibited from expending for administrative costs, as defined, an excessive amount of the payments it receives for providing health care services to its subscribers and enrollees. Existing law also provides for the regulation of health insurers by the Department of Insurance. Under existing law, the Insurance Commissioner is required to withdraw approval of an individual or mass-marketed policy of disability insurance if the commissioner finds that the benefits provided under the policy are unreasonable in relation to the premium charged, as specified. This bill would require a health care service plan or health insurer to annually report to the Director of the Department of Managed Health Care or the Insurance Commissioner the medical loss ratio of each health care service plan product or health insurance policy form issued, amended, or renewed by the plan or insurer in California. The bill would require the director or commissioner to make the information reported available to the public and would require the departments to jointly adopt and amend regulations to implement these provisions in order to establish uniform medical loss ratio reporting. 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.
- Who sponsors AB 812?
- AB 812 is sponsored by De La Torre.
- What is the current status of AB 812?
- 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 812?
- Track AB 812 free on One Click Politics — get push/email alerts when it moves.
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