Health care coverage.
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AB 1809 — Health care coverage.
Last action — In committee: Set, second hearing. Held under submission.
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 2011-2012 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This bill is no longer active — its legislative session has ended, so there is no live prognosis.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
(1) Existing law requires the Managed Risk Medical Insurance Board to, by January 20, 2004, report specified information with regard to the State Children's Health Insurance Program. Existing law also requires the board to provide, by April 15, 1998, a proposal relating to drug and alcohol treatment programs for children. This bill would delete those obsolete provisions. (2) Existing law requires the Department of Managed Health Care and the Department of Insurance to maintain a joint senior level working group to ensure clarity for health care consumers about who enforces their patient rights and consistency in the regulations of these departments. Existing law requires the working group to report its findings to the Insurance Commissioner and the Director of the Department of Managed Health Care for review and approval and, commencing January 1, 2004, requires the commissioner and the director to submit the approved report to the Legislature every year for 5 years. This bill would delete that reporting requirement. (3) Existing law requires a health care service plan and a health insurer to comply with minimum medical loss ratios and to provide an annual rebate to each enrollee or insured if the medical loss ratio of the amount of the revenue expended by the plan or insurer on costs to the total amount of premium revenue is less than a certain percentage, as specified. Existing federal law authorizes an issuer of health care coverage to provide those premium rebates to its current enrollees by a premium credit, lump-sum check, or, if the enrollee paid the premium using a credit card or debit card, by a lump-sum reimbursement to the account used to pay the premium. Existing federal law requires an issuer of health care coverage to provide the premium rebate to its former enrollees in the form of a lump-sum check or lump-sum reimbursement using the same method that the former enrollee used for payment of the premium. This bill would make these provisions of federal law applicable to a health care service plan and health insurer with respect to the method by which it provides premium rebates to current and former enrollees or insureds, as specified. The bill would require a health care service plan and health insurer to make a good faith effort to locate its former enrollees or insureds who are entitled to the rebate. (4) Existing law requires the executive board of the California Health Benefit Exchange to establish a navigator program in accordance with the federal Patient Protection and Affordable Care Act to conduct public education activities and distribute information on qualified health care plans. Existing law also creates the California Health Trust Fund, a continuously appropriated fund, within the State Treasury for purposes of the provisions establishing the exchange. This bill would create the Health Care Coverage Information, Enrollment, and Eligibility Assistance Account within the California Health Trust Fund. The bill would require a health care service plan and health insurer that is unable to locate its former enrollees or insureds who are entitled to a premium rebate to cause those rebate funds to be deposited in the account to be continuously appropriated for purposes of distributing funding for health care coverage information, enrollment, and eligibility assistance. Because this bill would cause additional moneys to be deposited into a continuously appropriated fund, the bill would make an appropriation. (5) Under existing law, a willful violation of the Knox-Keene Health Care Service Plan Act of 1975 is a crime. Because a willful violation of the bill's requirements with respect to a health care service plan would be a crime, this 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 05/01/12 - Amended Assembly Current pdf May 01, 2012
- Introduced 02/21/12 - Introduced pdf February 21, 2012
- AB1809 View text html
Action History
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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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From committee: Do pass and re-refer to Com. on APPR. (Ayes 13. Noes 5.) (May 8). Re-referred to Com. on APPR.
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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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In committee: Set, first hearing. Hearing canceled at the request of author.
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Referred to Com. on HEALTH.
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From printer. May be heard in committee March 23.
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Read first time. To print.
Sponsors
- Monning · Primary
Sponsorship breakdown
Export CSV (upgrade) →1 sponsors · 0 co-sponsors · 121 not signed on
Sponsors (1)
- Monning
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 | 13 | 5 | 0 | 1 |
| Total | 13 | 5 | 0 | 1 |
| % of votes cast | 68% | 26% | 0% | 5% |
How each member voted (19)
| Member | Party | Vote |
|---|---|---|
| Bonilla | — | Yea |
| Atkins | — | Yea |
| Mitchell | — | Yea |
| Eng | — | Yea |
| Garrick | — | Nay |
| Gordon | — | Yea |
| Ammiano | — | Yea |
| Hayashi | — | Yea |
| Monning | — | Yea |
| Nestande | — | Not Voting |
| Pan | — | Yea |
| Silva | — | Nay |
| Smyth | — | Nay |
| Williams | — | Yea |
| Logue | — | Nay |
| Mansoor | — | Nay |
| Bonnie Lowenthal | — | Yea |
| Roger Hernández | — | Yea |
| V. Manuel Pérez | — | Yea |
Subjects
Frequently asked questions
- What does AB 1809 do?
- (1) Existing law requires the Managed Risk Medical Insurance Board to, by January 20, 2004, report specified information with regard to the State Children's Health Insurance Program. Existing law also requires the board to provide, by April 15, 1998, a proposal relating to drug and alcohol treatment programs for children. This bill would delete those obsolete provisions. (2) Existing law requires the Department of Managed Health Care and the Department of Insurance to maintain a joint senior level working group to ensure clarity for health care consumers about who enforces their patient rights and consistency in the regulations of these departments. Existing law requires the working group to report its findings to the Insurance Commissioner and the Director of the Department of Managed Health Care for review and approval and, commencing January 1, 2004, requires the commissioner and the director to submit the approved report to the Legislature every year for 5 years. This bill would delete that reporting requirement. (3) Existing law requires a health care service plan and a health insurer to comply with minimum medical loss ratios and to provide an annual rebate to each enrollee or insured if the medical loss ratio of the amount of the revenue expended by the plan or insurer on costs to the total amount of premium revenue is less than a certain percentage, as specified. Existing federal law authorizes an issuer of health care coverage to provide those premium rebates to its current enrollees by a premium credit, lump-sum check, or, if the enrollee paid the premium using a credit card or debit card, by a lump-sum reimbursement to the account used to pay the premium. Existing federal law requires an issuer of health care coverage to provide the premium rebate to its former enrollees in the form of a lump-sum check or lump-sum reimbursement using the same method that the former enrollee used for payment of the premium. This bill would make these provisions of federal law applicable to a health care service plan and health insurer with respect to the method by which it provides premium rebates to current and former enrollees or insureds, as specified. The bill would require a health care service plan and health insurer to make a good faith effort to locate its former enrollees or insureds who are entitled to the rebate. (4) Existing law requires the executive board of the California Health Benefit Exchange to establish a navigator program in accordance with the federal Patient Protection and Affordable Care Act to conduct public education activities and distribute information on qualified health care plans. Existing law also creates the California Health Trust Fund, a continuously appropriated fund, within the State Treasury for purposes of the provisions establishing the exchange. This bill would create the Health Care Coverage Information, Enrollment, and Eligibility Assistance Account within the California Health Trust Fund. The bill would require a health care service plan and health insurer that is unable to locate its former enrollees or insureds who are entitled to a premium rebate to cause those rebate funds to be deposited in the account to be continuously appropriated for purposes of distributing funding for health care coverage information, enrollment, and eligibility assistance. Because this bill would cause additional moneys to be deposited into a continuously appropriated fund, the bill would make an appropriation. (5) Under existing law, a willful violation of the Knox-Keene Health Care Service Plan Act of 1975 is a crime. Because a willful violation of the bill's requirements with respect to a health care service plan would be a crime, this 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 1809?
- AB 1809 is sponsored by Monning.
- What is the current status of AB 1809?
- This bill died with 2011-2012 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 1809?
- Track AB 1809 free on One Click Politics — get push/email alerts when it moves.
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