California 2013-2014 Regular Session Status: In Committee

SB 917 — Health care coverage: provider information.

Last action — From committee without further action.

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  1. ✓
    Introduced
  2. 2
    In Committee
  3. 3
    Passed Senate
  4. 4
    Passed Assembly
  5. 5
    To Executive
  6. 6
    Enacted

This bill died with 2013-2014 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This bill is no longer active — its legislative session has ended, so there is no live prognosis.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, 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, with some exceptions, requires a health care service plan or disability insurer, as defined, to, on or before July 1, 2001, include a specified statement at the beginning of each provider directory. This bill would additionally require health care service plans and disability insurers to include a statement that states, among other things, that the information in the directory is subject to change. The bill would also make other conforming and technical changes. (2) Existing law requires insurers to provide group policyholders with a current roster of institutional and professional providers under contract to provide services at alternative rates under their group policy and to make the lists available for public inspection during regular business hours at the insurer's or plan's principal office within the state. This bill would require the insurers to also provide this information to prospective group policyholders and would authorize insurers to satisfy the requirement by directing the group policyholders and prospective group policyholders to the insurer's Internet Web site. The bill would require insurers to ensure that the information provided is updated daily and would authorize the insurer to satisfy the update requirement by providing the information on its Internet Web site. (3) Existing law requires a health care service plan to provide, upon request, a list of specified contracting providers within the enrollee's or prospective enrollee's general geographic area. Existing law requires the health care service plan to provide the information in written form, upon request, and authorizes the health care service plan, with the permission of the enrollee, to satisfy this requirement by directing the enrollee or prospective enrollee to the plan's provider listings on its Internet Web site. Existing law also requires that the health care service plan ensure that the information provided is updated at least quarterly, as specified. This bill would instead authorize the health care service plan to satisfy the requirement by directing the enrollee to the plan's provider listings on its Internet Web site without requiring the permission of the enrollee and would require the plan to update the information provided daily. The bill would authorize the health care service plan to satisfy the update requirement by providing the information on its Internet Web site. Because a willful violation of the bill's requirements relative 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

Action History

  1. From committee without further action.

  2. Re-referred to Com. on HEALTH.

  3. Re-referred to Com. on RLS.

  4. Withdrawn from committee.

  5. From committee with author's amendments. Read second time and amended. Re-referred to Com. on PUB. S.

  6. Referred to Com. on PUB. S.

  7. From printer. May be acted upon on or after February 27.

  8. Introduced. Read first time. To Com. on RLS. for assignment. To print.

Sponsors

Sponsorship breakdown

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1 sponsors · 0 co-sponsors · 121 not signed on

Sponsors (1)

Co-sponsors (0)

None.

Not signed on (121)

121 members have not signed on to this bill.

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"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.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Subjects

healthcare health-insurance
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Frequently asked questions

What does SB 917 do?
(1) 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, with some exceptions, requires a health care service plan or disability insurer, as defined, to, on or before July 1, 2001, include a specified statement at the beginning of each provider directory. This bill would additionally require health care service plans and disability insurers to include a statement that states, among other things, that the information in the directory is subject to change. The bill would also make other conforming and technical changes. (2) Existing law requires insurers to provide group policyholders with a current roster of institutional and professional providers under contract to provide services at alternative rates under their group policy and to make the lists available for public inspection during regular business hours at the insurer's or plan's principal office within the state. This bill would require the insurers to also provide this information to prospective group policyholders and would authorize insurers to satisfy the requirement by directing the group policyholders and prospective group policyholders to the insurer's Internet Web site. The bill would require insurers to ensure that the information provided is updated daily and would authorize the insurer to satisfy the update requirement by providing the information on its Internet Web site. (3) Existing law requires a health care service plan to provide, upon request, a list of specified contracting providers within the enrollee's or prospective enrollee's general geographic area. Existing law requires the health care service plan to provide the information in written form, upon request, and authorizes the health care service plan, with the permission of the enrollee, to satisfy this requirement by directing the enrollee or prospective enrollee to the plan's provider listings on its Internet Web site. Existing law also requires that the health care service plan ensure that the information provided is updated at least quarterly, as specified. This bill would instead authorize the health care service plan to satisfy the requirement by directing the enrollee to the plan's provider listings on its Internet Web site without requiring the permission of the enrollee and would require the plan to update the information provided daily. The bill would authorize the health care service plan to satisfy the update requirement by providing the information on its Internet Web site. Because a willful violation of the bill's requirements relative 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 SB 917?
SB 917 is sponsored by Beth Gaines.
What is the current status of SB 917?
This bill died with 2013-2014 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 SB 917?
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