Bill Text: CA AB2752 | 2015-2016 | Regular Session | Amended

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Bill Title: Health care coverage: continuity of care.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Failed) 2016-11-30 - From committee without further action. [AB2752 Detail]

Download: California-2015-AB2752-Amended.html

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BILL NUMBER: AB 2752	AMENDED
	BILL TEXT

	AMENDED IN ASSEMBLY  APRIL 26, 2016
	AMENDED IN ASSEMBLY  APRIL 12, 2016

INTRODUCED BY   Assembly Member Nazarian

                        FEBRUARY 19, 2016

   An act to add Section 1399.7 to the Health and Safety Code, and to
add Section 10133.58 to the Insurance Code, relating to health care
coverage.



	LEGISLATIVE COUNSEL'S DIGEST


   AB 2752, as amended, Nazarian. Health care coverage: continuity of
care.
   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 Insurance Commissioner.
   This bill would require a health care service plan or a health
insurer, for a health care service plan contract or a health
insurance policy that is issued, renewed, or amended on or after
January 1, 2017, to notify  an enrollee or insured in annual
renewal materials that the enrollee's or insured's  
enrollees or insureds in annual renewal materials that a 
prescription drug is no longer covered by the plan or policy or has
changed tiers in the plan's or insurer's drug formulary, if that is
the case. The bill would exempt a specialized health care service
plan that covers dental or vision services from that requirement. The
bill would also require a health care service plan or health
insurer, for a health care service plan contract or a health
insurance policy that is issued, renewed, or amended on or after
January 1, 2017, to include in annual renewal materials information
regarding the plan's provider directory or directories. Because a
willful violation of that requirement by a health care service plan
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.
   Vote: majority. Appropriation: no. Fiscal committee: yes.
State-mandated local program: yes.


THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS:

  SECTION 1.  Section 1399.7 is added to the Health and Safety Code,
to read:
   1399.7.  (a) (1) A health care service plan, for a health care
service plan contract that is issued, renewed, or amended on or after
January 1, 2017, shall include in annual renewal materials a notice
to  an enrollee that the enrollee's current  
enrollees that a  prescription drug is no longer covered by the
plan or has changed tiers in the plan's drug formulary, if that is
the case.
   (2) This subdivision does not apply to a specialized health care
service plan that covers dental or vision services.
   (b) A health care service plan, for a health care service plan
contract that is issued, renewed, or amended on or after January 1,
2017, shall include in annual renewal materials information regarding
the health care service plan's provider directory or directories.
  SEC. 2.  Section 10133.58 is added to the Insurance Code, to read:
   10133.58.  (a) (1) A health insurer, for a health insurance policy
that is issued, renewed, or amended on or after January 1, 2017,
shall include in annual renewal materials a notice to  an
insured that the insured's current   insureds that a
 prescription drug is no longer covered by the policy or has
changed tiers in the insurer's drug formulary, if that is the case.
   (2) This subdivision does not apply to a specialized health
insurance policy that covers dental or vision services.
   (b) A health insurer, for a health insurance policy that is
issued, renewed, or amended on or after January 1, 2017, shall
include in annual renewal materials information regarding the health
insurer's provider directory or directories.
  SEC. 3.  No reimbursement is required by this act pursuant to
Section 6 of Article XIII B of the California Constitution because
the only costs that may be incurred by a local agency or school
district will be incurred because this act creates a new crime or
infraction, eliminates a crime or infraction, or changes the penalty
for a crime or infraction, within the meaning of Section 17556 of the
Government Code, or changes the definition of a crime within the
meaning of Section 6 of Article XIII B of the California
Constitution.