Bill Text: CA AB2764 | 2015-2016 | Regular Session | Amended

---

Bill Title: Health care coverage: mammography.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Failed) 2016-11-30 - From committee without further action. [AB2764 Detail]

Download: California-2015-AB2764-Amended.html

---

BILL NUMBER: AB 2764	AMENDED
	BILL TEXT

	AMENDED IN ASSEMBLY  MARCH 18, 2016

INTRODUCED BY   Assembly  Members   Williams
    and Bonilla  
Member   Bonilla 

                        FEBRUARY 19, 2016

   An act to amend Section  11345 of the Business and
Professions Code, relating to real estate appraisers.  
1367.65 of the Health and Safety Code, and to amend Section 10123.81
of the Insurance Code, relating to health care coverage. 


	LEGISLATIVE COUNSEL'S DIGEST


   AB 2764, as amended,  Williams  Bonilla. 
Appraisal management companies: registration.   Health
care coverage: mammography.  
   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 its provisions a crime. Existing law provides for the
licensure and regulation of health insurers by the Department of
Insurance. Existing law requires health care service plan contracts,
except specialized health care service plan contracts, and certain
health insurance policies to provide coverage for mammography for
screening and diagnostic purposes.  
   This bill would require the mammography coverage to include, but
not be limited to, digital mammography and breast tomosynthesis.
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.  
   Existing law, the Real Estate Appraisers' Licensing and
Certification Law, provides for the licensure and regulation of real
estate appraisers and vests the duty of enforcing and administering
that law in the Bureau of Real Estate Appraisers within the
Department of Consumer Affairs. Existing law requires an appraisal
management company, as defined, to register with the bureau. Existing
law requires the Chief of the Bureau of Real Estate Appraisers to
adopt regulations governing the process and procedure of registration
that require, at minimum, among other things, the business address
and telephone number of the person or entity seeking registration.
 
   This bill would additionally require that those regulations
include the email address of the person or entity seeking
registration. 
   Vote: majority. Appropriation: no. Fiscal committee: yes.
State-mandated local program:  no   yes  .


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

   SECTION 1.    Section 1367.65 of the  
Health and Safety Code   is amended to read: 
   1367.65.  (a)  On or after January 1, 2000, each 
 Each  health care service plan contract, except a
specialized health care service plan contract, that is issued,
amended, delivered, or renewed shall  be deemed to 
provide coverage for mammography  , including, but not limited
to, digital mammography and breast tomosynthesis,  for screening
or diagnostic purposes upon referral by a participating nurse
practitioner, participating certified nurse-midwife, participating
physician assistant, or participating physician, providing care to
the patient and operating within the scope of practice provided under
existing law.
   (b) This section does not prevent application of copayment or
deductible provisions in a plan, nor shall this section be construed
to require that a plan be extended to cover any other procedures
under an individual or a group health care service plan contract.
This section does not authorize a plan enrollee to receive the
services required to be covered by this section if those services are
furnished by a nonparticipating provider, unless the plan enrollee
is referred to that provider by a participating physician, nurse
practitioner, or certified nurse-midwife providing care.
   SEC. 2.    Section 10123.81 of the  
Insurance Code   is amended to read: 
   10123.81.  (a) Every individual or group policy of disability
insurance or self-insured employee welfare benefit plan shall
 be deemed to  provide coverage for mammography 
, including, but not limited to, digital mammography and breast
tomosynthesis,  for screening or diagnostic purposes upon the
referral of a participating nurse practitioner, participating
certified nurse-midwife, participating physician assistant, or
participating physician, providing care to the patient and operating
within the scope of practice provided under existing law.
   (b)  Nothing in this   This   
section  shall be construed to   does not
prevent the application of copayment or deductible provisions in a
policy, nor shall this section be construed to require that a policy
be extended to cover any other procedures under an individual or a
group policy.  Nothing in this   This 
section  shall be construed to   does not 
authorize a policyholder to receive the services required to be
covered by this section if those services are furnished by a
nonparticipating provider, unless the policyholder is referred to
that provider by a participating physician, nurse practitioner, or
certified nurse-midwife providing care.
   (c) This section  shall   does  not
apply to specialized health insurance, Medicare supplement insurance,
short-term limited duration health insurance, CHAMPUS supplement
insurance, or TRI-CARE supplement insurance, or to hospital
indemnity, accident-only, or specified disease insurance.
   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.  
  SECTION 1.    Section 11345 of the Business and
Professions Code is amended to read:
   11345.  The director shall adopt regulations governing the process
and procedure of applying for registration as an appraisal
management company. Applications for a certificate of registration
shall require, at a minimum, all of the following:
   (a) The name of the person or entity seeking registration.
   (b) The business address, email address, and telephone number of
the person or entity seeking registration.
   (c) If the applicant is not a person or entity domiciled in this
state, the name and contact number of a person or entity acting as
agent for service of process in this state, along with an irrevocable
consent to service of process in favor of the office.
   (d) The name, address, and contact information for each
controlling person employed by the applicant who has operational
authority to direct the management of, and establish policies for,
the applicant. If the applicant employs more than 10 individuals
meeting the criteria of this subdivision, the applicant may list the
names, addresses, and contact information for the 10 individuals
meeting the criteria who hold the greatest level of management
responsibility within its organization.