Bill Text: CA AB2900 | 2019-2020 | Regular Session | Introduced

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Bill Title: Publicly funded health care programs.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced - Dead) 2020-02-24 - Read first time. [AB2900 Detail]

Download: California-2019-AB2900-Introduced.html

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CALIFORNIA LEGISLATURE— 2019–2020 REGULAR SESSION

Assembly Bill

No. 2900

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Introduced by Assembly Member Nazarian

February 21, 2020

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An act to amend Section 10020 of the Welfare and Institutions Code, relating to public social services.

LEGISLATIVE COUNSEL'S DIGEST

AB 2900, as introduced, Nazarian. Publicly funded health care programs.

Existing law provides that a person with private health care coverage is not entitled to receive health care items or services furnished or paid for by a publicly funded health care program if those health care items or services are covered by that private health care coverage.

This bill would make technical, nonsubstantive changes to those provisions.

Digest Key

Vote: MAJORITY   Appropriation: NO   Fiscal Committee: NO   Local Program: NO  

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Bill Text

The people of the State of California do enact as follows:

SECTION 1.

 Section 10020 of the Welfare and Institutions Code is amended to read:

10020.

 (a) No A person having with private health care coverage shall not be entitled to receive the same health care items or services furnished or paid for by a publicly funded health care program.

(b) As used in this chapter:

(1) “Publicly funded health care program” shall mean means care or services rendered by a local government or any a facility thereof, or health care services for which payment is made under the California Medical Assistance Program established by Chapter 7 (commencing with Section 14000) of Part 3 of this division by the State Department of Health Care Services or by its fiscal intermediary, or by a carrier or other organization with which the State Department of Health Care Services has contracted to furnish those services or to pay providers who furnish those services.

(2) As used in this chapter, “private health care coverage” means any a health insurer, self-insured plan, group health plan, as defined in Section 607(1) of the Employee Retirement Income Security Act of 1974, service benefit plan, managed care organization, including a health care service plans plan as defined in subdivision (f) of Section 1345 of the Health and Safety Code, licensed pursuant to the Knox-Keene Health Care Service Plan Act of 1975 (Chapter 2.2 (commencing with Section 1340) of Division 2 of the Health and Safety Code, Code), pharmacy benefit manager, or other party that is, by statute, contract, or agreement, legally responsible for payment of paying a claim for a health care item or service.

(c) If a person receives health care furnished or paid for by a publicly funded health care program, the carrier of the person’s private health care coverage shall reimburse the publicly funded health care program the cost incurred in rendering that care to the extent of the benefits provided under the terms of the policy for the items provided or the services rendered.