Bill Text: CA AB710 | 2013-2014 | Regular Session | Introduced

NOTE: There are more recent revisions of this legislation. Read Latest Draft

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Bill Title: California Health Benefit Exchange: multiemployer plans.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced - Dead) 2014-02-03 - From committee: Filed with the Chief Clerk pursuant to Joint Rule 56. [AB710 Detail]

Download: California-2013-AB710-Introduced.html

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BILL NUMBER: AB 710	INTRODUCED
	BILL TEXT


INTRODUCED BY   Assembly Member Pan

                        FEBRUARY 21, 2013

   An act to amend Section 1385.01 of the Health and Safety Code, and
to amend Section 10181 of the Insurance Code, relating to health
care coverage.



	LEGISLATIVE COUNSEL'S DIGEST


   AB 710, as introduced, Pan. Review of rate increases: California
Health Benefit Exchange.
   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. Under
the federal Patient Protection and Affordable Care Act (PPACA), each
state is required, by January 1, 2014, to establish an American
Health Benefit Exchange that makes available qualified health plans
to qualified individuals and small employers. Existing state law
establishes the California Health Benefit Exchange (Exchange) within
state government, specifies the powers and duties of the board
governing the Exchange, and requires the board to facilitate the
purchase of qualified health plans through the Exchange by qualified
individuals and small employers by January 1, 2014. Existing law
provides that, for the purposes of provisions relating to review of
rate increases by health care service plan contracts and health
insurance policies, specified definitions shall apply.
   This bill would add the definition of "Exchange" to those
provisions.
   Vote: majority. Appropriation: no. Fiscal committee: no.
State-mandated local program: no.


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

  SECTION 1.  Section 1385.01 of the Health and Safety Code is
amended to read:
   1385.01.  For purposes of this article, the following definitions
shall apply: 
   (a) "Exchange" means the California Health Benefit Exchange
created by Section 100500 of the Government Code.  
   (a) 
    (b)  "Large group health care service plan contract"
means a group health care service plan contract other than a contract
issued to a small employer, as defined in Section 1357, 1357.500, or
1357.600. 
   (b) 
    (c)  "Small group health care service plan contract"
means a group health care service plan contract issued to a small
employer, as defined in Section 1357, 1357.500, or 1357.600. 

   (c) 
    (d)  "PPACA" means Section 2794 of the federal Public
Health Service Act (42 U.S.C. Sec. 300gg-94), as amended by the
federal Patient Protection and Affordable Care Act (Public Law
(111-148)), and any subsequent rules, regulations, or guidance issued
under that section. 
   (d) 
    (e)  "Unreasonable rate increase" has the same meaning
as that term is defined in PPACA.
  SEC. 2.  Section 10181 of the Insurance Code is amended to read:
   10181.  For purposes of this article, the following definitions
shall apply: 
   (a) "Exchange" means the California Health Benefit Exchange
created by Section 100500 of the Government Code.  
   (a) 
    (b)  "Large group health insurance policy" means a group
health insurance policy other than a policy issued to a small
employer, as defined in Section 10700, 10753, or 10755. 
   (b) 
    (c)  "Small group health insurance policy" means a group
health insurance policy issued to a small employer, as defined in
Section 10700, 10753, or 10755. 
   (c) 
    (d)  "PPACA" means Section 2794 of the federal Public
Health Service Act (42 U.S.C. Sec. 300gg-94), as amended by the
federal Patient Protection and Affordable Care Act (Public Law
111-148), and any subsequent rules, regulations, or guidance issued
pursuant to that law. 
   (d) 
    (e)  "Unreasonable rate increase" has the same meaning
as that term is defined in PPACA.