Bill Text: CA SB538 | 2017-2018 | Regular Session | Amended
Bill Title: Hospital contracts.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Engrossed - Dead) 2018-06-26 - June 26 hearing postponed by committee. [SB538 Detail]
Download: California-2017-SB538-Amended.html
Amended
IN
Senate
May 02, 2017 |
Amended
IN
Senate
April 17, 2017 |
Amended
IN
Senate
March 23, 2017 |
Senate Bill | No. 538 |
Introduced by Senator Monning |
February 16, 2017 |
LEGISLATIVE COUNSEL'S DIGEST
Digest Key
Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: YESBill Text
The people of the State of California do enact as follows:
SECTION 1.
This act shall be known, and may be cited, as the Health Care Market Fairness Act of 2017.SEC. 2.
The Legislature finds and declares all of the following:SEC. 3.
Section 513 is added to the Business and Professions Code, to read:513.
(a) A contract between a hospital or any affiliate of a hospital and a contracting agent shall not, directly or indirectly, do any of the following:(5)Require the contracting agent to provide coverage to beneficiaries for services rendered by the hospital and any of its affiliates at the same level of copayment, coinsurance, deductible, or any similar cost-sharing provision, for services rendered by other in-network hospitals and any of their affiliates.
SEC. 4.
Section 1268.9 is added to the Health and Safety Code, to read:1268.9.
(a) A contract between a hospital or any affiliate of a hospital and a contracting agent shall not, directly or indirectly, do any of the following:SEC. 4.SEC. 5.
Section 1367.32 is added to the Health and Safety Code, to read:1367.32.
(a) A contract between a hospital or any affiliate of a hospital and a health care service plan shall not, directly or indirectly, do any of the following:(5)Require the health care service plan to provide coverage to its enrollees for services rendered by the hospital and any of its
affiliates at the same level of copayment, coinsurance, deductible, or any similar cost-sharing provision, as for services rendered by other in-network hospitals and any of their affiliates.
SEC. 5.SEC. 6.
Section 10133.57 is added to the Insurance Code, to read:10133.57.
(a) A contract between a hospital or any affiliate of a hospital and a health insurer shall not, directly or indirectly, do any of the following:(5)Require the health insurer to provide coverage to its insureds for services rendered by the hospital and any of its affiliates at the same level of copayment,
coinsurance, deductible, or any similar cost-sharing provision as for services rendered by other in-network hospitals and any of their affiliates.