Includes all politicians who were in office at any point during the 2009-2010 Legislature.

AB 1218 - An Act to Amend Section 1386 Of, and to Add Article 6.2 (Commencing with Section 1385.01) to Chapter 2.2 of Division 2 Of, the Health and Safety Code, and to Add Article 4.5 (Commencing with Section 10181) to Chapter 1 of Part 2 of Division 2 of the Insurance Code, Relating to Health Care Coverage, and Making an Appropriation Therefor.

Health care coverage: rate approval. 2009-2010 Legislature. View bill details
Author(s):
Summary:
Existing law, the Knox-Keene Health Care Service Plan Act of 1975 (Knox-Keene Act), 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 and makes the violation of a final order by the Insurance… More
Existing law, the Knox-Keene Health Care Service Plan Act of 1975 (Knox-Keene Act), 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 and makes the violation of a final order by the Insurance Commissioner relating to rates subject to assessment of a civil penalty and makes the willful violation of specified rate provisions a misdemeanor. Under existing law, no change in premium rates or coverage in a health care service plan or a health insurance policy may become effective without prior written notification of the change to the contractholder or policyholder. Existing law prohibits a plan and insurer during the term of a plan contract or policy from changing the rate of the premium, copayment, coinsurance, or deductible during specified time periods.

This bill would, subject to specified exceptions, require approval by the Department of Managed Health Care or the Department of Insurance of an increase in the amount of the premium, copayment, coinsurance obligation, deductible, and other charges under a health care service plan or health insurance policy. The bill would require a plan or insurer to submit to the Department of Managed Health Care or the Department of Insurance, respectively, an application for a rate increase that would be effective on or after January 1, 2011, and would require review of the application in accordance with regulations that each department would be required to adopt no later than January 1, 2011. The bill would subject a rate increase that became effective January 1, 2009, to December 31, 2010, inclusive, to review by the appropriate department.

This bill would require each department to notify the public of a rate application and would deem the application approved within 60 days of the date of that notice unless certain conditions exist and the department holds a hearing on the application, as specified. The bill would authorize the initiation of, and intervention in, proceedings relating to rate approvals and the award of advocacy fees and costs in those proceedings in specified circumstances. The bill would require the departments to work together in implementation of these provisions, and to take specified actions in order to ensure coordination and consistency in implementation.

This bill would authorize each department to assess a charge in connection with its costs associated with a rate application. The bill would direct the deposit of these fees into the respective department’s Health Rate Approval Fund, which would be created by the bill, and would continuously appropriate that revenue to each department, thereby making an appropriation.

Because this bill would specify that its violation is punishable by criminal sanctions under the Knox-Keene Act and under provisions applicable to insurers, 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. Hide
 
Status:
The bill was voted on by an Assembly committee on April 28, 2009. 
There have been no votes on passage on this bill.
Other Votes:

An Act to Amend Section 1386 Of, and to Add Article 6.2 (Commencing with Section 1385.01) to Chapter 2.2 of Division 2 Of, the Health and Safety Code, and to Add Article 4.5 (Commencing with Section 10181) to Chapter 1 of Part 2 of Division 2 of the Insurance Code, Relating to Health Care Coverage, and Making an Appropriation Therefor.

AB 1218 — 2009-2010 Legislature

Summary
Existing law, the Knox-Keene Health Care Service Plan Act of 1975 (Knox-Keene Act), 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 and makes the violation of a final order by the Insurance Commissioner relating to rates subject to assessment of a civil penalty and makes the willful violation of specified rate provisions a misdemeanor. Under existing law, no change in premium rates or coverage in a health care service plan or a health insurance policy may become effective without prior written notification of the change to the contractholder or policyholder. Existing law prohibits a plan and insurer during the term of a plan contract or policy from changing the rate of the premium, copayment, coinsurance, or deductible during specified time periods.

This bill would, subject to specified exceptions, require approval by the Department of Managed Health Care or the Department of Insurance of an increase in the amount of the premium, copayment, coinsurance obligation,… More
Existing law, the Knox-Keene Health Care Service Plan Act of 1975 (Knox-Keene Act), 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 and makes the violation of a final order by the Insurance Commissioner relating to rates subject to assessment of a civil penalty and makes the willful violation of specified rate provisions a misdemeanor. Under existing law, no change in premium rates or coverage in a health care service plan or a health insurance policy may become effective without prior written notification of the change to the contractholder or policyholder. Existing law prohibits a plan and insurer during the term of a plan contract or policy from changing the rate of the premium, copayment, coinsurance, or deductible during specified time periods.

This bill would, subject to specified exceptions, require approval by the Department of Managed Health Care or the Department of Insurance of an increase in the amount of the premium, copayment, coinsurance obligation, deductible, and other charges under a health care service plan or health insurance policy. The bill would require a plan or insurer to submit to the Department of Managed Health Care or the Department of Insurance, respectively, an application for a rate increase that would be effective on or after January 1, 2011, and would require review of the application in accordance with regulations that each department would be required to adopt no later than January 1, 2011. The bill would subject a rate increase that became effective January 1, 2009, to December 31, 2010, inclusive, to review by the appropriate department.

This bill would require each department to notify the public of a rate application and would deem the application approved within 60 days of the date of that notice unless certain conditions exist and the department holds a hearing on the application, as specified. The bill would authorize the initiation of, and intervention in, proceedings relating to rate approvals and the award of advocacy fees and costs in those proceedings in specified circumstances. The bill would require the departments to work together in implementation of these provisions, and to take specified actions in order to ensure coordination and consistency in implementation.

This bill would authorize each department to assess a charge in connection with its costs associated with a rate application. The bill would direct the deposit of these fees into the respective department’s Health Rate Approval Fund, which would be created by the bill, and would continuously appropriate that revenue to each department, thereby making an appropriation.

Because this bill would specify that its violation is punishable by criminal sanctions under the Knox-Keene Act and under provisions applicable to insurers, 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. Hide
Learn More
At LegInfo.ca.gov
Title
An Act to Amend Section 1386 Of, and to Add Article 6.2 (Commencing with Section 1385.01) to Chapter 2.2 of Division 2 Of, the Health and Safety Code, and to Add Article 4.5 (Commencing with Section 10181) to Chapter 1 of Part 2 of Division 2 of the Insurance Code, Relating to Health Care Coverage, and Making an Appropriation Therefor.
Author(s)
Dave Jones
Co-Authors
    Subjects
    • Health care coverage: rate approval
    Major Actions
    Introduced2/27/2009
    Referred to Committee
    Failed passage in Assembly Committee on Health4/28/2009
    Passed Assembly Committee on Health4/28/2009
    Bill History
    Chamber/CommitteeMotionDateResult
    select this voteAssembly Committee on HealthDo pass and be re-referred to the Committee on Appropriations.4/28/2009This motion DID NOT PASS the Assembly Committee on Health
    7 voted YES 6 voted NO 6 voted present/not voting
    select this voteAssembly Committee on HealthSet second hearing. Failed passage. Reconsideration granted.4/28/2009This motion PASSED the Assembly Committee on Health
    19 voted YES 0 voted NO 0 voted present/not voting
    ActionDateDescription
    Introduced2/27/2009
    2/27/2009Introduced. To print.
    3/01/2009From printer. May be heard in committee March 30.
    3/02/2009Read first time.
    3/31/2009Referred to Com. on HEALTH.
    4/21/2009In committee: Set, first hearing. Hearing canceled at the request of author.
    select this voteVote4/28/2009Do pass and be re-referred to the Committee on Appropriations.
    select this voteVote4/28/2009Set second hearing. Failed passage. Reconsideration granted.
    4/28/2009In committee: Set second hearing. Failed passage. Reconsideration granted.
    1/31/2010Died pursuant to Art. IV, Sec. 10(c) of the Constitution.
    2/02/2010From committee: Filed with the Chief Clerk pursuant to Joint Rule 56.

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    Organizations that took a position on
    An Act to Amend Section 1386 Of, and to Add Article 6.2 (Commencing with Section 1385.01) to Chapter 2.2 of Division 2 Of, the Health and Safety Code, and to Add Article 4.5 (Commencing with Section 10181) to Chapter 1 of Part 2 of Division 2 of the Insurance Code, Relating to Health Care Coverage, and Making an Appropriation Therefor.

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    Includes reported contributions to campaigns of Assemblymembers in office during the 2009-2010 California State Legislature, from interest groups invested in the vote according to MapLight, January 1, 2009 – December 31, 2010.
    Contributions data source: FollowTheMoney.org

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    NamePartyDistrict$ From Interest Groups
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    $ From Interest Groups
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    Anthony AdamsRCA-59$0$0
    Tom AmmianoDCA-13$0$0
    Joel AndersonRCA-77$0$0
    Juan ArambulaICA-31$0$0
    Karen BassDCA-47$0$0
    Jim BeallDCA-24$0$0
    Bill BerryhillRCA-26$0$0
    Tom BerryhillRCA-25$0$0
    Sam BlakesleeRCA-33$0$0
    Marty BlockDCA-78$0$0
    Bob BlumenfieldDCA-40$0$0
    Julia BrownleyDCA-41$0$0
    Joan BuchananDCA-15$0$0
    Anna CaballeroDCA-28$0$0
    Charles CalderonDCA-58$0$0
    Wilmer Amina CarterDCA-62$0$0
    Wesley ChesbroDCA-1$0$0
    Connie ConwayRCA-34$0$0
    Paul CookRCA-65$0$0
    Joe CotoDCA-23$0$0
    Mike DavisDCA-48$0$0
    Hector De La TorreDCA-50$0$0
    Kevin De LeonDCA-45$0$0
    Chuck DeVoreRCA-70$0$0
    Mike DuvallRCA-72$0$0
    Bill EmmersonRCA-63$0$0
    Mike EngDCA-49$0$0
    Noreen EvansDCA-7$0$0
    Mike FeuerDCA-42$0$0
    Nathan FletcherRCA-75$0$0
    Paul FongDCA-22$0$0
    Felipe FuentesDCA-39$0$0
    Jean FullerRCA-32$0$0
    Warren FurutaniDCA-55$0$0
    Ted GainesRCA-4$0$0
    Cathleen GalgianiDCA-17$0$0
    Martin GarrickRCA-74$0$0
    Danny GilmoreRCA-30$0$0
    Curt HagmanRCA-60$0$0
    Isadore HallDCA-52$0$0
    Diane HarkeyRCA-73$0$0
    Mary HayashiDCA-18$0$0
    Ed HernandezDCA-57$0$0
    Jerry HillDCA-19$0$0
    Alyson HuberDCA-10$0$0
    Jared HuffmanDCA-6$0$0
    Kevin JeffriesRCA-66$0$0
    Dave JonesDCA-9$0$0
    Steve KnightRCA-36$0$0
    Paul KrekorianDCA-43$0$0
    Ted LieuDCA-53$0$0
    Dan LogueRCA-3$0$0
    Bonnie LowenthalDCA-54$0$0
    Fiona MaDCA-12$0$0
    Tony MendozaDCA-56$0$0
    Jeff MillerRCA-71$0$0
    Bill MonningDCA-27$0$0
    Pedro NavaDCA-35$0$0
    Brian NestandeRCA-64$0$0
    Roger NielloRCA-5$0$0
    Jim NielsenRCA-2$0$0
    John PerezDCA-46$0$0
    Manuel PerezDCA-80$0$0
    Anthony PortantinoDCA-44$0$0
    Curren PriceDCA-51$0$0
    Ira RuskinDCA-21$0$0
    Mary SalasDCA-79$0$0
    Lori SaldanaDCA-76$0$0
    Jim SilvaRCA-67$0$0
    Nancy SkinnerDCA-14$0$0
    Cameron SmythRCA-38$0$0
    Jose SolorioDCA-69$0$0
    Audra StricklandRCA-37$0$0
    Sandre SwansonDCA-16$0$0
    Tom TorlaksonDCA-11$0$0
    Norma TorresDCA-61$0$0
    Alberto TorricoDCA-20$0$0
    Van TranRCA-68$0$0
    Mike VillinesRCA-29$0$0
    Mariko YamadaDCA-8$0$0

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