Individual legislator voting records for this vote are not currently available. Includes all politicians who were in office at any point during the 2011-2012 Legislature.

AB 52 - An Act to Amend Section 1386 Of, and to Add Article 6.1 (Commencing with Section 1385.001) to Chapter 2.2 of Division 2 Of, the Health and Safety Code, and to Add Article 4.4 (Commencing with Section 10180.1) to Chapter 1 of Part 2 of Division 2 of the Insurance Code, Relating to Health Care Coverage.

Health care coverage: rate approval. 2011-2012 Legislature. View bill details
Author(s):
Summary:
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 provides for the regulation of health insurers by the Department of Insurance. Under existing law, no change in premium rates or coverage in a health care… More
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 provides for the regulation of health insurers by the Department of Insurance. 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 health care service plan or health insurer during the term of a group plan contract or policy from changing the rate of the premium, copayment, coinsurance, or deductible during specified time periods. Existing law requires a health care service plan or health insurer that issues individual or group contracts or policies to file with the Department of Managed Health Care or the Department of Insurance specified rate information at least 60 days prior to the effective date of any rate change.

This bill would further require a health care service plan or health insurer that issues individual or group contracts or policies to file with the Department of Managed Health Care or the Department of Insurance, on and after January 1, 2012, a complete rate application for any proposed rate, as defined, or rate change, and would prohibit the Department of Managed Health Care or the Department of Insurance from approving any rate or rate change that is found to be excessive, inadequate, or unfairly discriminatory. The bill would require the rate application to include certain rate information. The bill would authorize the Department of Managed Health Care or the Department of Insurance to approve, deny, or modify any proposed rate or rate change, and would authorize the Department of Managed Health Care and the Department of Insurance to review any rate or rate change that went into effect between January 1, 2011, and January 1, 2012, and to order refunds, subject to these provisions. The bill would authorize the imposition of fees on health care service plans and health insurers for purposes of implementation, for deposit into newly created funds, subject to appropriation. The bill would impose civil penalties on a health care service plan or health insurer, and subject a health care service plan to discipline, for a violation of these provisions, as specified. The bill would establish proceedings for the review of any action taken under those provisions related to rate applications and would require the Department of Managed Health Care and the Department of Insurance, and plans and insurers, to disclose specified information on the Internet pertaining to rate applications and those proceedings. The bill would require the Department of Managed Health Care or the Department of Insurance, or the court, to award reasonable advocate’s fees, including expert witness fees, and other reasonable costs in those proceedings under specified circumstances, to be paid by the plan or insurer.

Because a willful violation of these provisions by a health care service plan 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. Hide
 
Status:
The bill was voted on by a Senate committee on August 25, 2011. 
Assembly Committee on Appropriations Vote: Do pass.

PASSED on May 27, 2011.

voted YES: 9 voted NO: 7
1 voted present/not voting

An Act to Amend Section 1386 Of, and to Add Article 6.1 (Commencing with Section 1385.001) to Chapter 2.2 of Division 2 Of, the Health and Safety Code, and to Add Article 4.4 (Commencing with Section 10180.1) to Chapter 1 of Part 2 of Division 2 of the Insurance Code, Relating to Health Care Coverage.

AB 52 — 2011-2012 Legislature

Summary
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 provides for the regulation of health insurers by the Department of Insurance. 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 health care service plan or health insurer during the term of a group plan contract or policy from changing the rate of the premium, copayment, coinsurance, or deductible during specified time periods. Existing law requires a health care service plan or health insurer that issues individual or group contracts or policies to file with the Department of Managed Health Care or the Department of Insurance specified rate information at least 60 days prior to the effective date of any rate change.

This bill would further require a health care service plan or health insurer that issues individual or group… More
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 provides for the regulation of health insurers by the Department of Insurance. 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 health care service plan or health insurer during the term of a group plan contract or policy from changing the rate of the premium, copayment, coinsurance, or deductible during specified time periods. Existing law requires a health care service plan or health insurer that issues individual or group contracts or policies to file with the Department of Managed Health Care or the Department of Insurance specified rate information at least 60 days prior to the effective date of any rate change.

This bill would further require a health care service plan or health insurer that issues individual or group contracts or policies to file with the Department of Managed Health Care or the Department of Insurance, on and after January 1, 2012, a complete rate application for any proposed rate, as defined, or rate change, and would prohibit the Department of Managed Health Care or the Department of Insurance from approving any rate or rate change that is found to be excessive, inadequate, or unfairly discriminatory. The bill would require the rate application to include certain rate information. The bill would authorize the Department of Managed Health Care or the Department of Insurance to approve, deny, or modify any proposed rate or rate change, and would authorize the Department of Managed Health Care and the Department of Insurance to review any rate or rate change that went into effect between January 1, 2011, and January 1, 2012, and to order refunds, subject to these provisions. The bill would authorize the imposition of fees on health care service plans and health insurers for purposes of implementation, for deposit into newly created funds, subject to appropriation. The bill would impose civil penalties on a health care service plan or health insurer, and subject a health care service plan to discipline, for a violation of these provisions, as specified. The bill would establish proceedings for the review of any action taken under those provisions related to rate applications and would require the Department of Managed Health Care and the Department of Insurance, and plans and insurers, to disclose specified information on the Internet pertaining to rate applications and those proceedings. The bill would require the Department of Managed Health Care or the Department of Insurance, or the court, to award reasonable advocate’s fees, including expert witness fees, and other reasonable costs in those proceedings under specified circumstances, to be paid by the plan or insurer.

Because a willful violation of these provisions by a health care service plan 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. Hide
Learn More
At LegInfo.ca.gov
Title
An Act to Amend Section 1386 Of, and to Add Article 6.1 (Commencing with Section 1385.001) to Chapter 2.2 of Division 2 Of, the Health and Safety Code, and to Add Article 4.4 (Commencing with Section 10180.1) to Chapter 1 of Part 2 of Division 2 of the Insurance Code, Relating to Health Care Coverage.
Author(s)
Mike Feuer, Jared Huffman
Co-Authors
Subjects
  • Health care coverage: rate approval
Major Actions
Introduced12/06/2010
Referred to Committee
Passed Assembly Committee on Health4/26/2011
Passed Assembly Committee on Appropriations5/27/2011
Passed Assembly6/01/2011
Passed Assembly6/02/2011
Passed Senate Committee on Health7/06/2011
Passed Senate Committee on Appropriations8/15/2011
Passed Senate Committee on Appropriations8/25/2011
Bill History
Chamber/CommitteeMotionDateResult
select this voteAssembly Committee on HealthDo pass as amended and be re-referred to the Committee on Appropriations.4/26/2011This motion PASSED the Assembly Committee on Health
12 voted YES 7 voted NO 0 voted present/not voting
currently selectedAssembly Committee on AppropriationsDo pass.5/27/2011This motion PASSED the Assembly Committee on Appropriations
9 voted YES 7 voted NO 1 voted present/not voting
select this voteAssemblyAB 52 FEUER Assembly Third Reading Amend By FEUER Set #16/01/2011This bill PASSED the Assembly
47 voted YES 28 voted NO 5 voted present/not voting
select this voteAssemblyAB 52 FEUER Assembly Third Reading6/02/2011This bill PASSED the Assembly
45 voted YES 28 voted NO 7 voted present/not voting
select this voteSenate Committee on HealthDo pass, but re-refer to the Committee on Appropriations.7/06/2011This motion PASSED the Senate Committee on Health
5 voted YES 3 voted NO 1 voted present/not voting
select this voteSenate Committee on AppropriationsPlaced on Appropriations Suspense file.8/15/2011This motion PASSED the Senate Committee on Appropriations
8 voted YES 0 voted NO 1 voted present/not voting
select this voteSenate Committee on AppropriationsDo pass.8/25/2011This motion PASSED the Senate Committee on Appropriations
6 voted YES 3 voted NO 0 voted present/not voting
ActionDateDescription
Introduced12/06/2010
12/06/2010Read first time. To print.
12/07/2010From printer. May be heard in committee January 6.
3/25/2011Referred to Com. on HEALTH. From committee chair, with author's amendments: Amend, and re-refer to Com. on HEALTH. Read second time and amended.
3/29/2011Re-referred to Com. on HEALTH.
4/05/2011In committee: Set, first hearing. Hearing canceled at the request of author.
select this voteVote4/26/2011Do pass as amended and be re-referred to the Committee on Appropriations.
5/02/2011From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 12. Noes 7.) (April 26).
5/03/2011Read second time and amended.
5/04/2011Re-referred to Com. on APPR.
5/11/2011In committee: Set, first hearing. Referred to APPR. suspense file.
5/27/2011From committee: Do pass. (Ayes 9. Noes 7.) (May 27). Read second time. Ordered to third reading.
currently selectedVote5/27/2011Do pass.
6/01/2011Read third time and amended. Ordered to third reading. (Ayes 47. Noes 28. Page 1691.)
select this voteAssembly Vote on Passage6/01/2011AB 52 FEUER Assembly Third Reading Amend By FEUER Set #1
6/02/2011Assembly Rule 69(d) suspended. (Ayes 49. Noes 26. Page 1782.) Read third time. Passed. Ordered to the Senate. (Ayes 45. Noes 28. Page 1789.)
6/02/2011In Senate. Read first time. To Com. on RLS. for assignment.
select this voteAssembly Vote on Passage6/02/2011AB 52 FEUER Assembly Third Reading
6/08/2011Referred to Com. on HEALTH.
6/30/2011In committee: Set, first hearing. Testimony taken. Further hearing to be set.
select this voteVote7/06/2011Do pass, but re-refer to the Committee on Appropriations.
7/07/2011From committee: Do pass and re-refer to Com. on APPR. (Ayes 5. Noes 3.) (July 6). Re-referred to Com. on APPR.
select this voteVote8/15/2011Placed on Appropriations Suspense file.
8/15/2011In committee: Referred to APPR. suspense file.
select this voteVote8/25/2011Do pass.
8/25/2011From committee: Do pass. (Ayes 6. Noes 3.) (August 25).
8/29/2011Read second time. Ordered to third reading.
9/01/2011Ordered to inactive file at the request of Senator Leno.

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0 Organizations Supported and 0 Opposed

Organizations that took a position on
An Act to Amend Section 1386 Of, and to Add Article 6.1 (Commencing with Section 1385.001) to Chapter 2.2 of Division 2 Of, the Health and Safety Code, and to Add Article 4.4 (Commencing with Section 10180.1) to Chapter 1 of Part 2 of Division 2 of the Insurance Code, Relating to Health Care Coverage.: Do pass.

0 organizations supported this motion

0 organizations opposed this motion

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Includes reported contributions to campaigns of Assemblymembers in office on day of vote, from interest groups invested in the vote according to MapLight, January 1, 2011 – December 31, 2012.
Contributions data source: FollowTheMoney.org

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NamePartyDistrict$ From Interest Groups
That Supported
$ From Interest Groups
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Katcho AchadjianRCA-33$0$0
Luis AlejoDCA-28$0$0
Michael AllenDCA-7$0$0
Tom AmmianoDCA-13$0$0
Toni AtkinsDCA-76$0$0
Jim BeallDCA-24$0$0
Bill BerryhillRCA-26$0$0
Marty BlockDCA-78$0$0
Bob BlumenfieldDCA-40$0$0
Susan BonillaDCA-11$0$0
Steven BradfordDCA-51$0$0
Julia BrownleyDCA-41$0$0
Joan BuchananDCA-15$0$0
Betsy ButlerDCA-53$0$0
Charles CalderonDCA-58$0$0
Nora CamposDCA-23$0$0
Wilmer Amina CarterDCA-62$0$0
Gilbert CedilloDCA-45$0$0
Wesley ChesbroDCA-1$0$0
Connie ConwayRCA-34$0$0
Paul CookRCA-65$0$0
Mike DavisDCA-48$0$0
Roger DickinsonDCA-9$0$0
Tim DonnellyRCA-59$0$0
Mike EngDCA-49$0$0
Mike FeuerDCA-42$0$0
Nathan FletcherRCA-75$0$0
Paul FongDCA-22$0$0
Felipe FuentesDCA-39$0$0
Warren FurutaniDCA-55$0$0
Beth GainesRCA-4$0$0
Cathleen GalgianiDCA-17$0$0
Martin GarrickRCA-74$0$0
Mike GattoDCA-43$0$0
Rich GordonDCA-21$0$0
Jeff GorellRCA-37$0$0
Shannon GroveRCA-32$0$0
Curt HagmanRCA-60$0$0
Linda HaldermanRCA-29$0$0
Isadore HallDCA-52$0$0
Diane HarkeyRCA-73$0$0
Mary HayashiDCA-18$0$0
Roger HernandezDCA-57$0$0
Jerry HillDCA-19$0$0
Alyson HuberDCA-10$0$0
Ben HuesoDCA-79$0$0
Jared HuffmanDCA-6$0$0
Kevin JeffriesRCA-66$0$0
Brian JonesRCA-77$0$0
Steve KnightRCA-36$0$0
Ricardo LaraDCA-50$0$0
Dan LogueRCA-3$0$0
Bonnie LowenthalDCA-54$0$0
Fiona MaDCA-12$0$0
Allan MansoorRCA-68$0$0
Tony MendozaDCA-56$0$0
Jeff MillerRCA-71$0$0
Holly MitchellDCA-47$0$0
Bill MonningDCA-27$0$0
Mike MorrellRCA-63$0$0
Brian NestandeRCA-64$0$0
Jim NielsenRCA-2$0$0
Chris NorbyRCA-72$0$0
Kristin OlsenRCA-25$0$0
Richard PanDCA-5$0$0
Henry PereaDCA-31$0$0
John PerezDCA-46$0$0
Manuel PerezDCA-80$0$0
Anthony PortantinoDCA-44$0$0
Jim SilvaRCA-67$0$0
Nancy SkinnerDCA-14$0$0
Cameron SmythRCA-38$0$0
Jose SolorioDCA-69$0$0
Sandre SwansonDCA-16$0$0
Norma TorresDCA-61$0$0
David ValadaoRCA-30$0$0
Don WagnerRCA-70$0$0
Bob WieckowskiDCA-20$0$0
Das WilliamsDCA-35$0$0
Mariko YamadaDCA-8$0$0

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