SB 810 - An Act to Add Division 115.5 (Commencing with Section 140000) to the Health and Safety Code, Relating to Health Care Coverage.

Single‑payer health care coverage. 2011-2012 Legislature. View bill details
Author(s):
Summary:
Existing law provides for the creation of various programs to provide health care services to persons who have limited incomes and meet various eligibility requirements. These programs include the Healthy Families Program administered by the Managed Risk Medical Insurance Board, and the Medi‑Cal program administered by the State Department of Health Care Services. Existing law provides for the… More
Existing law provides for the creation of various programs to provide health care services to persons who have limited incomes and meet various eligibility requirements. These programs include the Healthy Families Program administered by the Managed Risk Medical Insurance Board, and the Medi‑Cal program administered by the State Department of Health Care Services. Existing law provides for the regulation of health care service plans by the Department of Managed Health Care and health insurers by the Department of Insurance. Commencing January 1, 2014, the federal Patient Protection and Affordable Care Act requires every individual to be covered under minimum essential coverage, as specified, and requires every health insurance issuer issuing individual or group health insurance coverage to accept every employer and individual who applies for coverage. Existing law establishes the California Health Benefit Exchange to facilitate the purchase of qualified health plans through the Exchange by qualified individuals and small employers by January 1, 2014.

This bill would establish the California Healthcare System to be administered by the newly created California Healthcare Agency under the control of a Healthcare Commissioner appointed by the Governor and subject to confirmation by the Senate. The bill would make all California residents eligible for specified health care benefits under the California Healthcare System, which would, on a single-payer basis, negotiate for or set fees for health care services provided through the system and pay claims for those services. The bill would require the commissioner to seek all necessary waivers, exemptions, agreements, or legislation to allow various existing federal, state, and local health care payments to be paid to the California Healthcare System, which would then assume responsibility for all benefits and services previously paid for with those funds.

The bill would create the Healthcare Policy Board to establish policy on medical issues and various other matters relating to the system. The bill would create the Office of Patient Advocacy within the agency to represent the interests of health care consumers relative to the system. The bill would create within the agency the Office of Health Planning to plan for the health care needs of the population, and the Office of Health Care Quality, headed by a chief medical officer, to support the delivery of high-quality care and promote provider and patient satisfaction. The bill would create the Office of Inspector General for the California Healthcare System within the Attorney General’s office, which would have various oversight powers. The bill would prohibit health care service plan contracts or health insurance policies from being issued for services covered by the California Healthcare System, subject to appropriation by the Legislature, and would authorize the collection of penalty moneys for deposit into the Healthcare Fund, which the bill would create. The bill would create the Payments Board to administer the finances of the California Healthcare System. The bill would create the California Healthcare Premium Commission (Premium Commission) to determine the cost of the California Healthcare System and to develop a premium structure for the system that complies with specified standards. The bill would require the Premium Commission to recommend a premium structure to the Governor and the Legislature on or before January 1, 2014, and to make a draft recommendation to the Governor, the Legislature, and the public 90 days before submitting its final premium structure recommendation. The bill would specify that only its provisions relating to the Premium Commission would become operative on January 1, 2013, with its remaining provisions becoming operative on the earlier of the date the Secretary of California Health and Human Services notifies the Legislature, as specified, that sufficient funding exists to implement the California Healthcare System and the date the secretary receives the necessary federal waiver under the federal Patient Protection and Affordable Care Act.

The bill would extend the application of certain insurance fraud laws to providers of services and products under the system, thereby imposing a state-mandated local program by revising the definition of a crime. The bill would enact other related provisions relative to budgeting, regional entities, federal preemption, subrogation, collective bargaining agreements, compensation of health care providers, conflict of interest, patient grievances, and independent medical review.

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 the Senate on January 26, 2012. 
Senate Committee on Appropriations Vote: Do pass as amended.

PASSED on January 19, 2012.

voted YES: 6 voted NO: 2
1 voted present/not voting

An Act to Add Division 115.5 (Commencing with Section 140000) to the Health and Safety Code, Relating to Health Care Coverage.

SB 810 — 2011-2012 Legislature

Summary
Existing law provides for the creation of various programs to provide health care services to persons who have limited incomes and meet various eligibility requirements. These programs include the Healthy Families Program administered by the Managed Risk Medical Insurance Board, and the Medi‑Cal program administered by the State Department of Health Care Services. Existing law provides for the regulation of health care service plans by the Department of Managed Health Care and health insurers by the Department of Insurance. Commencing January 1, 2014, the federal Patient Protection and Affordable Care Act requires every individual to be covered under minimum essential coverage, as specified, and requires every health insurance issuer issuing individual or group health insurance coverage to accept every employer and individual who applies for coverage. Existing law establishes the California Health Benefit Exchange to facilitate the purchase of qualified health plans through the Exchange by qualified individuals and small employers by January 1, 2014.

This bill would establish the California Healthcare System to be administered by the newly created California… More
Existing law provides for the creation of various programs to provide health care services to persons who have limited incomes and meet various eligibility requirements. These programs include the Healthy Families Program administered by the Managed Risk Medical Insurance Board, and the Medi‑Cal program administered by the State Department of Health Care Services. Existing law provides for the regulation of health care service plans by the Department of Managed Health Care and health insurers by the Department of Insurance. Commencing January 1, 2014, the federal Patient Protection and Affordable Care Act requires every individual to be covered under minimum essential coverage, as specified, and requires every health insurance issuer issuing individual or group health insurance coverage to accept every employer and individual who applies for coverage. Existing law establishes the California Health Benefit Exchange to facilitate the purchase of qualified health plans through the Exchange by qualified individuals and small employers by January 1, 2014.

This bill would establish the California Healthcare System to be administered by the newly created California Healthcare Agency under the control of a Healthcare Commissioner appointed by the Governor and subject to confirmation by the Senate. The bill would make all California residents eligible for specified health care benefits under the California Healthcare System, which would, on a single-payer basis, negotiate for or set fees for health care services provided through the system and pay claims for those services. The bill would require the commissioner to seek all necessary waivers, exemptions, agreements, or legislation to allow various existing federal, state, and local health care payments to be paid to the California Healthcare System, which would then assume responsibility for all benefits and services previously paid for with those funds.

The bill would create the Healthcare Policy Board to establish policy on medical issues and various other matters relating to the system. The bill would create the Office of Patient Advocacy within the agency to represent the interests of health care consumers relative to the system. The bill would create within the agency the Office of Health Planning to plan for the health care needs of the population, and the Office of Health Care Quality, headed by a chief medical officer, to support the delivery of high-quality care and promote provider and patient satisfaction. The bill would create the Office of Inspector General for the California Healthcare System within the Attorney General’s office, which would have various oversight powers. The bill would prohibit health care service plan contracts or health insurance policies from being issued for services covered by the California Healthcare System, subject to appropriation by the Legislature, and would authorize the collection of penalty moneys for deposit into the Healthcare Fund, which the bill would create. The bill would create the Payments Board to administer the finances of the California Healthcare System. The bill would create the California Healthcare Premium Commission (Premium Commission) to determine the cost of the California Healthcare System and to develop a premium structure for the system that complies with specified standards. The bill would require the Premium Commission to recommend a premium structure to the Governor and the Legislature on or before January 1, 2014, and to make a draft recommendation to the Governor, the Legislature, and the public 90 days before submitting its final premium structure recommendation. The bill would specify that only its provisions relating to the Premium Commission would become operative on January 1, 2013, with its remaining provisions becoming operative on the earlier of the date the Secretary of California Health and Human Services notifies the Legislature, as specified, that sufficient funding exists to implement the California Healthcare System and the date the secretary receives the necessary federal waiver under the federal Patient Protection and Affordable Care Act.

The bill would extend the application of certain insurance fraud laws to providers of services and products under the system, thereby imposing a state-mandated local program by revising the definition of a crime. The bill would enact other related provisions relative to budgeting, regional entities, federal preemption, subrogation, collective bargaining agreements, compensation of health care providers, conflict of interest, patient grievances, and independent medical review.

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 Add Division 115.5 (Commencing with Section 140000) to the Health and Safety Code, Relating to Health Care Coverage.
Author(s)
Mark Leno
Co-Authors
Subjects
  • Single‑payer health care coverage
Major Actions
Introduced2/18/2011
Referred to Committee
Passed Senate Committee on Health5/04/2011
Passed Senate Committee on Appropriations1/17/2012
Passed Senate Committee on Appropriations1/19/2012
Failed passage in Senate1/26/2012
Passed Senate1/26/2012
Bill History
Chamber/CommitteeMotionDateResult
select this voteSenate Committee on HealthDo pass as amended, and re-refer to the Committee on Appropriations.5/04/2011This 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.1/17/2012This motion PASSED the Senate Committee on Appropriations
8 voted YES 0 voted NO 1 voted present/not voting
currently selectedSenate Committee on AppropriationsDo pass as amended.1/19/2012This motion PASSED the Senate Committee on Appropriations
6 voted YES 2 voted NO 1 voted present/not voting
select this voteSenateSenate 3rd Reading SB810 Leno1/26/2012This bill DID NOT PASS the Senate
19 voted YES 15 voted NO 6 voted present/not voting
select this voteSenateSenate 3rd Reading SB810 Leno Reconsider1/26/2012This bill PASSED the Senate
37 voted YES 0 voted NO 3 voted present/not voting
ActionDateDescription
Introduced2/18/2011
2/18/2011Introduced. Read first time. To Com. on RLS. for assignment. To print.
2/20/2011From printer. May be acted upon on or after March 22.
3/10/2011Referred to Coms. on HEALTH and RLS.
3/31/2011Set for hearing April 27.
4/25/2011Set, first hearing. Hearing canceled at the request of author.
4/26/2011Set for hearing May 4.
select this voteVote5/04/2011Do pass as amended, and re-refer to the Committee on Appropriations.
5/09/2011From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 5. Noes 3. Page 886.) (May 4).
5/10/2011Read second time and amended. Re-referred to Com. on APPR.
5/11/2011Withdrawn from committee. Re-referred to Com. on RLS.
5/19/2011Re-referred to Com. on APPR.
5/20/2011Set for hearing May 23.
5/23/2011Set, first hearing. Hearing canceled at the request of author.
1/12/2012Set for hearing January 17.
1/17/2012Placed on APPR. suspense file.
select this voteVote1/17/2012Placed on Appropriations Suspense file.
1/19/2012Set for hearing January 19. From committee: Do pass as amended. (Ayes 6. Noes 2. Page 2686.) (January 19).
currently selectedVote1/19/2012Do pass as amended.
1/23/2012Read second time and amended. Ordered to third reading.
1/26/2012Read third time. Refused passage. (Ayes 19. Noes 15. Page 2724.) Motion to reconsider made by Senator Leno. Reconsideration granted. (Ayes 37. Noes 0. Page 2724.)
select this voteSenate Vote on Passage1/26/2012Senate 3rd Reading SB810 Leno
select this voteSenate Vote on Passage1/26/2012Senate 3rd Reading SB810 Leno Reconsider
2/01/2012Died on third reading.

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0 Organizations Supported and 0 Opposed

Organizations that took a position on
An Act to Add Division 115.5 (Commencing with Section 140000) to the Health and Safety Code, Relating to Health Care Coverage.: Do pass as amended.

0 organizations supported this motion

0 organizations opposed this motion

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Includes reported contributions to campaigns of Senators in office on day of vote, from interest groups invested in the vote according to MapLight, January 1, 2009 – December 31, 2012.
Contributions data source: FollowTheMoney.org

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NamePartyDistrict$ From Interest Groups
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$ From Interest Groups
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Elaine AlquistDCA-13$0$0
Joel AndersonRCA-36$0$0
Tom BerryhillRCA-14$0$0
Sam BlakesleeRCA-15$0$0
Ron CalderonDCA-30$0$0
Anthony CannellaRCA-12$0$0
Ellen CorbettDCA-10$0$0
Lou CorreaDCA-34$0$0
Kevin De LeonDCA-22$0$0
Mark DeSaulnierDCA-7$0$0
Bob DuttonRCA-31$0$0
Bill EmmersonRCA-37$0$0
Noreen EvansDCA-2$0$0
Jean FullerRCA-18$0$0
Ted GainesRCA-1$0$0
Loni HancockDCA-9$0$0
Tom HarmanRCA-35$0$0
Ed HernandezDCA-24$0$0
Bob HuffRCA-29$0$0
Christine KehoeDCA-39$0$0
Doug La MalfaRCA-4$0$0
Mark LenoDCA-3$0$0
Ted LieuDCA-28$0$0
Carol LiuDCA-21$0$0
Alan LowenthalDCA-27$0$0
Gloria Negrete McLeodDCA-32$0$0
Alex PadillaDCA-20$0$0
Fran PavleyDCA-23$0$0
Curren PriceDCA-26$0$0
Michael RubioDCA-16$0$0
Sharon RunnerRCA-17$0$0
Joe SimitianDCA-11$0$0
Darrell SteinbergDCA-6$0$0
Tony StricklandRCA-19$0$0
Juan VargasDCA-40$0$0
Mimi WaltersRCA-33$0$0
Lois WolkDCA-5$0$0
Rod WrightDCA-25$0$0
Mark WylandRCA-38$0$0
Leland YeeDCA-8$0$0

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