Health care service plan requirements.
Vote required
Majority
Fiscal committee
No
Appropriation
No
Current location
Rules
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Progress
Where this bill stands in the legislative process.
- Introduced
- Passed Senate
- Passed Assembly
- To Governor
- Became Law
Overview
This bill makes technical updates to the Knox-Keene Health Care Service Plan Act. It clarifies requirements for health care service plans regarding facility licensing, personnel qualifications, equipment registration, and the availability of services to enrollees. Specifically, it addresses telehealth services and dispute resolution mechanisms within the plans, ensuring accessibility and fair practices for both providers and subscribers.
Key provisions
- Clarifies requirements for facility licensing and personnel certification.
- Addresses telehealth service compliance and reporting.
- Requires health care service plans to establish and maintain accessible dispute resolution mechanisms.
- Mandates annual reporting on dispute resolution mechanisms.
- Specifies contract requirements, including fair terms and dispute resolution procedures.
- Exempts optometrists from federal controlled substance registration requirements.
- Reinforces that the director cannot establish rates for services.
- States that delegation of services does not waive compliance obligations.
Who is affected
- Health care service plans
- Subscribers and enrollees of health care service plans
- Health care providers
- The Department of Managed Health Care
- Optometrists
Notable changes
Bill text
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Sponsors
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1 on record
Primary sponsor
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