Voluntary employees’ beneficiary association pilot program.
Vote required
Majority
Fiscal committee
No
Appropriation
No
Current location
Passed
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Progress
Where this bill stands in the legislative process.
- Introduced
- Passed Assembly
- Passed Senate
- To Governor
- Became Law
Overview
This bill extends a pilot program authorized under California’s Health Care Service Plan Act, allowing certain voluntary employees’ beneficiary associations (VEBAs) with over 100,000 members to enter into risk-bearing arrangements with health care providers in Southern California. The program aims to demonstrate cost savings and improved patient outcomes compared to traditional fee-for-service models. The bill modifies the program’s timeline, extending its duration and requiring the Department of Managed Health Care to report interim findings and policy recommendations to the Legislature before January 1, 2029, and ultimately repeals the authorization on January 1, 2031.
Key provisions
- Extends the pilot program’s end date to December 31, 2030.
- Extends the repeal date of the authorizing provision to January 1, 2031.
- Requires the Department of Managed Health Care to submit an interim report to the Legislature before January 1, 2029, with policy recommendations.
- Authorizes the Department to terminate the pilot program for significant negative findings.
- Requires reporting of cost savings, clinical outcomes, and enrollee satisfaction.
- Establishes specific criteria for participating VEBAs and health care providers.
- Mandates the inclusion of provisions regarding continuity of care, language assistance, and grievance procedures in contracts.
- Requires the Department to appoint an ombudsperson to address enrollee complaints.
Who is affected
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Sponsors
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1 on record
Primary sponsor
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