Health care service plans: provider contract termination: notice.
Vote required
Majority
Fiscal committee
No
Appropriation
No
Current location
Passed
Take action
Record your position on this measure.
Create an account to record your position, submit testimony, or contact your legislator.
Progress
Where this bill stands in the legislative process.
- Introduced
- Passed Assembly
- Passed Senate
- To Governor
- Became Law
Overview
This bill updates how health care service plans must notify enrollees when a contract with a provider is ending. Currently, plans must send a 60-day written notice by mail. This bill requires plans to also send notifications via email or text message to enrollees who have opted in to these communication methods. It also mandates that plans notify enrollees within 60 days of reaching an agreement with the terminated provider. The bill aims to improve communication and provide enrollees with more options regarding their care.
Key provisions
- Requires health care service plans to notify enrollees by email or text message (with opt-in) at least 60 days before a provider contract termination.
- Requires plans to send written notice by mail and email/text within 60 days of reaching an agreement with a terminated provider.
- Specifies that electronic notifications (email/text) are only permitted if the enrollee has opted in and provided contact information.
- Addresses notification requirements for hospitals, including a 15-mile radius notification for enrollees living near the terminated hospital.
- Requires plans to offer enrollees the option to return to the terminated provider if an agreement is reached.
- Mandates a specific statement regarding consumer protection resources be included in all communications.
- Defines ‘provider group’ for clarity.
- Clarifies that no state reimbursement is required for local agencies or school districts due to the creation of a new crime.
Bill text
Read the latest version inline or switch to a previous version.
Text extraction is in progress. View the official source.
Sponsors
Official sponsors from legislative records.
2 on record
Primary sponsor
Cosponsor
Arguments
Reasons offered for and against this legislation.
Arguments in favor
No arguments in favor have been submitted.
Submit yoursArguments opposed
No arguments opposed have been submitted.
Submit yours