SB 810

  • California Senate Bill
  • 2009-2010 Regular Session
  • Introduced in Senate Feb 27, 2009
  • Passed Senate Jan 28, 2010
  • Assembly
  • Governor

Singleâ€'payer health care coverage.

Abstract

Existing law does not provide a system of universal health care coverage for California residents. 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. 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 provide that a resident of the state with a household income, as specified, at or below 200% of the federal poverty level would be eligible for the type of benefits provided under the Medi-Cal program. 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. The bill would create the Healthcare Fund and 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, 2013, 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, 2011, with its remaining provisions becoming operative on 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. The bill would require that system to be operative within 2 years of that date and would provide for various transition processes for that period. 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, independent medical review, and associated matters. 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.

Bill Sponsors (48)

Lowenthal

     
Coauthor

Fong

     
Coauthor

Jones

     
Coauthor

Salas

     
Coauthor

Votes


Actions


Nov 30, 2010

Assembly

From Assembly without further action.

Aug 23, 2010

Assembly

Assembly Rule 69(d) suspended. (Ayes 49. Noes 27. Page 6491.)

Aug 16, 2010

Assembly

Read second time. To third reading.

Aug 13, 2010

Assembly

From committee: Do pass. (Ayes 12. Noes 5.)

Assembly

(Heard in committee on August 12.)

Aug 05, 2010

Assembly

Set, first hearing. Referred to APPR. suspense file.

  • Referral-Committee
APPR APPR. suspense file.

Jun 30, 2010

Assembly

From committee: Do pass, but first be re-referred to Com. on APPR. (Ayes 13. Noes 6.) Re-referred to Com. on APPR.

  • Referral-Committee
  • Committee-Passage-Favorable
  • Committee-Passage
Com. on APPR. (Ayes 13. Noes 6.) Re-referred to Com. on APPR.

Assembly

(Heard in committee on June 29.)

Jun 10, 2010

Assembly

To Com. on HEALTH.

Jan 28, 2010

Assembly

In Assembly. Read first time. Held at Desk.

Senate

Read third time. Passed. (Ayes 22. Noes 14. Page 2729.) To Assembly.

Jan 25, 2010

Senate

Read second time. To third reading.

Jan 21, 2010

Senate

From committee: Do pass. (Ayes 6. Noes 3. Page 2694.)

Jan 20, 2010

Senate

(Suspense - for vote only.)

Senate

Set for hearing January 21.

Jan 13, 2010

Senate

From committee with author's amendments. Read second time. Amended. Re-referred to Com. on APPR.

  • Reading-1
  • Referral-Committee
  • Reading-2
  • Committee-Passage
Com. on APPR.

May 28, 2009

Senate

Set, first hearing. Held in committee and under submission.

May 22, 2009

Senate

(Suspense - for vote only.)

Senate

Set for hearing May 28.

May 04, 2009

Senate

Placed on APPR suspense file.

Apr 28, 2009

Senate

Set for hearing May 4.

Apr 23, 2009

Senate

Read second time. Amended. Re-referred to Com. on APPR.

  • Referral-Committee
  • Reading-2
  • Reading-1
Com. on APPR.

Apr 22, 2009

Senate

From committee: Do pass as amended, but first amend, and re-refer to Com. on APPR. (Ayes 7. Noes 4. Page 557.)

Mar 19, 2009

Senate

To Com. on HEALTH.

Senate

Set for hearing April 15.

Mar 02, 2009

Senate

Read first time.

Feb 28, 2009

Senate

From print. May be acted upon on or after March 30.

Feb 27, 2009

Senate

Introduced. To Com. on RLS. for assignment. To print.

Bill Text

Bill Text Versions Format
SB810 HTML
02/27/09 - Introduced PDF
04/23/09 - Amended Senate PDF
01/13/10 - Amended Senate PDF

Related Documents

Document Format
No related documents.

Sources

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