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SB 3

  • California Senate Bill
  • 2013-2014, 1st Special Session
  • Introduced in Senate Feb 05, 2013
  • Passed Senate Apr 11, 2013
  • Passed Assembly Jun 27, 2013
  • Governor

Health care coverage: bridge plan.

Abstract

Existing law, the federal Patient Protection and Affordable Care Act, requires each state to, by January 1, 2014, establish an American Health Benefit Exchange that makes available qualified health plans to qualified individuals and small employers. Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services and under which qualified low-income persons receive health care benefits. Existing law, the Knox-Keene Health Care Service Plan Act of 1975, provides for the licensure and regulation of health care service plans by the Department of Managed Health Care. Existing law also provides for the regulation of health insurers by the Department of Insurance. Under existing law, carriers that sell any products outside the California Health Benefit Exchange (Exchange) are required to fairly and affirmatively offer, market, and sell all products made available to individuals or small employers in the Exchange to individuals or small employers, respectively, purchasing coverage outside the Exchange. Existing law also requires carriers that participate in the Exchange to fairly and affirmatively offer, market, and sell in the Exchange at least one product within 5 levels of specified coverage. This bill would exempt a bridge plan product, as defined, from that latter requirement. This bill would, among other things, also require the Exchange to enter into contracts with and certify as a qualified health plan bridge plan products that meet specified requirements, including being a Medi-Cal managed care plan. The bill would also require the Exchange to make available bridge plan products to eligible individuals. The bill would authorize the Exchange, after consulting with stakeholders, to adopt regulations to implement those provisions, and until January 1, 2016, exempt the adoption, amendment, or repeal of those regulations from the Administrative Procedure Act. The bill would require the Exchange to annually prepare a specified written report on the implementation and performance of the Exchange functions during the preceding fiscal year, and to prepare, or contract for the preparation of, an evaluation of the bridge plan program using the first 3 years of experience with the program, as specified. The bill would authorize a health care service plan or insurance carrier offering a bridge plan product in the Exchange to limit the products it offers in the Exchange to the bridge plan product, except as required by federal law. The bill would define "bridge plan product" as an individual health benefit plan offered by a licensed health care service plan or health insurer that contracts with the Exchange, as specified. The bill would also require the State Department of Health Care Services to impose specified requirements in its contracts with a health care service plan or health insurer to provide Medi-Cal managed care coverage but would authorize the department to contract with the Exchange to delegate the implementation of those provisions. The bill would require the Exchange to seek federal approval to allow specified individuals the option to enroll in a different bridge plan product if the individual's primary care provider is included in the contracted network of the different bridge plan product and either the bridge plan product for which the individual is eligible is not offered in that individual's service area or is not offered as a bridge plan product by the Exchange. The bill would provide that its provisions would become inoperative on the October 1 that is 5 years after the date that federal approval of the bridge plan option occurs.

Bill Sponsors (1)

Ed Hernandez

  • Democratic
Author

Votes


Jun 24, 2013

Assembly

Apr 08, 2013

Senate

Apr 11, 2013

Senate

Actions


Jul 11, 2013

California State Legislature

Approved by the Governor.

California State Legislature

Chaptered by Secretary of State. Chapter 5, Statutes of 2013-14 First Extraordinary Session.

Jul 03, 2013

California State Legislature

Enrolled and presented to the Governor at 3 p.m.

Jul 01, 2013

Senate

Assembly amendments concurred in. (Ayes 36. Noes 0. Page 86.) Ordered to engrossing and enrolling.

Jun 27, 2013

Senate

In Senate. Concurrence in Assembly amendments pending.

Assembly

Read third time. Passed. (Ayes 77. Noes 1. Page 161.) Ordered to the Senate.

Jun 25, 2013

Assembly

Read second time. Ordered to third reading.

Jun 24, 2013

Assembly

From committee: Do pass. (Ayes 12. Noes 1.) (June 24).

Jun 19, 2013

Assembly

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

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

Jun 15, 2013

Assembly

Read second time and amended. Re-referred to Com. on APPR.

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

Jun 14, 2013

Assembly

From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 18. Noes 0.) (June 11).

May 28, 2013

Assembly

From committee with author's amendments. Read second time and amended. Re-referred to Com. on HEALTH.

  • Committee-Passage
  • Amendment-Passage
  • Reading-2
  • Reading-1
  • Referral-Committee
Com. on HEALTH.

May 09, 2013

Assembly

Referred to Com. on HEALTH.

  • Referral-Committee
Com. on HEALTH.

Apr 11, 2013

Assembly

In Assembly. Read first time. Held at Desk.

Senate

Read third time. Passed. (Ayes 37. Noes 0. Page 48.) Ordered to the Assembly.

Apr 09, 2013

Senate

Read second time. Ordered to third reading.

Apr 08, 2013

Senate

From committee: Do pass. (Ayes 7. Noes 0. Page 42.) (April 8).

Apr 02, 2013

Senate

Set for hearing April 8.

Mar 20, 2013

Senate

From committee: Do pass and re-refer to Com. on APPR. (Ayes 8. Noes 0. Page 36.) (March 20). Re-referred to Com. on APPR.

  • Committee-Passage-Favorable
  • Referral-Committee
  • Committee-Passage
Com. on APPR.

Mar 15, 2013

Senate

Set for hearing March 20.

Mar 14, 2013

Senate

Re-referred to Com. on HEALTH.

  • Referral-Committee
Com. on HEALTH.

Mar 06, 2013

Senate

From committee with author's amendments. Read second time and amended. Re-referred to Com. on RLS.

  • Committee-Passage
  • Amendment-Passage
  • Reading-2
  • Reading-1
  • Referral-Committee
Com. on RLS.

Feb 05, 2013

Senate

Introduced. Read first time. Referred to Com. on RLS.

  • Reading-1
  • Referral-Committee
  • Introduction
Com. on RLS.

Bill Text

Bill Text Versions Format
SB3 HTML
02/05/13 - Introduced PDF
03/06/13 - Amended Senate PDF
05/28/13 - Amended Assembly PDF
06/15/13 - Amended Assembly PDF
06/19/13 - Amended Assembly PDF
07/02/13 - Enrolled PDF
07/11/13 - Chaptered PDF

Related Documents

Document Format
No related documents.

Sources

Data on Open States is updated nightly from the official website of the California State Legislature.

If you notice any inconsistencies with these official sources, feel free to file an issue.