- District 6
Existing law, the Knox-Keene Health Care Service Plan Act of 1975, provides for the regulation of health care service plans by the Department of Managed Health Care and makes a violation of the act a crime. Existing law also provides for the regulation of health insurers by the Department of Insurance. Existing law limits the copayment, coinsurance, deductible, and other cost sharing that may be imposed for specified health care services. This bill would require a health care service plan contract or a disability insurance policy that provides coverage for hospital, medical, or surgical benefits, excluding a specialized health care service plan contract or health insurance policy, to cover the costs for COVID-19 diagnostic and screening testing and health care services related to the testing for COVID-19, or a future disease when declared a public health emergency by the Governor of the State of California, and would prohibit that contract or policy from imposing cost sharing or prior authorization requirements for that coverage. The bill would also require a contract or policy to cover without cost sharing or prior authorization an item, service, or immunization intended to prevent or mitigate COVID-19, or a future disease when declared a public health emergency by the Governor of the State of California, that is recommended by the United States Preventive Services Task Force or the federal Centers for Disease Control and Prevention, as specified. The bill would only extend the prohibition on cost sharing for COVID-19 diagnostic and screening testing, or an item, service, or immunization intended to prevent or mitigate COVID-19, with respect to an out-of-network provider for the duration of the federal public health emergency. The bill would also apply these provisions retroactively beginning from the Governor's declared State of Emergency related to COVID-19 on March 4, 2020. The bill would make the provisions of the act severable. The bill would also make related findings and declarations. Because a violation of this requirement by a health care service plan would be a crime, the bill would impose a state-mandated local program. 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.
Chaptered by Secretary of State. Chapter 729, Statutes of 2021.
Approved by the Governor.
Enrolled and presented to the Governor at 1:30 p.m.
Assembly amendments concurred in. (Ayes 27. Noes 8. Page 2611.) Ordered to engrossing and enrolling.
Read third time. Passed. (Ayes 46. Noes 16.) Ordered to the Senate.
In Senate. Concurrence in Assembly amendments pending.
Ordered to third reading.
Read third time and amended. (Ayes 58. Noes 19. Page 2781.)
Read third time. Urgency clause refused adoption. (Ayes 47. Noes 18. Page 2750.)
Motion to reconsider made by Assembly Member Aguiar-Curry.
Read second time. Ordered to third reading.
From committee: Do pass. (Ayes 12. Noes 4.) (August 26).
August 26 set for first hearing. Placed on APPR. suspense file.
From committee with author's amendments. Read second time and amended. Re-referred to Com. on APPR.
August 19 hearing postponed by committee.
From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 11. Noes 3.) (July 13).
July 6 set for first hearing canceled at the request of author.
From committee with author's amendments. Read second time and amended. Re-referred to Com. on HEALTH.
In Assembly. Read first time. Held at Desk.
Read third time. Urgency clause adopted. Passed. (Ayes 32. Noes 7. Page 1339.) Ordered to the Assembly.
Read second time. Ordered to third reading.
Read second time and amended. Ordered to second reading.
From committee: Do pass as amended. (Ayes 5. Noes 2. Page 1194.) (May 20).
Set for hearing May 20.
May 3 hearing: Placed on APPR suspense file.
Set for hearing May 3.
From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 9. Noes 1. Page 704.) (April 7).
Set for hearing April 7.
(Ayes 32. Noes 4.)
Joint Rule 55 suspended. (Ayes 32. Noes 4. Page 272.)
Art. IV. Sec. 8(a) of the Constitution dispensed with.
From printer. May be acted upon on or after March 20.
Introduced. Read first time. To Com. on RLS. for assignment. To print.
|Bill Text Versions||Format|
|02/17/21 - Introduced|
|04/12/21 - Amended Senate|
|05/20/21 - Amended Senate|
|07/06/21 - Amended Assembly|
|07/15/21 - Amended Assembly|
|08/16/21 - Amended Assembly|
|09/03/21 - Amended Assembly|
|09/14/21 - Enrolled|
|10/08/21 - Chaptered|
|04/05/21- Senate Health|
|04/30/21- Senate Appropriations|
|05/20/21- Senate Appropriations|
|05/25/21- Sen. Floor Analyses|
|07/09/21- Assembly Health|
|08/23/21- Assembly Appropriations|
|08/31/21- ASSEMBLY FLOOR ANALYSIS|
|09/03/21- ASSEMBLY FLOOR ANALYSIS|
|09/09/21- Sen. Floor Analyses|
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