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Bill > AB236


CA AB236

CA AB236
Health care coverage: provider directories.


summary

Introduced
01/13/2023
In Committee
08/05/2024
Crossed Over
01/30/2024
Passed
Dead
11/30/2024

Introduced Session

2023-2024 Session

Bill Summary

An act to amend Section 1367.27 of the Health and Safety Code, and to amend Section 10133.15 of the Insurance Code, relating to health care coverage.

AI Summary

This bill would require health care service plans and health insurers to annually verify and delete inaccurate listings from their provider directories, with increasing accuracy benchmarks of 60% by July 1, 2025, 80% by July 1, 2026, 90% by July 1, 2027, and 95% by July 1, 2028. The bill would subject plans and insurers to administrative penalties for failing to meet these benchmarks. It would also require plans and insurers to arrange care and provide coverage for enrollees or insureds who reasonably relied on inaccurate information in the directories, and prohibit providers from collecting additional amounts from enrollees or insureds in those cases. The bill would authorize the state's insurance departments to develop uniform standards for provider directory formats and verification processes.

Committee Categories

Budget and Finance, Health and Social Services

Sponsors (5)

Last Action

In committee: Held under submission. (on 08/15/2024)

Bill Topics

Banking, Finance, and Domestic Commerce
  • ‐ Insurance Regulation
Health
  • ‐ Health Insurance Reform

bill text


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