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What’s happening: In a letter sent June 12, CHA urged all members of the California congressional delegation to support bipartisan legislation that would improve access to care for seniors enrolled in Medicare Advantage plans.
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A couple of weeks ago, California’s Senate and Assembly appropriations committees determined which bills should move forward and which should be held this year based on estimated costs to the state.
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What’s happening: On May 15, the U.S. departments of Labor, Health and Human Services, and the Treasury announced that they will not enforce the 2024 mental health parity final rule that aimed to improve access to mental health services by requiring health plans to make changes when inadequate access is provided.
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What’s happening: Multiple bills addressing insurer accountability have been introduced in the California State Assembly during the current legislative session. On behalf of its member hospitals, CHA is supporting several bills that would improve the prior authorization process by reducing response times, clarifying reviewer qualifications, and/or reducing or eliminating prior authorization for certain services.
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What’s happening: In its finalized changes to the Medicare Advantage (MA) and Part D prescription drug programs for contract year 2026, the Centers for Medicare & Medicaid Services (CMS) struck most of the Biden-era proposals and declined to finalize additional insurer accountability provisions. What else to know: The rule, which did not address several other...
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What’s happening: The California Department of Managed Health Care (DMHC) has issued All Plan Letter (APL) 25-007, which provides guidance to health care service plans on requirements for reimbursing claims for health care services with a date of receipt on or after Jan. 1, 2026. What else to know: The updated guidance reflects the provisions...
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What’s happening: A Los Angeles Superior Court Judge has ruled on CHA’s lawsuit against Anthem Blue Cross, finding that it is the responsibility of health plans to arrange for and transition to post-acute care services for their members.
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A little more than two weeks ago, the deadline passed for California lawmakers to introduce bills for this year’s legislative session. In all, some 2,350 bills are in play this year — a number in line with historical trends.
Current California standards require health plans to ensure that their enrollees have timely access to medical care — such as being within 15 miles or a 30-minute drive from a hospital. Unfortunately, many people covered by Medi-Cal still face significant hurdles to access care.
