AB 236 would require a health plan or insurer to annually audit and delete inaccurate listings from its provider directories, including deleting a provider from its directory if the plan or insurer has not financially compensated a provider in the prior year.
Passed the Senate on Sept. 11. Assembly agreed to Senate amendments on Sept. 12. Pending governor’s action.
AB 616, the Medical Group Financial Transparency Act, would authorize the disclosure of audited financial reports of providers and physician organizations collected by the Office of Health Care Affordability.
Held on the Assembly Appropriations Committee suspense file on Sept. 1.
SB 598 would prohibit a health care service plan or health insurer from requiring prior authorization by a health professional for a health care service if the plan or insurer approved or would have approved not less than 90% of the prior authorization requests they received in the most recent completed one-year contracted period. The bill also requires plans and insurers to establish an electronic prior authorization process.