Health Insurance

Pending
AB 236 (Holden, D-Pasadena)
Follow
Two-year bill

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.

Mark Farouk

Job title:
VP State Advocacy
Phone number:
916-552-7673

Ben Johnson

Job title:
VP Policy
Phone number:
916-552-7620
Pending
AB 616 (Rodriguez, D-Pomona)
Follow
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.

Mark Farouk

Job title:
VP State Advocacy
Phone number:
916-552-7673

Ben Johnson

Job title:
VP Policy
Phone number:
916-552-7620
Pending
SB 598 (Skinner, D-Oakland)
Follow
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.

Mark Farouk

Job title:
VP State Advocacy
Phone number:
916-552-7673

Ben Johnson

Job title:
VP Policy
Phone number:
916-552-7620