CALIFORNIA LEGISLATURE 20192020 REGULAR SESSION Assembly Bill No. 2625Introduced by Assembly Member Boerner HorvathFebruary 20, 2020 An act to add Section 1371.56 to the Health and Safety Code, and to add Section 10126.7 to the Insurance Code, relating to health care coverage. LEGISLATIVE COUNSEL'S DIGESTAB 2625, as introduced, Boerner Horvath. Emergency ground medical transportation.Existing law, the Knox-Keene Health Care Service Plan Act of 1975, provides for the licensure and regulation of health care service plans by the Department of Managed Health Care and makes a willful violation of the act a crime. Existing law also provides for the regulation of health insurers by the Department of Insurance. Existing law requires that health care service plan contracts and health insurance policies provide coverage for certain services and treatments, including emergency medical transportation services.This bill would require a health care service plan contract or a health insurance policy issued, amended, or renewed on or after January 1, 2021, that offers coverage for emergency ground medical transportation services to include those services as in-network services and would require the plan or insurer to pay those services at the contracted rate pursuant to the plan contract or policy. Because a willful violation of the bills requirements relative to 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.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: YES Bill TextThe people of the State of California do enact as follows:SECTION 1. Section 1371.56 is added to the Health and Safety Code, to read:1371.56. A health care service plan contract issued, amended, or renewed on or after January 1, 2021, that offers coverage for emergency ground medical transportation services shall include those services as in-network services and shall pay those services at contracted rates pursuant to the plan contract.SEC. 2. Section 10126.7 is added to the Insurance Code, to read:10126.7. A health insurance policy issued, amended, or renewed on or after January 1, 2021, that offers coverage for emergency ground medical transportation services shall include those services as in-network services and shall pay those services at contracted rates pursuant to the policy. SEC. 3. No reimbursement is required by this act pursuant to Section 6 of Article XIIIB of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIIIB of the California Constitution.
CALIFORNIA LEGISLATURE 20192020 REGULAR SESSION Assembly Bill No. 2625Introduced by Assembly Member Boerner HorvathFebruary 20, 2020 An act to add Section 1371.56 to the Health and Safety Code, and to add Section 10126.7 to the Insurance Code, relating to health care coverage. LEGISLATIVE COUNSEL'S DIGESTAB 2625, as introduced, Boerner Horvath. Emergency ground medical transportation.Existing law, the Knox-Keene Health Care Service Plan Act of 1975, provides for the licensure and regulation of health care service plans by the Department of Managed Health Care and makes a willful violation of the act a crime. Existing law also provides for the regulation of health insurers by the Department of Insurance. Existing law requires that health care service plan contracts and health insurance policies provide coverage for certain services and treatments, including emergency medical transportation services.This bill would require a health care service plan contract or a health insurance policy issued, amended, or renewed on or after January 1, 2021, that offers coverage for emergency ground medical transportation services to include those services as in-network services and would require the plan or insurer to pay those services at the contracted rate pursuant to the plan contract or policy. Because a willful violation of the bills requirements relative to 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.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: YES
CALIFORNIA LEGISLATURE 20192020 REGULAR SESSION
Assembly Bill
No. 2625
Introduced by Assembly Member Boerner HorvathFebruary 20, 2020
Introduced by Assembly Member Boerner Horvath
February 20, 2020
An act to add Section 1371.56 to the Health and Safety Code, and to add Section 10126.7 to the Insurance Code, relating to health care coverage.
LEGISLATIVE COUNSEL'S DIGEST
## LEGISLATIVE COUNSEL'S DIGEST
AB 2625, as introduced, Boerner Horvath. Emergency ground medical transportation.
Existing law, the Knox-Keene Health Care Service Plan Act of 1975, provides for the licensure and regulation of health care service plans by the Department of Managed Health Care and makes a willful violation of the act a crime. Existing law also provides for the regulation of health insurers by the Department of Insurance. Existing law requires that health care service plan contracts and health insurance policies provide coverage for certain services and treatments, including emergency medical transportation services.This bill would require a health care service plan contract or a health insurance policy issued, amended, or renewed on or after January 1, 2021, that offers coverage for emergency ground medical transportation services to include those services as in-network services and would require the plan or insurer to pay those services at the contracted rate pursuant to the plan contract or policy. Because a willful violation of the bills requirements relative to 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.
Existing law, the Knox-Keene Health Care Service Plan Act of 1975, provides for the licensure and regulation of health care service plans by the Department of Managed Health Care and makes a willful violation of the act a crime. Existing law also provides for the regulation of health insurers by the Department of Insurance. Existing law requires that health care service plan contracts and health insurance policies provide coverage for certain services and treatments, including emergency medical transportation services.
This bill would require a health care service plan contract or a health insurance policy issued, amended, or renewed on or after January 1, 2021, that offers coverage for emergency ground medical transportation services to include those services as in-network services and would require the plan or insurer to pay those services at the contracted rate pursuant to the plan contract or policy. Because a willful violation of the bills requirements relative to 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.
## Digest Key
## Bill Text
The people of the State of California do enact as follows:SECTION 1. Section 1371.56 is added to the Health and Safety Code, to read:1371.56. A health care service plan contract issued, amended, or renewed on or after January 1, 2021, that offers coverage for emergency ground medical transportation services shall include those services as in-network services and shall pay those services at contracted rates pursuant to the plan contract.SEC. 2. Section 10126.7 is added to the Insurance Code, to read:10126.7. A health insurance policy issued, amended, or renewed on or after January 1, 2021, that offers coverage for emergency ground medical transportation services shall include those services as in-network services and shall pay those services at contracted rates pursuant to the policy. SEC. 3. No reimbursement is required by this act pursuant to Section 6 of Article XIIIB of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIIIB of the California Constitution.
The people of the State of California do enact as follows:
## The people of the State of California do enact as follows:
SECTION 1. Section 1371.56 is added to the Health and Safety Code, to read:1371.56. A health care service plan contract issued, amended, or renewed on or after January 1, 2021, that offers coverage for emergency ground medical transportation services shall include those services as in-network services and shall pay those services at contracted rates pursuant to the plan contract.
SECTION 1. Section 1371.56 is added to the Health and Safety Code, to read:
### SECTION 1.
1371.56. A health care service plan contract issued, amended, or renewed on or after January 1, 2021, that offers coverage for emergency ground medical transportation services shall include those services as in-network services and shall pay those services at contracted rates pursuant to the plan contract.
1371.56. A health care service plan contract issued, amended, or renewed on or after January 1, 2021, that offers coverage for emergency ground medical transportation services shall include those services as in-network services and shall pay those services at contracted rates pursuant to the plan contract.
1371.56. A health care service plan contract issued, amended, or renewed on or after January 1, 2021, that offers coverage for emergency ground medical transportation services shall include those services as in-network services and shall pay those services at contracted rates pursuant to the plan contract.
1371.56. A health care service plan contract issued, amended, or renewed on or after January 1, 2021, that offers coverage for emergency ground medical transportation services shall include those services as in-network services and shall pay those services at contracted rates pursuant to the plan contract.
SEC. 2. Section 10126.7 is added to the Insurance Code, to read:10126.7. A health insurance policy issued, amended, or renewed on or after January 1, 2021, that offers coverage for emergency ground medical transportation services shall include those services as in-network services and shall pay those services at contracted rates pursuant to the policy.
SEC. 2. Section 10126.7 is added to the Insurance Code, to read:
### SEC. 2.
10126.7. A health insurance policy issued, amended, or renewed on or after January 1, 2021, that offers coverage for emergency ground medical transportation services shall include those services as in-network services and shall pay those services at contracted rates pursuant to the policy.
10126.7. A health insurance policy issued, amended, or renewed on or after January 1, 2021, that offers coverage for emergency ground medical transportation services shall include those services as in-network services and shall pay those services at contracted rates pursuant to the policy.
10126.7. A health insurance policy issued, amended, or renewed on or after January 1, 2021, that offers coverage for emergency ground medical transportation services shall include those services as in-network services and shall pay those services at contracted rates pursuant to the policy.
10126.7. A health insurance policy issued, amended, or renewed on or after January 1, 2021, that offers coverage for emergency ground medical transportation services shall include those services as in-network services and shall pay those services at contracted rates pursuant to the policy.
SEC. 3. No reimbursement is required by this act pursuant to Section 6 of Article XIIIB of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIIIB of the California Constitution.
SEC. 3. No reimbursement is required by this act pursuant to Section 6 of Article XIIIB of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIIIB of the California Constitution.
SEC. 3. No reimbursement is required by this act pursuant to Section 6 of Article XIIIB of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIIIB of the California Constitution.
### SEC. 3.