California 2019-2020 Regular Session

California Assembly Bill AB731

Introduced
2/19/19  
Introduced
2/19/19  
Refer
2/28/19  
Refer
2/28/19  
Report Pass
3/20/19  
Refer
3/21/19  
Refer
3/21/19  
Report Pass
3/27/19  
Report Pass
3/27/19  
Refer
3/27/19  
Refer
4/24/19  
Refer
4/24/19  
Report Pass
5/16/19  
Engrossed
5/23/19  
Engrossed
5/23/19  
Refer
5/24/19  
Refer
5/24/19  
Refer
6/6/19  
Refer
6/6/19  
Report Pass
6/26/19  
Refer
6/26/19  
Refer
6/26/19  
Report Pass
7/10/19  
Refer
7/11/19  
Refer
7/11/19  
Refer
8/12/19  
Refer
8/12/19  
Report Pass
8/30/19  
Report Pass
8/30/19  
Enrolled
9/9/19  
Enrolled
9/9/19  
Chaptered
10/12/19  
Chaptered
10/12/19  
Passed
10/12/19  

Caption

Health care coverage: rate review.

Impact

The introduction of AB731 signifies a shift towards greater scrutiny of health care costs and an effort to protect consumers from unjustified rate increases. The bill mandates that large group contracts also adhere to these rate filing requirements, which reflect a broader commitment to managed health care regulation. By implementing these filing protocols, the bill seeks to limit arbitrary premium hikes and ensure that any rate changes are justified based on documented costs and projected trends. Failure to comply with the bill's provisions potentially results in rate changes being labeled as unjustified, which provides additional safety for consumers and may restrain excessive pricing tactics in the health insurance market.

Summary

AB731, introduced by Assemblymember Kalra, focuses on health care coverage and seeks to implement stricter rate review processes for health care service plans and insurers operating in California. The legislation aims to require that health care service plans and insurers file specified information, including total earned premiums and total incurred claims, at least 120 days prior to any rate change for both individual and small group markets, and similar requirements for large group health care contracts starting July 1, 2020. This initiative is designed to enhance transparency regarding rate adjustments and ensure that both consumers and regulators have adequate information regarding the justifications for any proposed rate changes.

Sentiment

The reception of AB731 appears to be largely positive among consumer advocacy groups and public health officials, who view it as necessary legislation aimed at safeguarding consumers from rising health care costs and promoting accountability among insurers. However, some industry stakeholders express concerns, worrying that the increased requirements may pose administrative burdens on health plans and could potentially stifle innovation within the sector. The ongoing discourse highlights a critical balance between regulatory oversight and the operational flexibility needed for insurers to respond effectively to market changes.

Contention

Notable contention surrounds the provisions that mark contracted rates for the health insurance sector as confidential information, exempt from public disclosure under the California Public Records Act. This raises concerns among transparency advocates who argue that greater public access to this information is crucial for informed consumer decision-making. Furthermore, the bill’s strict compliance deadlines may be viewed as onerous by some stakeholders, raising the question of how effectively health plans can adapt to these new requirements. Overall, while the bill aims to enhance consumer protections, it also navigates complex regulatory challenges in aligning stakeholder interests.

Companion Bills

No companion bills found.

Previously Filed As

CA AB1048

Dental benefits and rate review.

CA AB3260

Health care coverage: reviews and grievances.

CA AB2072

Group health care coverage: biomedical industry.

CA AB2434

Health care coverage: multiple employer welfare arrangements.

CA SB1290

Health care coverage: essential health benefits.

CA AB2914

Health care coverage: essential health benefits.

CA SB1120

Health care coverage: utilization review.

CA SB238

Health care coverage: independent medical review.

CA SB294

Health care coverage: independent medical review.

CA SB635

Health care coverage: hearing aids.

Similar Bills

CA SB343

Health care data disclosure.

CA AB789

Political Reform Act of 1974: security expenses.

CA AB156

Individual market: enrollment periods.

CA SB17

Health care: prescription drug costs.

CA AB507

Health care service plans: review of rate increases.