CALIFORNIA LEGISLATURE 20192020 REGULAR SESSION Assembly Bill No. 929Introduced by Assembly Member Luz RivasFebruary 20, 2019 An act to add Section 100503.4 to the Government Code, relating to health care coverage. LEGISLATIVE COUNSEL'S DIGESTAB 929, as introduced, Luz Rivas. California Health Benefit Exchange: data collection.Existing federal law, the Patient Protection and Affordable Care Act (PPACA), requires each state to establish an American Health Benefit Exchange to facilitate the purchase of qualified health benefit plans by qualified individuals and qualified small employers. Existing state law creates the California Health Benefit Exchange (Exchange), also known as Covered California, to facilitate the enrollment of qualified individuals and qualified small employers in qualified health plans as required under PPACA. Existing law prescribes the duties of the board of the Exchange, including requiring a health plan seeking certification as a qualified health plan to submit specified data to the board.This bill would require the board, if it requires or has previously required a qualified health plan to report on cost reduction efforts, quality improvements, or disparity reductions, to make public plan-specific data on cost reduction efforts, quality improvements, and disparity reductions. The bill would require the board to post that data to the internet website of the Exchange no less than annually and in a way that demonstrates the compliance and performance of a health plan, but protects the personal information of an enrollee.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: NO Bill TextThe people of the State of California do enact as follows:SECTION 1. Section 100503.4 is added to the Government Code, to read:100503.4. (a) (1) If the board requires, or has previously required in its contracts with health plans, a qualified health plan to report on cost reduction efforts, quality improvements, or disparity reductions, the board shall make public on the internet website of the Exchange plan-specific data on cost reduction efforts, quality improvements, and disparity reductions, if reported.(2) Data posted on the internet website of the Exchange pursuant to paragraph (1) shall be posted in a way that demonstrates the compliance and performance of a health plan with respect to cost reduction effort, quality improvement, or disparity reduction reporting, but protects the personal information of an enrollee.(3) Data posted on the internet website of the Exchange pursuant to paragraph (1) shall be posted no less than annually.(b) A qualified health plan shall provide data on enrollees to the Exchange in a form and manner specified by the Exchange. That data may be made public by the Exchange in a way that protects the personal information of an enrollee, pursuant to state and federal privacy laws.(c) For purposes of this section, personal information has the same meaning as set forth in Section 1798.3 of the Civil Code.
CALIFORNIA LEGISLATURE 20192020 REGULAR SESSION Assembly Bill No. 929Introduced by Assembly Member Luz RivasFebruary 20, 2019 An act to add Section 100503.4 to the Government Code, relating to health care coverage. LEGISLATIVE COUNSEL'S DIGESTAB 929, as introduced, Luz Rivas. California Health Benefit Exchange: data collection.Existing federal law, the Patient Protection and Affordable Care Act (PPACA), requires each state to establish an American Health Benefit Exchange to facilitate the purchase of qualified health benefit plans by qualified individuals and qualified small employers. Existing state law creates the California Health Benefit Exchange (Exchange), also known as Covered California, to facilitate the enrollment of qualified individuals and qualified small employers in qualified health plans as required under PPACA. Existing law prescribes the duties of the board of the Exchange, including requiring a health plan seeking certification as a qualified health plan to submit specified data to the board.This bill would require the board, if it requires or has previously required a qualified health plan to report on cost reduction efforts, quality improvements, or disparity reductions, to make public plan-specific data on cost reduction efforts, quality improvements, and disparity reductions. The bill would require the board to post that data to the internet website of the Exchange no less than annually and in a way that demonstrates the compliance and performance of a health plan, but protects the personal information of an enrollee.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: NO
CALIFORNIA LEGISLATURE 20192020 REGULAR SESSION
Assembly Bill No. 929
Introduced by Assembly Member Luz RivasFebruary 20, 2019
Introduced by Assembly Member Luz Rivas
February 20, 2019
An act to add Section 100503.4 to the Government Code, relating to health care coverage.
LEGISLATIVE COUNSEL'S DIGEST
## LEGISLATIVE COUNSEL'S DIGEST
AB 929, as introduced, Luz Rivas. California Health Benefit Exchange: data collection.
Existing federal law, the Patient Protection and Affordable Care Act (PPACA), requires each state to establish an American Health Benefit Exchange to facilitate the purchase of qualified health benefit plans by qualified individuals and qualified small employers. Existing state law creates the California Health Benefit Exchange (Exchange), also known as Covered California, to facilitate the enrollment of qualified individuals and qualified small employers in qualified health plans as required under PPACA. Existing law prescribes the duties of the board of the Exchange, including requiring a health plan seeking certification as a qualified health plan to submit specified data to the board.This bill would require the board, if it requires or has previously required a qualified health plan to report on cost reduction efforts, quality improvements, or disparity reductions, to make public plan-specific data on cost reduction efforts, quality improvements, and disparity reductions. The bill would require the board to post that data to the internet website of the Exchange no less than annually and in a way that demonstrates the compliance and performance of a health plan, but protects the personal information of an enrollee.
Existing federal law, the Patient Protection and Affordable Care Act (PPACA), requires each state to establish an American Health Benefit Exchange to facilitate the purchase of qualified health benefit plans by qualified individuals and qualified small employers. Existing state law creates the California Health Benefit Exchange (Exchange), also known as Covered California, to facilitate the enrollment of qualified individuals and qualified small employers in qualified health plans as required under PPACA. Existing law prescribes the duties of the board of the Exchange, including requiring a health plan seeking certification as a qualified health plan to submit specified data to the board.
This bill would require the board, if it requires or has previously required a qualified health plan to report on cost reduction efforts, quality improvements, or disparity reductions, to make public plan-specific data on cost reduction efforts, quality improvements, and disparity reductions. The bill would require the board to post that data to the internet website of the Exchange no less than annually and in a way that demonstrates the compliance and performance of a health plan, but protects the personal information of an enrollee.
## Digest Key
## Bill Text
The people of the State of California do enact as follows:SECTION 1. Section 100503.4 is added to the Government Code, to read:100503.4. (a) (1) If the board requires, or has previously required in its contracts with health plans, a qualified health plan to report on cost reduction efforts, quality improvements, or disparity reductions, the board shall make public on the internet website of the Exchange plan-specific data on cost reduction efforts, quality improvements, and disparity reductions, if reported.(2) Data posted on the internet website of the Exchange pursuant to paragraph (1) shall be posted in a way that demonstrates the compliance and performance of a health plan with respect to cost reduction effort, quality improvement, or disparity reduction reporting, but protects the personal information of an enrollee.(3) Data posted on the internet website of the Exchange pursuant to paragraph (1) shall be posted no less than annually.(b) A qualified health plan shall provide data on enrollees to the Exchange in a form and manner specified by the Exchange. That data may be made public by the Exchange in a way that protects the personal information of an enrollee, pursuant to state and federal privacy laws.(c) For purposes of this section, personal information has the same meaning as set forth in Section 1798.3 of the Civil Code.
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 100503.4 is added to the Government Code, to read:100503.4. (a) (1) If the board requires, or has previously required in its contracts with health plans, a qualified health plan to report on cost reduction efforts, quality improvements, or disparity reductions, the board shall make public on the internet website of the Exchange plan-specific data on cost reduction efforts, quality improvements, and disparity reductions, if reported.(2) Data posted on the internet website of the Exchange pursuant to paragraph (1) shall be posted in a way that demonstrates the compliance and performance of a health plan with respect to cost reduction effort, quality improvement, or disparity reduction reporting, but protects the personal information of an enrollee.(3) Data posted on the internet website of the Exchange pursuant to paragraph (1) shall be posted no less than annually.(b) A qualified health plan shall provide data on enrollees to the Exchange in a form and manner specified by the Exchange. That data may be made public by the Exchange in a way that protects the personal information of an enrollee, pursuant to state and federal privacy laws.(c) For purposes of this section, personal information has the same meaning as set forth in Section 1798.3 of the Civil Code.
SECTION 1. Section 100503.4 is added to the Government Code, to read:
### SECTION 1.
100503.4. (a) (1) If the board requires, or has previously required in its contracts with health plans, a qualified health plan to report on cost reduction efforts, quality improvements, or disparity reductions, the board shall make public on the internet website of the Exchange plan-specific data on cost reduction efforts, quality improvements, and disparity reductions, if reported.(2) Data posted on the internet website of the Exchange pursuant to paragraph (1) shall be posted in a way that demonstrates the compliance and performance of a health plan with respect to cost reduction effort, quality improvement, or disparity reduction reporting, but protects the personal information of an enrollee.(3) Data posted on the internet website of the Exchange pursuant to paragraph (1) shall be posted no less than annually.(b) A qualified health plan shall provide data on enrollees to the Exchange in a form and manner specified by the Exchange. That data may be made public by the Exchange in a way that protects the personal information of an enrollee, pursuant to state and federal privacy laws.(c) For purposes of this section, personal information has the same meaning as set forth in Section 1798.3 of the Civil Code.
100503.4. (a) (1) If the board requires, or has previously required in its contracts with health plans, a qualified health plan to report on cost reduction efforts, quality improvements, or disparity reductions, the board shall make public on the internet website of the Exchange plan-specific data on cost reduction efforts, quality improvements, and disparity reductions, if reported.(2) Data posted on the internet website of the Exchange pursuant to paragraph (1) shall be posted in a way that demonstrates the compliance and performance of a health plan with respect to cost reduction effort, quality improvement, or disparity reduction reporting, but protects the personal information of an enrollee.(3) Data posted on the internet website of the Exchange pursuant to paragraph (1) shall be posted no less than annually.(b) A qualified health plan shall provide data on enrollees to the Exchange in a form and manner specified by the Exchange. That data may be made public by the Exchange in a way that protects the personal information of an enrollee, pursuant to state and federal privacy laws.(c) For purposes of this section, personal information has the same meaning as set forth in Section 1798.3 of the Civil Code.
100503.4. (a) (1) If the board requires, or has previously required in its contracts with health plans, a qualified health plan to report on cost reduction efforts, quality improvements, or disparity reductions, the board shall make public on the internet website of the Exchange plan-specific data on cost reduction efforts, quality improvements, and disparity reductions, if reported.(2) Data posted on the internet website of the Exchange pursuant to paragraph (1) shall be posted in a way that demonstrates the compliance and performance of a health plan with respect to cost reduction effort, quality improvement, or disparity reduction reporting, but protects the personal information of an enrollee.(3) Data posted on the internet website of the Exchange pursuant to paragraph (1) shall be posted no less than annually.(b) A qualified health plan shall provide data on enrollees to the Exchange in a form and manner specified by the Exchange. That data may be made public by the Exchange in a way that protects the personal information of an enrollee, pursuant to state and federal privacy laws.(c) For purposes of this section, personal information has the same meaning as set forth in Section 1798.3 of the Civil Code.
100503.4. (a) (1) If the board requires, or has previously required in its contracts with health plans, a qualified health plan to report on cost reduction efforts, quality improvements, or disparity reductions, the board shall make public on the internet website of the Exchange plan-specific data on cost reduction efforts, quality improvements, and disparity reductions, if reported.
(2) Data posted on the internet website of the Exchange pursuant to paragraph (1) shall be posted in a way that demonstrates the compliance and performance of a health plan with respect to cost reduction effort, quality improvement, or disparity reduction reporting, but protects the personal information of an enrollee.
(3) Data posted on the internet website of the Exchange pursuant to paragraph (1) shall be posted no less than annually.
(b) A qualified health plan shall provide data on enrollees to the Exchange in a form and manner specified by the Exchange. That data may be made public by the Exchange in a way that protects the personal information of an enrollee, pursuant to state and federal privacy laws.
(c) For purposes of this section, personal information has the same meaning as set forth in Section 1798.3 of the Civil Code.