Knox-Keene Health Care Service Plan Act of 1975.
The bill introduces technical, nonsubstantive changes to Section 1367 of the Health and Safety Code. This is expected to clarify existing provisions regarding the operation of health care service plans, ensuring that all facilities, personnel, and equipment used comply with the necessary legal and regulatory standards. By tightening these regulations, SB 535 emphasizes the importance of both accessibility and quality in the provision of health services, impacting how health plans deliver care to enrollees.
Senate Bill 535, introduced by Senator Nguyen, proposes amendments to the Knox-Keene Health Care Service Plan Act of 1975. The bill aims to streamline and update the existing health coverage regulations by ensuring that health care service plans adhere to specific licensing requirements and standards set by the Department of Managed Health Care. One of the primary focuses of SB 535 is to reinforce the need for continuity of care and timely referrals for patients, which is critical for maintaining quality healthcare services in California.
While primarily technical in nature, the bill could face scrutiny from stakeholders concerned about its implications for telehealth services. It includes provisions that ensure telehealth is integrated into compliance checks for health care service plans, which some advocates argue could enhance patient access to care. However, others worry about the potential for increased regulation complicating existing telehealth practices, highlighting a debate between ensuring high standards and maintaining flexibility in modern healthcare delivery.