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15 12, 2023

AB 789

This bill requires a defined network plan or preferred provider plan to make available a current directory of health care providers in the plan's network of providers to anyone considering enrollment in the plan and to the plan's enrollees at least annually. Defined network plans and preferred provider plans are types of managed care organizations that provide health care benefits to their enrollees. The bill requires the plan to maintain a current provider directory on its website, to ensure that the directory on the site is updated at least quarterly, and to ensure that [...]

AB 789
15 12, 2023

AB 773 (see companion bill SB 737)

Regulation of pharmacy benefit managers, fiduciary and disclosure requirements on pharmacy benefit managers, and application of prescription drug payments to health insurance cost-sharing requirements.

AB 773 (see companion bill SB 737)
15 12, 2023

AB 338 (see companion bill SB 328)

Price transparency in hospitals and providing a penalty. This bill creates several requirements for hospitals to provide cost information for certain items and services provided by the hospital. Under the bill, each hospital must make publicly available a digital file in a machine-readable format that contains a list of standard charges for certain items and services provided by the hospital and a consumer-friendly list of standard charges for certain shoppable services. “Standard charge” is defined to mean the regular rate established by the hospital for an item or service provided to a specific group [...]

AB 338 (see companion bill SB 328)
15 12, 2023

SB 328 (see companion bill AB 338)

Price transparency in hospitals and providing a penalty. This bill creates several requirements for hospitals to provide cost information for certain items and services provided by the hospital. Under the bill, each hospital must make publicly available a digital file in a machine-readable format that contains a list of standard charges for certain items and services provided by the hospital and a consumer-friendly list of standard charges for certain shoppable services. “Standard charge” is defined to mean the regular rate established by the hospital for an item or service provided to a specific group [...]

SB 328 (see companion bill AB 338)
15 12, 2023

SB 718 (see companion bill AB 747)

Creating a Prescription Drug Affordability Review Board, funding for an office of prescription drug affordability, crediting certain amounts to the general program operations account of the office of the commissioner of insurance, granting rulemaking authority, and making an appropriation.

SB 718 (see companion bill AB 747)
15 12, 2023

SB 574 (see companion bill AB 584)

Cost-sharing cap on insulin. This bill prohibits every health insurance policy and governmental self-insured health plan that cover insulin and impose cost sharing on prescription drugs from imposing cost sharing on insulin in an amount that exceeds $35 for a one-month supply. The bill's cost-sharing limitation on insulin supersedes the specification that the exclusions, limitations, deductibles, and coinsurance are the same as for other coverage.

SB 574 (see companion bill AB 584)
15 12, 2023

AB 584 (see companion bill SB 574)

Cost-sharing cap on insulin. This bill prohibits every health insurance policy and governmental self-insured health plan that cover insulin and impose cost sharing on prescription drugs from imposing cost sharing on insulin in an amount that exceeds $35 for a one-month supply. The bill's cost-sharing limitation on insulin supersedes the specification that the exclusions, limitations, deductibles, and coinsurance are the same as for other coverage.

AB 584 (see companion bill SB 574)
15 12, 2023

AB 103 (see companion bill SB 100)

Application of prescription drug payments to health insurance cost-sharing requirements. Health insurance policies and plans often apply deductibles and out-of-pocket maximum amounts to the benefits covered by the policy or plan. A deductible is an amount that an enrollee in a policy or plan must pay out of pocket before attaining the full benefits of the policy or plan. An out-of-pocket maximum amount is a limit specified by a policy or plan on the amount that an enrollee pays, and, once that limit is reached, the policy or plan covers the benefit entirely. This [...]

AB 103 (see companion bill SB 100)
15 12, 2023

SB 100 (see companion bill AB 103)

Application of prescription drug payments to health insurance cost-sharing requirements. Health insurance policies and plans often apply deductibles and out-of-pocket maximum amounts to the benefits covered by the policy or plan. A deductible is an amount that an enrollee in a policy or plan must pay out of pocket before attaining the full benefits of the policy or plan. An out-of-pocket maximum amount is a limit specified by a policy or plan on the amount that an enrollee pays, and, once that limit is reached, the policy or plan covers the benefit entirely. This [...]

SB 100 (see companion bill AB 103)
15 12, 2023

SB 737 (see companion bill AB 773)

Regulation of pharmacy benefit managers, fiduciary and disclosure requirements on pharmacy benefit managers, and application of prescription drug payments to health insurance cost-sharing requirements.

SB 737 (see companion bill AB 773)
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