Cal. Health & Safety Code §§ 1358.1 through 1358.24: Knox-Keene Health Care Service Plan Act of 1975 — Additional Requirements for Medicare Supplement Contracts – California
Status: Enacted Year Enacted: 2000
With respect to loss ratio standards, a Medicare supplement contract shall not be advertised, solicited, or issued for delivery unless the contract can be expected, as estimated for the entire period for which prepaid or …
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Cal. Health & Safety Code §§ 1374.60 through 1374.76: Knox-Keene Health Care Service Plan Act of 1975 — Point-of-Service Health Care Service Plan Contracts – California
Status: Enacted Year Enacted: 1993
For purpose of point-of-service health care Service plan contracts, the definitions as specified shall apply. A point-of-service plan contract, in which any risk for out-of-network coverage or services is transferred from a health care service …
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Cal. Health & Safety Code §§ 1375.1 through 1385: Knox-Keene Health Care Service Plan Act of 1975 — Operation and Renewal Requirements and Procedures – California
Status: Enacted Year Enacted: 1975
Every contract between a health care service plan and a risk-bearing organization that is issued, amended, renewed, or delivered in this state on or after July 1, 2000, shall include specified provisions, as to the …
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Cal. Health & Safety Code §§ 1417 through 1439.8: Long-Term Care, Health, Safety, and Security Act of 1973 – California
Status: Enacted Year Enacted: 1973
A skilled nursing facility that has been certified for purposes of Medicare or Medicaid shall post the overall facility rating information determined by the federal Centers for Medicare and Medicaid Services (CMS). The information shall …
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Cal. Health & Safety Code §§ 32121 & 32125: Hospital Districts — Board of Directors – California
Status: Enacted Year Enacted: 1945
Each local district shall have and may exercise the following powers, among other powers specified: (a) To establish, maintain, and operate, or provide assistance in the operation of, one or more health facilities or health …
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Cal. Health & Safety Code §§ 32499 through 32499.4: Desert Healthcare District Reorganization – California
Status: Enacted Year Enacted: 2016
It is the intent of the Legislature that the Desert Healthcare District maximize the use of its assets to provide direct health services to individuals within the district through direct operation of or funding provided …
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Cal. Ins. Code § 12693.26. Purchasing pool; contracts with entities that are not participating health, dental or vision plans; intra-agency agreements; exemption from competitive bidding: Healthy Families – California
Status: Enacted Year Enacted: 1997
The board shall establish a purchasing pool for coverage of program subscribers to enable applicants without access to affordable and comprehensive employer-sponsored dependent coverage to provide their eligible children with health, dental, and vision benefits.
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Cal. Ins. Code §§ 10133 through 10133.11: Life and Disability Insurance — Transfer – California
Status: Enacted Year Enacted: 1951
Nothing in this section shall be construed to authorize an insurer to furnish or directly provide services of hospitals, or psychiatric health facilities, as defined in Section 1250.2 of the Health and Safety Code, or …
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Cal. Ins. Code §§ 10730 & 10731: Purchasing Pool for Small Employers – California
Status: Enacted Year Enacted: 1992
The Voluntary Alliance Uniting Employers Purchasing Program is hereby created and shall be administered by the Major Risk Medical Insurance Board. The board may do actions such as entering into contracts with carriers to provide …
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Cal. Ins. Code §§ 10800 through 10887: The Private Health Care Voluntary Purchasing Alliance Act – California
Status: Enacted Year Enacted: 1996
The purpose of this chapter is to improve the competition in the pricing and delivering of health care coverage for employers and small employers. It does so by allowing for the establishment of private competing …
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Cal. Penal Code §§ 5023 through 5023.5: The Department of Corrections and Rehabilitation – California
Status: Enacted Year Enacted: 1994
It is the intent of the Legislature that the Department of Corrections operate in the most cost-effective and efficient manner possible when purchasing health care services for inmates. To achieve this goal, it is desirable …
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Cal. Welf. & Inst. Code § 14087.98. Purpose of article; contracts; requirements for managed care plans; stakeholder process; Medi-Cal services mandatory enrollment; regulations; costs; department duties; implementation: Managed Health Care Expansion into Rural Counties – California
Status: Enacted Year Enacted: 2012
The purpose of this article is to provide a comprehensive program of managed health care plan services to Medi-Cal recipients residing in the following counties that currently receive Medi-Cal services on a feefor-service basis: Alpine, …
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Cal. Welf. & Inst. Code §§ 14000 through 14029.92: Medi-Cal — General Provisions – California
Status: Enacted Year Enacted: 1965
The intent of the Legislature is to provide, to the extent practicable, through the provisions of this chapter, for health care for those aged and other persons, including family persons who lack sufficient annual income …
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Cal. Welf. & Inst. Code §§ 14075 through 14080.5: Physicians Cost – California
Status: Enacted Year Enacted: 1976
The Legislature intends that Medi-Cal recipients have reasonable access to medical care services and especially to primary and maternity care services. In order to obtain such access, the Legislature intends that, to the extent feasible …
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Cal. Welf. & Inst. Code §§ 14081 through 14087.29: Selective Provider Contracts – California
Status: Enacted Year Enacted: 1982
It is the purpose of this article to ensure that the Medi-Cal program shall be operated in the most cost-effective and efficient manner possible with the optimum number of inpatient hospital service providers. In order …
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Cal. Welf. & Inst. Code §§ 14087.3 through 14087.48: Contracts for Medi-Cal Services and Case Management – California
Status: Enacted Year Enacted: 1982
The director may contract, on a bid or nonbid basis, with any qualified individual, organization, or entity to provide services to, arrange for or case manage the care of Medi-Cal beneficiaries. At the director’s discretion, …
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