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Health Reform Implementation Legislation Still Awaiting a Decision from Governor Brown

Governor Brown has the remainder of the month of September to decide whether to sign or veto several pieces of health reform implementation legislation that the Legislature has passed. The legislation would implement many elements of the Affordable Care Act (ACA) in California. Included in these bills are provisions that prohibit denials of coverage based on preexisting conditions, establish a package of essential health benefits, require that consumers receive information about health coverage options during a major life change, and coordinate enrollment in health programs and human services programs.

The Governor has also called for a special session of the Legislature, beginning in December, to address final health reform implementation measures in preparation for 2014, when much of the ACA will go into effect.

Included in the health reform legislation awaiting a decision from the Governor:

AB1453 (Monning) Essential Health Benefits: Protects consumers from underinsurance by requiring health plans regulated in the Health and Safety Code to cover a set of minimum essential health benefits equivalent to the Kaiser Small Group HMO.

SB951 (Hernandez) Essential Health Benefits: Protects consumers from underinsurance by requiring health plans regulated in the Insurance Code to cover a set of minimum essential health benefits equivalent to the Kaiser Small Group HMO.

AB1461 (Monning) Individual Health Insurance Market Reforms: Prevents insurers from denying coverage or discriminating based on preexisting conditions and otherwise conforms the Health and Safety Code to the ACA; phases-in new insurance market rules for individuals who purchase insurance on their own; limits premium variation based on age to 3:1.

SB961 (Hernandez) Individual Health Insurance Market Reforms: Prevents insurers from denying coverage or discriminating based on preexisting conditions, and otherwise conforms the Insurance Code to the ACA; phases-in new insurance market rules for individuals who purchase insurance on their own; limits premium variation based on age to 3:1.

AB1083 (Monning) Small Group Health Insurance Market Reforms: Conforms to federal law and phases in new insurance market rules for small businesses, particularly so that small employers do not face premium spikes based on the health of their workers.

AB792 (Bonilla) Coverage Options during Life Changes: Ensures that Californians can easily sign up for coverage during key life changes; requires that California consumers be provided information about the coverage options and subsidies at the new Exchange upon filing for divorce, separation, adoption, or when losing group coverage through job change or other life circumstances.

SB970 (DeLeon) Enrollment Integration with Human Services: Helps individuals applying for public programs apply through an integrated, “no wrong door” approach, regardless of whether applicants are interested in social services or health programs.

 

Health Access California has been closely following legislative developments. For more information, visit their website: http://www.health-access.org

 

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