The Health Law

Latest California Healthline Stories

New Bill Proposes Insurer Fee to Expand Residencies

An Assembly committee yesterday approved a plan to provide a major boost to California’s physician-training residency programs by generating roughly $100 million a year with a $5-per-covered-life fee to be imposed on health care insurers.

The new bill is one of several legislative efforts to address a provider shortage in California that’s likely to intensify when the Affordable Care Act is implemented and Medi-Cal is expanded starting in 2014.

AB 1176, co-authored by Assembly member Raul Bocanegra (D-Pacoima) and Assembly member Rob Bonta (D-Oakland), would expand the number of resident physicians in California by an estimated 1,000 with the expectation that new physicians would remain in California and practice in the underserved areas where they fulfilled their residency training.

Pre-Existing Conditions Bill Up for Final Vote

The Senate Committee on Appropriations yesterday unanimously approved ABX1-2 by Assembly member Richard Pan (D-Sacramento), the bill to ban pre-existing conditions as a means of denial for health coverage. It now heads to the Senate floor for a final confirmation vote.

The bill already passed the Assembly, so Senate confirmation would be its ticket to the governor’s desk. Brown Administration officials have said they support the bill.

It’s the first of the set of bills in the special health care legislative session to reach the final vote stage.

Advocates Push for Expansion Compromise

The Legislature last week moved two key components of the special session bills on health care reform. SBX1-2 by Sen. Ed Hernandez (D-West Covina) and ABX1-2 by Assembly member Richard Pan (D-Sacramento) passed through committees of the opposite house. Bothbills make changes to the individual health insurance market.

The Assembly Committee on Health approved SBX1-2, and it’s now going to Appropriations; and ABX1-2 moved through the Senate Committee on Health on its way to Senate Appropriations. Both bills were approved in floor votes in their own house so they are nearing final approval.

Also last week, a Senate floor vote unanimously approved SBX1-3 by Sen. Hernandez, the bridge plan to help people move from Medi-Cal to the exchange more easily. That bill now moves to the Assembly.

Fate of Special Session Bills in Limbo

The California Legislature went on spring recess yesterday with the work of the special legislative session on health care still undone.

Proponents of the special session bills hoped to get them through a floor vote by now. One of the reasons the governor called the special session was to get bills passed in time to help set the stage for full implementation of the Affordable Care Act.

There are six bills, total, as three mirror-image proposals make their way through both houses.

Concerns Aired Over Health Bridge Bill

The Senate Committee on Health yesterday passed SBX1-3 by Sen. Ed Hernandez (D-West Covina) on an 8-0 vote.

“This bill would establish a bridge plan for the health benefit exchange, which we now know as Covered California,” Hernandez said. “It will allow people to move from coverage to coverage within the exchange.”

When beneficiaries have a change in family size or income, their eligibility to qualify for certain subsidies within the exchange can change, Hernandez said. The bridge plan tries to make it easier for those people and their families to maintain the same health plan and provider network, even when circumstances change, and that would cut down on churning (administrative upheaval caused when people move from plan to plan), he said.