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SB168: By Sen. Jackie Speier
(D-Hillsborough), this bill prohibits health care service
plans (HCSPs) from requiring physicians or physician groups to assume the
financial risk for the acquisition costs of required childhood immunizations
that are not part of their current risk-based contract with the HCSP.
As of January 1, 2001, HCSPs will be required to reimburse physicians for
these costs at the lowest of the following: the actual acquisition cost, the
average wholesale price, or lowest cost made available to the physician by the
HCSP SB
648: By Ortiz, this bill includes chlamydia within the SB
1746: By Sen. Liz Figueroa (D-Fremont), this bill requires health care service
plans to notify enrollees of the plan's termination of a contract with a primary
care provider and specifies methods for delivering the notice. It also requires
plans to instruct enrollees on how to select a new primary care provider.
In addition, it specifies exceptions for primary care provider approvals
related to situations where a provider has been terminated from a plan's
contract SB
1801: By Speier, this bill authorizes the Office of Statewide Health Planning
and Development to extend the January 1, 2008, deadline for compliance with the
Hospital Seismic Safety Act, to January 1, 2013 SB
2006: By Sen. Tim Leslie (R-Tahoe City), this bill authorizes any general acute
care hospital building located in Seismic Zone three to request an exemption
from the January 1, 2008 deadline for nonstructural retrofitting, if the
building complies with the year 2002 nonstructural AB
2194: By Gallegos, this bill requires the Office of Statewide Health Planning
and Development to grant program flexibility to any general acute care hospital
seeking to relocate services on an interim basis to achieve building standards
for interim sites. This bill also requires the Department of Health Services to
establish the Alfred E. Alquist Hospital Facilities Seismic Safety Act Unit.
The bill appropriates $145,000 from the General Fund to establish the new
unit AB
2616: By
Assembly member Bob Margett (R-Arcadia), this bill prohibits disability insurers
from requesting information that is not reasonably necessary to determine
liability for payment of a claim and requires them to pay providers the cost for
duplicating all information they request in connection with a contested claim.
This bill also extends by one year the sunset for the exemption from the
requirements of the Senior Insurance Law for direct response disability
insurance AB
2899: By the Assembly Committee on Health, this bill authorizes the
attending physician to authenticate the verbal orders for drugs for a patient of
another physician. It also makes
technical, non-substantive changes to existing law
related to Medi-Cal SB
2046: By Speier, this bill
prohibits health care service contracts and disability insurance contracts from
excluding coverage for an off-label use of a drug prescription for a chronic and
seriously debilitating condition AB1455: By Scott,the bill directs
DHS to “establish regulations on what constitutes timely payments by HMOs”
to doctors and hospitals. It also
mandates that health plans pay providers on time, increasing from 10% to 15% the
amount of interest HMOs will be charged for late payments. It also prohibits HMOs from engaging in an unfair payment
pattern in its reimbursement of claims. This
amends H&S 1367 by requiring after 1/1/02 health service plans annually
submit grievances filed and resolutions to the state. It also amends H&S 1371 to state that the HMO must pay to
the provider the interest without the provider requesting the payment.
If the HMO does not do this an additional $10 payment to the provider
will be paid. This obligation is
not waived when plans require IPAs, medical groups or others to pay the claims. SB1177: By Perata gives the director of the Department of Managed Care the
authority “to report and investigate incidents of unfair payment patterns”.
Those that continually make late payments would be subject to fines and
probation. AB2611: By Gallegos started as a mandate and then after intense lobbying by the
Union of Physician and Dentists was turned into a study of emergency room
on-call physician coverage. AB
2018: By Thomson, this bill lifts the cap on the number of triplicate
prescriptions issued to a physician because "the cap is low" for
doctors specializing in pain management or treatment of cancer patients.
The legislation also allows a physician "with a busy practice and/or
illegible handwriting" to either type the triplicate prescription or have
an employee type or write it, as long as the physician signs the prescription.
In addition, the bill permits a pharmacist to correct a prescription
containing errors, if the pharmacist notifies the prescriber of the error, the
prescriber approves any corrections and the prescriber faxes or mails a
corrected prescription within seven days of the prescription being dispensed. The bill became law without the governor's signature SB 1875: By Speier requires hospitals
and surgical clinics to develop a formal plan to eliminate or substantially reduce the number
of medication related errors SB
1903: By Speier, this bill restricts the disclosure of medical information to
corporations and their subsidiaries and affiliates, requires a valid
authorization for release of such information and allows adult patients to
insert written addendums into their medical records believed to be incorrect or
incomplete SB 2094: By the Senate Insurance Committee, this bill makes technical and clarifying changes to managed care reform legislation enacted during 1999, clarifying the circumstances under which entities contracting with health plans may receive and disclose a patient's medical information. The bill also corrects erroneous references to various code sections and removes unnecessary and improper words
DISCLAIMER: Although this article is updated periodically, it reflects the
author's point of view at the time of publication. Nothing in this article
constitutes legal advice. Readers should consult with their own legal counsel
before acting on any of the information presented.
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