california Senate & assembly - healthcare
sb-242 (2021) & AB-454 (2021)
- 04/20/21 - April 19 hearing: Placed on APPR suspense file.
SB-242 Health care provider reimbursements - District 29 Senator Josh Newman
- This would require a health care service plan or health insurer to contract with its health care providers to reimburse at a reasonable rate their business expense that are medically necessary to render treatment to patients, protect health care workers, and to prevent the spread of diseases causing public health emergencies.
- 04/29/21 - From committee: Amend, and do pass as amended and re-refer to Com. on APPR. (Ayes 10. Noes 1.) (April 27).
AB-454 Health care provider emergency payments - District 52 Assembly Member Freddie Rodriguez
- This would mandate dental care plans to provide specified payments and support to a provider during and at least 60 days after the end of a declared state of emergency
- Both bills propose an unprecedented mandate on the entire category of industry to provide government-scale relief to dentists and healthcare providers in the event of a public health emergency or state or federal declared disaster. Dentists, in return (and ultimately all providers) will not be required to provide services and will still be paid. This is a mandate for insurance companies to make advance claims payment to in network providers based on average pre-disaster reimbursement, pay for PPE, and an unspecified number and types of administrative costs.
- Both measures will drive up group and individual dental premiums to unaffordable levels. Dentists are seeing over 100% of pre-Covid levels of their covered patients.
- Recommended Position: Oppose SB-242 and AB-454
- The legislation will raise dental premiums for consumers and may lower agent commissions.