California Department of Managed Health Care Opposes AB 1249

By Lynsey Mitchel, Matthew Goldman and John Tilton on September 18, 2019 Posted in State Healthcare Legislation

On Monday, August 8th, the Deputy Director of Legislative Affairs of the Department of Managed Health Care (the “Department”) released a letter of opposition (the “Letter”) to Assembly Bill 1249 (“AB 1249”). The Letter was addressed to Brian Maienschein of the California State Assembly, who is the lead author of AB 1249.… Continue Reading

New Regulation Clarifies DMHC’s Position Regarding Knox-Keene Licensing

By Eric Klein, Lynsey Mitchel, Matthew Goldman and John Tilton on March 27, 2019 Posted in State Healthcare Legislation

After a protracted comment period, the California Department of Managed Health Care (the “Department”) formally adopted its much anticipated “global risk” regulation (the “Regulation”), which will go into effect on July 1, 2019. As more specifically set forth in Section 1300.49 of the California Code of Regulations (“CCR”) and as described below, the Department has … Continue Reading

Balanced Billing in California: Update Regarding 2016’s A.B. 72 and an Overview of Newly Introduced Bill A.B. 1611

By Lynsey Mitchel on March 21, 2019 Posted in State Healthcare Legislation

Balanced billing or “surprise billing” has been getting increased attention at both the federal and state level. Balance bills arise when a payor covers out-of-network care, but the provider bills the patient for amounts beyond what the payor covers and beyond cost-sharing amounts. California has been tackling this issue for over a decade. This article … Continue Reading