Health care coverage reporting.

Existing law, the Knox-Keene Health Care Service Plan Act of 1975, provides for the licensure and regulation of health care service plans by the Department of Managed Health Care, and makes a willful violation of the act a crime. Existing law provides for the regulation of health insurers by the Department of Insurance. Existing law requires a health care service plan or health insurer that covers individuals, small groups, large groups, or administrative services only business lines to report the number of covered lives by product type to the Department of Managed Health Care or the Department of Insurance. Existing law requires the Department of Managed Health Care and the Department of Insurance to publicly report that data, including posting that data on each department's internet website. This bill would expand those health care service plan and health insurer reporting requirements to include any other business lines. The bill would also require a multiple employer welfare arrangement or a plan or insurer that provides coverage through a multiple employer welfare arrangement to report specified data to the Department of Managed Health Care or the Department of Insurance, as appropriate, beginning March 1, 2020, and at least annually thereafter. The bill would require the Department of Managed Health Care and the Department of Insurance to make the reported data for the previous year available no later than April 15 of each year. Because a willful violation of the bill's requirements relative to health care service plans would be a crime, the bill would impose a state-mandated local program. The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement. This bill would provide that no reimbursement is required by this act for a specified reason.