AB 290 a bill that CMA and MMCMS staunchly opposed, yet still passed in 2019 has been shot down in the courts.
U.S. District Judge David Carter said th
ave devastating consequences like potentially life-threatening disruptions in treatment and displacement from transplant waiting lists. MMCMS was a supporter of the coalition that opposed this bill and wrote a couple of different letters opposing it (see below). Following is a summary of the bill:
AB 290 (Wood) – Health care service plans and health insurance: third-party payments
CMA Position: Oppose
Requires a health care service plan or health insurer to accept payments from specified third-party entities without a financial interest and requires financially interested entities, as defined, making a third-party premium payment to provide assistance in the manner specified and to disclose to the plan or insurer the name of the enrollees or insureds on whose behalf a third-party premium payment will be made. Requires health plans and insurers to provide regulators with information regarding premium payments by financially interested entities and reimbursement to providers and sets forth standards governing reimbursement of financially interested providers. Establishes a reimbursement rate for financially interested providers that provide services to enrollees or insureds on whose behalf premium payments are made by financially interested entities and establishes a dispute resolution process to determine if the reimbursement amounts are appropriate.
Read the article from the San Francisco Chronicle
Read the MMCMS letter to Assembly Member Jim Wood
Read the MMCMS letter to Senator Anna Caballero