California Government Code

§ 100502

GOV § 100502 Effective Jun 27, 2019Title 22

Statute text

The board shall, at a minimum, do all of the following to implement Section 1311 of the federal act:

(a)Implement procedures for the certification, recertification, and decertification, consistent with guidelines established by the United States Secretary of Health and Human Services, of health plans as qualified health plans. The board shall require health plans seeking certification as qualified health plans to do all of the following:

(1)Submit a justification for any premium increase prior to implementation of the increase. The plans shall prominently post that information on their internet websites. The board shall take this information, and the information and the recommendations provided to the board by the Department of Insurance or the Department of Managed Health Care under paragraph (1) of subdivision (b) of Section 2794 of the federal Public Health Service Act, into consideration when determining whether to make the health plan available through the Exchange. The board shall take into account any excess of premium growth outside the Exchange as compared to the rate of that growth inside the Exchange, including information reported by the Department of Insurance and the Department of Managed Health Care.

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Legislative history

Amended by Stats. 2019, Ch. 38, Sec. 3. (SB 78) Effective June 27, 2019.