Bill Text: CA AB1502 | 2023-2024 | Regular Session | Introduced


Bill Title: Health care coverage: discrimination.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Failed) 2024-02-01 - From committee: Filed with the Chief Clerk pursuant to Joint Rule 56. [AB1502 Detail]

Download: California-2023-AB1502-Introduced.html


CALIFORNIA LEGISLATURE— 2023–2024 REGULAR SESSION

Assembly Bill
No. 1502


Introduced by Assembly Member Schiavo

February 17, 2023


An act to add Section 1367.044 to the Health and Safety Code, and to add Section 10140.3 to the Insurance Code, relating to health care coverage.


LEGISLATIVE COUNSEL'S DIGEST


AB 1502, as introduced, Schiavo. Health care coverage: discrimination.
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 prohibits a health care service plan or health insurer from employing marketing practices or benefit designs that discriminate based on an individual’s race, color, national origin, present or predicted disability, age, sex, gender identity, sexual orientation, expected length of life, degree of medical dependency, quality of life, or other health conditions. Existing law requires a plan or insurer to notify enrollees and insureds that it does not discriminate on the basis of race, color, national origin, ancestry, religion, sex, marital status, gender, gender identity, sexual orientation, age, or disability.
This bill would prohibit a health care service plan or health insurer from discriminating on the basis of race, color, national origin, sex, age, or disability through the use of clinical algorithms in its decisionmaking. Because a willful violation of these provisions by a health care service plan 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.
Vote: MAJORITY   Appropriation: NO   Fiscal Committee: YES   Local Program: YES  

The people of the State of California do enact as follows:


SECTION 1.

 Section 1367.044 is added to the Health and Safety Code, to read:

1367.044.
 (a) A health care service plan shall not discriminate on the basis of race, color, national origin, sex, age, or disability through the use of clinical algorithms in its decisionmaking.
(b) This section does not prohibit the use of clinical algorithms that rely on variables to appropriately make decisions, including to identify, evaluate, and address health disparities.

SEC. 2.

 Section 10140.3 is added to the Insurance Code, to read:

10140.3.
 (a) A health insurer shall not discriminate on the basis of race, color, national origin, sex, age, or disability through the use of clinical algorithms in its decisionmaking.
(b) This section does not prohibit the use of clinical algorithms that rely on variables to appropriately make decisions, including to identify, evaluate, and address health disparities.

SEC. 3.

 No reimbursement is required by this act pursuant to Section 6 of Article XIII B of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIII B of the California Constitution.
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