Health care service plans: vision care services: provider claims: fraud.
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 requires a health care service plan doing business in this state to establish an antifraud plan to organize and implement an antifraud strategy to identify and reduce costs, and to protect consumers through the timely detection, investigation, and prosecution of suspected fraud. Existing law specifies required elements of an antifraud plan and requires a health care service plan to annually submit a written report to the department director describing the plan's efforts to deter, detect, and investigate fraud, and to report cases of fraud to a law enforcement agency.
us/states/ca
California Legislature
20172018
AB 1092
California AB 1092 (20172018)
bill
Health care service plans: vision care services: provider claims: fraud.
California AB 1092 (20172018) — Health care service plans: vision care services: provider claims: fraud.
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 requires a health care service plan doing business in this state to establish an antifraud plan to organize and implement an antifraud strategy to identify and reduce costs, and to protect consumers through the timely detection, investigation, and prosecution of suspected fraud. Existing law specifies required elements of an antifraud plan and requires a health care service plan to annually submit a written report to the department director describing the plan's efforts to deter, detect, and investigate fraud, and to report cases of fraud to a law enforcement agency.
Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
3rd Reading AB1092 Cooley et al. By Nielsen — 39–0 (pass) · upper
AB 1092 COOLEY Assembly Third Reading — 77–0 (pass) · lower
AB 1092 COOLEY Concurrence in Senate Amendments — 79–0 (pass) · lower
Do pass as amended, but first amend, and re-refer to the Committee on [Appropriations] — 9–0 (pass) · upper
Do pass and be re-referred to the Committee on [Appropriations] — 14–0 (pass) · lower
With recommendation: That Senate amendments be concurred in. — 13–0 (pass) · lower
Do pass as amended. — 16–0 (pass) · lower
Sponsors
Cooley — primary (person)
Nielsen — principal coauthor (person)
Timeline
The legislative action history — every referral, reading, and vote.
2017-02-17 Read first time. To print. reading-1
2017-02-19 From printer. May be heard in committee March 21.
2017-03-06 Referred to Com. on HEALTH. referral-committee
2017-03-30 Coauthors revised.
2017-04-05 From committee: Do pass and re-refer to Com. on APPR. (Ayes 14. Noes 0.) (April 4). Re-referred to Com. on APPR. committee-passage-favorable, committee-passage, referral-committee
2017-04-26 In committee: Set, first hearing. Referred to APPR. suspense file. referral-committee
2017-05-26 From committee: Amend, and do pass as amended. (Ayes 16. Noes 0.) (May 26). amendment-passage, committee-passage, amendment-introduction
2017-05-26 Read second time and amended. Ordered returned to second reading. reading-1, amendment-passage, reading-2
2017-05-30 Read second time. Ordered to third reading. reading-2, reading-1
2017-05-31 Read third time. Passed. Ordered to the Senate. (Ayes 77. Noes 0. Page 1938.) reading-3, passage, reading-1
2017-06-01 In Senate. Read first time. To Com. on RLS. for assignment. reading-1
2017-06-14 Referred to Coms. on HEALTH and APPR. referral-committee
2017-06-15 In committee: Hearing postponed by committee.
2018-06-13 From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on HEALTH. amendment-passage, referral-committee, reading-2, reading-1, amendment-introduction
2018-06-18 From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on HEALTH. amendment-passage, referral-committee, reading-2, reading-1, amendment-introduction
2018-07-02 From committee: Amend, and do pass as amended and re-refer to Com. on APPR. (Ayes 9. Noes 0.) (June 27). amendment-passage, committee-passage, amendment-introduction
2018-07-03 Read second time and amended. Re-referred to Com. on APPR. amendment-passage, reading-2, referral-committee, reading-1
2018-08-06 From committee: Be ordered to second reading pursuant to Senate Rule 28.8. committee-passage, reading-2
2018-08-07 Read second time. Ordered to third reading. reading-2, reading-1
2018-08-21 Read third time and amended. Ordered to second reading. amendment-passage, reading-3, reading-1
2018-08-22 Read second time. Ordered to third reading. reading-2, reading-1
2018-08-27 Read third time. Passed. Ordered to the Assembly. (Ayes 39. Noes 0. Page 5781.). reading-3, passage, reading-1
2018-08-27 In Assembly. Concurrence in Senate amendments pending. May be considered on or after August 29 pursuant to Assembly Rule 77.
2018-08-28 Re-referred to Com. on HEALTH. pursuant to Assembly Rule 77.2. referral-committee