By Zoe Bulls On January 28, 2025, the Department of Managed Health Care (DMHC) held a second stakeholder meeting and presented an actuarial analysis outlining the benefit allowance, potential coverage options, and cost projections for the proposed California’s Essential Health Continue reading
By Zoe Bulls On January 10, 2025, the Department of Managed Health Care (DMHC) published notice of proposed rulemaking to add section 1300.67.27 to title 28 of the California Code of Regulations (CCR) to clarify how health plans licensed to Continue reading
By Zoe Bulls On August 28th, 2024, the California Department of Managed Healthcare (DMHC) countersigned a Letter of Agreement with California Physicians’ Service (Blue Shield of California) that notified the health plan provider of a $250,000 fine for billing 335 Continue reading
By Yusra Serhan On December 24, 2021, the Department of Managed Health Care (DMHC) published notice of its intent to adopt Rule 1300.84.03; amend and renumber Rules 1300.84.06; amendment to Rules 1300.84.2 and 1300.84.3; and renumber Rules 1300.84.06 to 1300.84.1, Continue reading
By Hunter W. Collins On February 24, 2022, the Department of Managed Health Care’s (DMHC) Health Equity and Quality Committee (Committee) held its first meeting via Zoom. AB 133 (Committee on Budget) (Chapter 143, Statutes of 2021), which became effective Continue reading
By Yusra Serhan AB 1400 (Kalra), titled the “California Guaranteed Health Care for All Act,” as amended January 24, 2022, and as it applies to the DMHC, would have added Title 23 to the Government Code to establish a universal Continue reading
By Hunter W. Collins On December 27, 2021, the Department of Managed Health Care (DMHC) released its Prescription Drug Cost Transparency Report for Measurement Year 2020. Pursuant to SB 17 (Hernandez) (Chapter 603, Statutes of 2017), Health and Safety Code Continue reading
By William Espinosa On October 12, 2021, Deborah Haas Wilson, PH.D., who was retained by the Office of the California Attorney General on behalf of DMHC, published her independent analysis of the anti-competitive impact on subscribers and enrollees of a Continue reading
By Hunter W. Collins SB 65 (Skinner), the “California Momnibus Act,” as amended September 2, 2021, adds section 123660, adds Article 4.7 (commencing with section 123635), and adds Article 4 (commencing with section 128295) to the Health and Safety Code Continue reading
By Yusra Serhan AB 570 (Santiago), as amended August 26, 2021, and as it applies to the DMHC, amends section 1399.845 and adds section 1374.1 to the Health and Safety Code to require health care service plans, issued or renewed Continue reading
