Governor Newsom Signs SB 855 Into Law, Requiring Health Plans Cover Medically Necessary Treatment of Mental Health and Substance Use Disorders

By Alex Ruf SB 855 (Wiener), as amended  August 24, 2020, and as it applies to the Department of Managed Health Care (DMHC), adds sections 1367.045 and 1374.721, and repeals and adds section 1374.72, to the Health and Safety Code Continue reading

Ninth Circuit Court of Appeals Finds Standing in Skyline Wesleyan Church’s Claims Against Department of Managed Health Care, Remands Case to District Court

By Alex Ruf On May 13, 2020, the U.S. Court of Appeals for the Ninth Circuit issued its opinion in Skyline Wesleyan Church v. California Department of Managed Health Care, 959 F.3d 341, 344 (2020), reversing the U.S. District Court Continue reading

Department of Managed Health Care Notices Amendment to Conflict of Interest Code

By Meena Kaypour On June 26, 2020, the Department of Managed Health Care (DMHC) published notice of its intent to amend Article 1, section 1000 of its Conflict-of-Interest Code pursuant to its obligations under the Political Reform Act, Government Code Continue reading

Office of Administrative Law Approves Department of Managed Healthcare’s Emergency Regulation Regarding COVID-19 Diagnostic Testing

By Alex Ruf On July 15, 2020, the Department of Managed Health Care (DMHC) published a notice of emergency rulemaking action with respect to its intent to adopt section 1300.67.01, Title 28 of the California Code of Regulations (CCR), pertaining Continue reading

Department of Managed Health Care Issues All Plan Letter Regarding Populations Vulnerable to Coronavirus

By Rayne Brown On March 27, 2020, the Department of Managed Health Care (DMHC) issued the latest of five all plan letters regarding COVID-19, the global pandemic that has brought several nations to a standstill. All plan letters serve as Continue reading

Department of Managed Health Care (DMHC) issues an All Plan Letter encouraging health plans take actions to help slow the spread of COVID-19

By Taylor C. Brewer On March 12, 2020, acting general counsel, Sarah Ream, of the Department of Managed Health Care (Department) issued a letter to all health care service plans in response to the COVID-19 pandemic. The letter addresses the Continue reading

Department of Managed Health Care Fines Health Plans $1.9 Million for Failing to Provide Care to California Enrollees

By Rayne Brown On December 18, 2019, the Department of Managed Health Care (DMHC) announced an enforcement action against 12 health plans, imposing fines totaling $1.9 million for their failure to properly oversee a contracted medical group that was improperly Continue reading

Department of Managed Health Care Director Approves Anthem, Inc.’s Acquisition of Beacon Health Options

By Taylor C. Brewer On February 5th, 2020, during a public meeting of the Financial Solvency Standards Board, Director of the Department of Managed Health Care (DMHC) Shelley Rouillard announced her approval of Anthem, Inc.’s proposed acquisition of Beacon Health Continue reading

Department of Managed Health Care Releases 2018 Timely Access Report

By Taylor C. Brewer In January 2020, the Department of Managed Health Care (DMHC) published its Timely Access Report for 2018. The Timely Access Regulation, section 1300.67.2.2, Title 28, of the California Code of Regulations (CCR), which became effective in Continue reading

Department of Managed Health Care’s Financial Solvency Standards Board Receives a Preview of the Department’s Upcoming Proposals for Regulations

By Rayne Brown On November 7, 2019, the Department of Managed Health Care’s (DMHC) Financial Solvency Standards Board held its quarterly meeting in Sacramento. At the meeting, DMHC Acting General Counsel, Sarah Ream previewed for the Board four regulations that Continue reading