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
By William Espinosa California Association of Health Plans v. Mary Watanabe, et al., Case No. 20STCP03773 (Super. Ct., Los Angeles County). On May 5, 2021, after full consideration of the arguments and evidence presented at trial by Petitioner California Association Continue reading
By Hunter W. Collins In an August 13, 2021 letter, the U.S. Department of Health and Human Services’ Office for Civil Rights (OCR) withdrew and closed a complaint against the State of California and the Department of Managed Health Care Continue reading
By Yusra Serhan On September 17, 2021, the Department of Managed Health Care (DMHC) published notice of its intent to adopt section 1300.67.02, Title 28 of the CCR to permanently adopt the emergency regulation that became effective on January 15, Continue reading
By William Espinosa On July 23, 2021, the Department of Managed Health Care (DMHC) published notice of rulemaking action pertaining to the formal adoption of section 1300.63.4, Title 28 of the California Code of Regulations (CCR), “Summary of Dental Benefits Continue reading
By Hunter W. Collins On July 6, 2021, the Department of Managed Health Care (DMHC) released All Plan Letter (APL) 21-018, which requires health plans to provide “coverage for Human Immunodeficiency Virus (HIV) antiretroviral drugs, including preexposure prophylaxis (PrEP) or Continue reading
By Alex Ruf On February 25, 2021, the Department of Managed Healthcare’s (DMHC) Office of Enforcement signed a letter of agreement with Aetna Health of California, Inc. (Aetna) with respect to Aetna’s violations of Health and Safety Code sections 1367.63(a) Continue reading
By Meena Kaypour On December 30, 2020, the Department of Managed Health Care (DMHC) released its Prescription Drug Cost Transparency Report for Measurement Year 2019. Pursuant to SB 17 (Hernandez) (Chapter 603, Statutes of 2017), Health and Safety Code section Continue reading
By Hannah Ohman On January 4, 2021, the United States District Court for the Eastern District of California filed an order upholding the legality of a 2017 California drug price transparency law in Pharmaceutical Research & Manufacturers of America (“PhRMA”) Continue reading
By Alex Ruf On December 11, 2020, Sarah Ream, general counsel for the Department of Managed Health Care (DMHC), issued an All Plan Letter to all full-service health plans regarding health care coverage of the new COVID-19 vaccine. The Department Continue reading
