This issue brief discusses laws and regulations that prohibit out-of-network (OON) providers from issuing surprise bills to enrollees in plans or policies regulated by DMHC or CDI.
Issue Brief
State and Federal Law
Balance Billing Prohibitions and the No Surprises Act
This policy snapshot is intended to help readers understand the Affordable Care Act's (ACA) federal contraceptive coverage mandate, California's more recent state coverage laws, and the variability between those laws.
This issue brief analyzes and compares the health services covered by the ten plans available to California as options for the EHB benchmark plan for effective in 2017.
This issue brief describes the choices California has made to comply with the Affordable Care Act's (ACA) pediatric dental and pediatric vision Essential Health Benefit (EHB) requirement.
Issue Brief
Health Insurance Coverage
State and Federal Law
Pediatric Dental and Pediatric Vision Essential Health Benefits
This issue brief provides an example of how state benefit mandates could exceed Essential Health Benefits (EHBs) and how evidence-based analysis may inform discussions of whether to keep or repeal state benefit mandates that exceed EHBs, specifically looking at immunization coverage requirements.
Issue Brief
Preventive Services
Health Insurance Coverage
State and Federal Law
Immunization Mandates, Benchmark Plan Choices, and Essential Health Benefits
This report analyzes evidence on the medical effectiveness of pediatric asthma self-management training and education and the impact that mandated coverage under AB 2185 would have on total health care costs, utilizations, and the pu
External Publication
State and Federal Law
An Analysis of California Assembly Bill 2185: Mandating Coverage of Pediatric Asthma Self-Management Training and Education
This report identifies states that have laws requiring the review of mandated health insurance benefits and describes the various approaches states take in reviewing mandated benefits, as stated in the mandated benefit review (MBR) laws.