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January 2024
Network Adequacy and Health Care Access Regulations in California
A group of people in lab coats have their hands placed on top of each other in the middle of a circle

This explainer discusses current network adequacy standards for enrollees in California-regulated plans and policies, related federal and state regulations, and new and evolving issues that impact accessibility and coverage of health care for enrollees in California’s state-regulated insurance markets.

Explainer
State and Federal Law
August 2023
Essential Health Benefits: Exceeding EHBs and the Defrayal Requirement
Paper that says Health Insurance Benefits with decorative flair beneath.

This issue brief is part of a two-brief series that provides background on EHBs in California. This issue brief focuses on defrayal. 

Issue Brief
State and Federal Law
August 2023
Essential Health Benefits: An Overview of Benefits, Benchmark Plan Options, and EHBs in California
Print out of a bar graph and line graph with person pointing a finger at bar graph on a wooden surface.

This issue brief is part of a two-brief series that provides background on EHBs in California. This brief focuses on EHBs. 

Issue Brief
State and Federal Law
November 2022
California's Population Aged 65 Years and Older
Two pairs of hands, one from a younger person and one from an older person, hold each other.

This explainer provides an overview of the population aged 65 and older in California, including sources of health insurance, demographic information, and how legislation and regulations may impact insurance coverage for this population

Explainer
Health Insurance Coverage
State and Federal Law
101 Series
November 2021
Balance Billing Prohibitions and the No Surprises Act
Blue clipboard that has a paper list with Medical Bill printed on it. A stethoscope and calculator are next to it.

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
Cost Sharing
State and Federal Law
August 2018
Universal Lead Screening Requirement: A California Case Study
Colorful test tube with red liquid labelled with "Lead (Pb) - Test" next to a needle, 3 test tubes with varying colors, and a stethoscope on top of a paper with green text.

This response addresses a letter to the editor entry regarding CHBRP'S analysis of Assembly Bill (AB) 1316 Childhood Lead Poisoning: Prevention. 

External Publication
Preventive Services
State and Federal Law
October 2017
Federal Contraceptive Mandate and California Laws
Women wearing sweater holding 3 pill packet with white and brown bills inside.

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.

Policy Snapshot
State and Federal Law
July 2015
Analysis: California's EHB Base Benchmark Options
Sign post with signs that are colored. In order it is white (right), cyan (left), red (left), green (left), yellow (left), dark blue (right), purple (right), sky blue (left), green (right)

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.

Issue Brief
Health Insurance Coverage
State and Federal Law
December 2013
Pediatric Dental and Pediatric Vision Essential Health Benefits
Teddy bear wearing a purple stethoscope with a heart in its right paw.

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
June 2012
Immunization Mandates, Benchmark Plan Choices, and Essential Health Benefits
4 Needles together on a purple background

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