BILL ANALYSIS AB 2208 Page 1 Date of Hearing: May 12, 2004 ASSEMBLY COMMITTEE ON APPROPRIATIONS Judy Chu, Chair AB 2208 (Kehoe) - As Amended: April 27, 2004 Policy Committee: Health Vote: 12-5 Judiciary 8-3 Urgency: No State Mandated Local Program: Yes Reimbursable: No SUMMARY This bill requires group health plans, health insurance, and all forms of insurance to provide equal coverage to domestic partners. Specifically, this bill: 1)Requires group health plans and health insurers to provide equal coverage to employers for the domestic partner of an employee or subscriber to the same extent, and subject to the same terms and conditions, as provided to a spouse of the employee or subscriber. (Existing law requires group health plans and health insurers to offer domestic partner coverage.) 2)Prohibits a health plan or health insurer from offering or providing coverage for a domestic partner that is not equal to the coverage provided to the spouse of an employee or subscriber. 3)Limits the ability of a health plan or health insurer to verify the status of the domestic partnership to cases in which it also requests verification of marital status from the employee whose spouse is provided coverage. 4)Requires every insurance policy issued, amended, delivered, or renewed in this state to provide coverage for the domestic partner of an insured or policyholder that is equal to, and subject to the same terms and conditions as, the coverage provided to a spouse of an insured or policyholder. 5)Prohibits a policy from offering or providing coverage for a domestic partner if it is not equal to the coverage provided AB 2208 Page 2 for the spouse of an insured or policyholder. 6)Deems a health plan contract and a health insurance policy that is issued, amended, delivered, or renewed on or after January 1, 2005 to provide coverage for domestic partners that is equal to the coverage provided to a spouse of an insured or policyholder. FISCAL EFFECT 1)Minor and absorbable costs to the Department of Managed Health Care and Department of Insurance to enforce the provisions of this bill. 2)No state fiscal impact to CalPERS as it currently provides health benefits to domestic partners. COMMENTS 1)Purpose . This bill is co-sponsored by Insurance Commissioner John Garamendi and Equality California. Commissioner Garamendi argues the bill simply conforms insurance statutes with AB 205 (Goldberg) from last year, and establishes a necessary and consistent standard of non-discrimination in insurance. Equality California suggests that lesbian, gay, bisexual, and transgender (LGBT) Californians are not always covered under their partner's insurance policies in the same way spouses are covered. The author states this bill would conform the Health and Safety and Insurance Codes to the requirements of AB 205 (Goldberg) enacted last year and bring those provisions in line with requirements made in existing non-discrimination provisions that ensure that domestic partners receive the same insurance coverage as spouses. 2)Background . Domestic partners are defined as two adults who have chosen to share their lives in an intimate and committed relationship of mutual caring who meet certain conditions, including being either the same sex, or qualifying for Social Security benefits for aged individuals. Currently, there are approximately 25,880 domestic partnerships registered with the Secretary of State. AB 205 (Goldberg), Chapter 421, Statutes of 2003 enacted the "The California Domestic Partner Rights and Responsibilities Act of 2003," which, among other provisions, required that AB 2208 Page 3 registered domestic partners have the same rights, protections, and benefits, and are subject to the same responsibilities, obligations, and duties under law, as spouses. 3)Opposition . The Capitol Resource Institute (CRI) is opposed to the bill because it believes this bill would force private businesses to pay for same-sex relationships to the same degree as marriage. In addition, CRI is concerned that this bill will result in higher employer costs and force employers to recognize domestic partnerships to the same degree as marriage, despite religious or moral convictions against it. CRI further suggests that this bill is disrespectful and intolerant of those who believe homosexuality is wrong. Analysis Prepared by : Scott Bain / APPR. / (916) 319-2081