BILL ANALYSIS AB 2208 Page 1 ASSEMBLY THIRD READING AB 2208 (Kehoe) As Amended April 27, 2004 Majority vote HEALTH 12-5 JUDICIARY 8-3 ----------------------------------------------------------------- |Ayes:|Cohn, Chan, Chavez, |Ayes:|Corbett, Jackson, Laird, | | |Frommer, Goldberg, | |Lieber, Longville, | | |Lieber, Montanez, Nakano, | |Montanez, Steinberg, | | |Negrete McLeod, | |Levine | | |Ridley-Thomas, Salinas | | | | | | | | |-----+--------------------------+-----+--------------------------| |Nays:|Spitzer, Dutton, |Nays:|Harman, Bates, Maddox | | |Nakanishi, Plescia, | | | | |Richman | | | | | | | | ----------------------------------------------------------------- APPROPRIATIONS 16-4 -------------------------------- |Ayes:|Chu, Berg, Calderon, | | |Corbett, Correa, | | |Firebaugh, Goldberg, | | |Leno, Nation, Negrete | | |McLeod, Oropeza, Pavley, | | |Ridley-Thomas, Wesson, | | |Wiggins, Yee | | | | |-----+--------------------------| |Nays:|Runner, Bates, Daucher, | | |Keene | | | | -------------------------------- SUMMARY : Clarifies existing law that extends health care benefits to domestic partners. Specifically, this bill : 1)Requires group health care service plans and health insurance policies to provide equal coverage to the domestic partner of an employee or subscriber with the same terms and conditions that are provided to a spouse of an employee or subscriber if that plan or policy offers spousal benefits. AB 2208 Page 2 2)Precludes plans and policies from offering or providing coverage to a domestic partner that is not equal to that offered or provided to the spouse of an employee or subscriber. 3)Allows health care service plans and health insurance policies to require verification of a domestic partnership and its termination only if it also requests verification of marital status and notification of the dissolution of the marriage. 4)Requires insurance policies to provide coverage for domestic partners that are equal to the coverage provided to spouses and precludes a policy from offering to provide coverage for a domestic partner if that coverage is not equal to that offered to a spouse. 5)Applies only to plans or policies issued, amended, delivered, or renewed on or after January 1, 2005. 6)Replaces "dependent" with "spouse" when referring to health benefits. 7)Renames a policy of "disability" insurance to a policy of "health" insurance. EXISTING LAW : 1)Requires group health insurance plans and disability insurance policies to offer coverage to employers or guaranteed associations 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 dependent of the employee or subscriber. 2)Defines "domestic partners" as two adults who have chosen to share in a committed relationship. Establishes domestic partnerships in California when both persons file a Declaration of Domestic Partnership with the Secretary of State. Affords domestic partners the same rights, protections, benefits, responsibilities, obligations, and duties as are guaranteed to and imposed upon spouses. Provides former domestic partners the same rights, protections, benefits, responsibilities, obligations and duties to as imposed upon former spouses. AB 2208 Page 3 3)Requires every insurance policy that is issued, amended, delivered or renewed in California to provide coverage for the domestic partner of an insured or policyholder that is equal to the same terms and conditions offered to a spouse of an insured or policy holder. FISCAL EFFECT : According to the Assembly Appropriations Committee analysis, minor and absorbable costs to the Department of Managed Health Care and Department of Insurance to enforce the provisions of this bill. No state fiscal impact to CalPERS as it currently provides health benefits to domestic partners. COMMENTS : According to the author, this bill conforms provisions in the Health and Safety and Insurance Codes made in AB 205 (Goldberg), Chapter 421, Statutes of 2003. It also brings those provisions in line with requirements made in existing non-discrimination provisions that ensure that domestic partners receive the same insurance coverage and spouses. AB 2208 is cosponsored by Insurance Commissioner John Garamendi, who states AB 2208 simply conforms insurance statutes with AB 205 and establishes a necessary and consistent standard of non-discrimination in insurance. Equality California, the other cosponsor of AB 2208, suggests that lesbian, gay, bisexual, and transgender (LGBT) Californians are not always covered under their partners' policies in the same way spouses are covered. As a result, LGBT Californians are being denied benefits, paying discriminatory higher premiums, or being denied coverage. The California National Organization of Women agrees that AB 2208 would clarify the law to afford domestic partners equal insurance coverage. The Capitol Resource Institute (CRI) is opposed to this bill because they believe it would force private businesses to pay for same-sex relationships to the same degree as marriage, even if they have religious or moral convictions against it. In addition, CRI is concerned that this clarification in the law will result in higher employer costs. CRI further suggests that this bill is disrespectful and intolerant of those who believe homosexuality is wrong. Analysis Prepared by : Clara Craven / HEALTH / (916) 319-2097 FN: 0005357