BILL ANALYSIS
AB 513
Page 1
GOVERNOR'S VETO
AB 513 (De Leon)
As Amended September 1, 2009
2/3 vote
-----------------------------------------------------------------
|ASSEMBLY: |50-28|(June 2, 2009) |SENATE: |24-15|(September 3, |
| | | | | |2009) |
-----------------------------------------------------------------
-----------------------------------------------------------------
|ASSEMBLY: |49-28|(September 9, | | | |
| | |2009) | | | |
-----------------------------------------------------------------
Original Committee Reference: HEALTH
SUMMARY : Requires health plans and those health insurers that
provide maternity benefits to provide coverage for lactation
consultation with an international board certified lactation
consultant and the provision of, or the rental of, a breast
pump, as specified.
The Senate amendments :
1)Specify the types of breast pumps covered under this bill.
2)Clarify that the exemption provided for specified specialized
health plans and insurance policies includes short-term
limited duration health insurance, except when specifically
for coverage during pregnancy or a postpartum period or both.
3)Prohibit the provisions of this bill from being construed to
affect any other requirement to provide breast pumps or
lactation consultation in the Medi-Cal, Healthy Families, or
Access for Infants and Mothers programs.
AS PASSED BY THE ASSEMBLY , this bill was substantially similar
to the version approved by the Senate.
AB 513
Page 2
FISCAL EFFECT : According to the Senate Appropriations
Committee, special fund costs to DMHC of $50,000 in fiscal year
(FY) 2009-10 for start-up and general, special, and private fund
costs for California Public Employees Retirement System benefits
of $50,000 in FY 2009-10 and $100,000 in FY 2010-11 and 2011-12.
GOVERNOR'S VETO MESSAGE :
I share the author's interest in promoting safer,
healthier outcomes for mothers and their children. My
Administration has several programs dedicated to
promoting and encouraging mothers to breastfeed their
infants for the multitude of health benefits it
provides.
However, the addition of a new mandate, no matter how
small, will only serve to increase the overall cost of
health care. This, like other mandates, only
increases cost in an environment in which health
coverage is increasingly expensive.
California has over 40 mandates on its health care
service plans and health insurance policies. While
these mandates are well-intentioned, the costs
associated with the cumulative effect of these
mandates mean that these costs are passed through to
the purchaser and consumer.
I continue to have serious concerns about the rising
costs of healthcare and must weigh the potential
benefits of a mandate with the comprehensive costs to
the entire delivery system and for that reason, I
cannot support this bill.
Analysis Prepared by: Marjorie Swartz / HEALTH / (916)
319-2097
FN: 0003413
AB 513
Page 3