BILL ANALYSIS �
AB 710
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Date of Hearing: May 15, 2013
ASSEMBLY COMMITTEE ON APPROPRIATIONS
Mike Gatto, Chair
AB 710 (Pan) - As Amended: March 11, 2013
Policy Committee: HealthVote:14-3
Urgency: No State Mandated Local Program:
No Reimbursable: No
SUMMARY
This bill adds multiemployer plans to the entities permitted to
facilitate purchase of qualified health plans (QHPs) in the
California Health Benefit Exchange (Exchange), now called
Covered California, no later than July 1, 2014, to the extent
permitted by federal law.
FISCAL EFFECT
Unknown costs but likely to exceed $150,000 because of numerous
uncertainties, including changes needed by the Exchange to
accommodate the different structure of a multiemployer plan and
potential impacts on the risk mix in the Exchange.
COMMENTS
1)Rationale . This bill is sponsored by the California State
Association of Electrical Workers and the California State
Pipe Trades Council, to allow multiemployer plans to purchase
policies from Covered California as would qualifying
businesses (generally those under 50 employees), and allow
multiemployer plans to facilitate purchases by individual plan
participants, using plan assets (acting as both a "navigator"
and "payor"). Current law does not specifically authorize
multiemployer plans to participate in the California Exchange,
resulting in the plan participants being denied access to
Covered California through their current health plans.
2)Background . The multiemployer plans intended to be covered by
this bill are considered group plans, but they are not
operated by or paid for solely by an employer. Known as
Taft-Harley plans, based on the federal law under which they
AB 710
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are regulated, these plans are typically operated by a board
of trustees made up of both employer and labor
representatives. At least one union is involved, although
there are likely to be multiple employers. Some of the
individual employers may be very small.
3)Concerns . Individually and as small groups (those with fewer
than 50 employees), the members of a Taft-Hartley plan could
access Covered California. This may raise questions about the
impact on Taft-Hartley plans and their members if some of
their groups withdraw to purchase other coverage, and the
impact of this bill on Covered California because this bill
applies only to coverage in the Exchange as opposed to
coverage in the outside market.
Analysis Prepared by : Debra Roth / APPR. / (916) 319-2081