BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                    AB 1954


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          Date of Hearing:  May 4, 2016


                        ASSEMBLY COMMITTEE ON APPROPRIATIONS


                               Lorena Gonzalez, Chair


          AB  
          1954 (Burke) - As Amended April 25, 2016


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          Urgency:  No  State Mandated Local Program:  YesReimbursable:   
          No


          SUMMARY:


          This bill prohibits health plans and insurers from requiring an  
          enrollee to receive a referral prior to receiving coverage or  
          services for reproductive and sexual health care.  It also: 


          1)Defines "reproductive and sexual health care" by reference to  
            existing Family Code and Health and Safety Code sections.


          2)Exempts specialized health care plans and Medi-Cal managed  
            care plans.  








                                                                    AB 1954


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          FISCAL EFFECT:


          1)Costs in the range of $50,000 per year to the Department of  
            Managed Health Care (Managed Care Fund) and minor costs to  
            California Department of Insurance (Insurance Fund) for  
            ensuring and enforcing compliance. 


          2)Although this bill could slightly increase utilization of  
            reproductive and sexual health care in the private health care  
            market, to the extent it removes barriers to care, eliminating  
            referrals does not appear likely to result in a noticeable  
            premium impact. These services are often available without a  
            referral now and, although access to some of these services  
            without a referral varies by plan, the services are all  
            covered under current law.


          COMMENTS:


          1)Purpose. The purpose of this bill is to eliminate any  
            requirement for a referral before an enrollee can access  
            critical reproductive and sexual health care services.


          2)Background. The inability to access comprehensive reproductive  
            health care in a timely manner can lead to negative health  
            outcomes including increased risk for unintended pregnancy,  
            increased spread of sexually transmitted diseases, and delayed  
            care for critical and time-sensitive reproductive health  
            services.  A requirement for a referral may delay access to  
            needed care.   


          3)Support and Opposition. A prior version of this bill required  








                                                                    AB 1954


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            plans and insurers to reimburse out-of-network providers for  
            reproductive and sexual health care services, which was  
            objectionable to plans.  This bill has been amended to only  
            address referrals; thus current opposition is unknown.  This  
            bill is co-sponsored by California Family Health Council,  
            California Latinas for Reproductive Justice, NARAL Pro-Choice  
            California, and Black Women for Wellness, and supported by  
            other groups.  


          4)Suggested amendment. The bill defines "reproductive and sexual  
            health care" as all reproductive and sexual health services  
            described in certain sections of code, including sections that  
            do not mention reproductive health care.  The committee may  
            wish to consider removing references to sections not relevant  
            to reproductive and sexual health. 


          Analysis Prepared by:Lisa Murawski / APPR. / (916)  
          319-2081