BILL ANALYSIS                                                                                                                                                                                                    




                    Appropriations Committee Fiscal Summary
          
                                           1600 (Keeley)
          
          Hearing Date:  8/30/01          Amended: 8/20/01 &  
          LCR#?????     
          Consultant:  George Cate            Policy Vote: JUD 5-2
          ____________________________________________________________ 
          ___
          BILL SUMMARY: 
          
          AB 1600 allows any enrollee, subscriber, patient, health  
          care provider or their representatives to file an action  
          for equitable relief from any licensee of the Knox-Keene  
          Health Care Service Plan Act, as to any violation or  
          threatened violation of the Act.

          In addition, this measure establishes a voluntary dispute  
          resolution process that the court may ask the parties to  
          consider, as an alternative to pursuing litigation if both  
          parties agree.  The bill requires the Department of Managed  
          Health Care (DMHC) to accredit at least three dispute  
          resolution organizations to handle these disputes.

                              Fiscal Impact (in thousands)
           
          Major Provisions        2001-02             2002-03               2003-04   
           Fund  
          
          Dispute resolution            Unknown        Special*
          Legal intervention            Unknown        Special*

                * Managed Health Care Fund

          
          STAFF COMMENTS:  
          
          This bill meets the criteria to be placed on the Suspense  
          file.

          Although DMHC does not have any specific estimates for the  
          costs of this bill, it has estimated that there would be  
          some costs associated with accreditation of the dispute  
          resolution organizations that would probably be in excess  
          of $150,000.  Furthermore, DMHC believes that there could  
          be even more significant costs associated with the costs of  










          litigation in those instances where the Department is  
          compelled to intervene as the enforcer of the Knox-Keene  
          Act.

          DMHC support costs are entirely offset by license fee  
          revenue from the health care service plans.