BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                  AB 1761
                                                                  Page  1

          Date of Hearing:   April 18, 2012

                        ASSEMBLY COMMITTEE ON APPROPRIATIONS
                                Felipe Fuentes, Chair

             AB 1761 (John A. Pérez) - As Introduced:  February 17, 2012 

          Policy Committee:                              HealthVote:19-0

          Urgency:     No                   State Mandated Local Program: 
          Yes    Reimbursable:              No

           SUMMARY  

          This bill prohibits individuals and entities, including those 
          regulated by the Department of Managed Health Care (DMHC) and 
          the Department of Insurance (CDI), from holding themselves out 
          as representing, constituting, or otherwise providing services 
          on behalf of the California Health Benefits Exchange (Exchange) 
          unless the individual or entity has a valid agreement with the 
          Exchange to engage in those activities. Specifically, this bill:

          1)Specifies that no individual or entity shall engage in such 
            misrepresentation.

          2)Defines such misrepresentation as an unfair business practice 
            for a solicitor, a solicitor firm, or a health care service 
            plan.

          3)Adds such misrepresentation to a list of "unfair methods of 
            competition and unfair and deceptive acts in the practice of 
            insurance" for all persons engaged in the business of 
            insurance. 

           FISCAL EFFECT  

          Potential for minor, absorbable enforcement workload and 
          associated administrative fine and penalty revenue to CDI and 
          DMHC. 

           COMMENTS  

           1)Rationale  . The author states this bill will help prevent 
            deceptive marketing of health care plans and policies that 
            will be made available through the Exchange beginning in late 








                                                                 AB 1761
                                                                  Page  2

            2013. He notes that under federal law, individuals will be 
            required to maintain health coverage beginning in 2014 and 
            will likely be presented with health plan marketing 
            information from a variety of sources. 

            The author further explains that the Health and Safety Code 
            defines "unfair business practices" for entities regulated by 
            DMHC, the Insurance Code defines "unfair methods of 
            competition and unfair deceptive acts or practices in the 
            business of insurance" for entities regulated by CDI, and the 
            Government Code establishes the duties of the Exchange, but 
            none of these code sections address the issue of deceptive 
            marketing of the Exchange.  A supporter points out that there 
            already have been misleading websites put up by agents and 
            brokers that appear to be the official website of the 
            Exchange.

           2)Background  .  The federal Patient Protection and Affordable 
            Care Act (ACA) describes basic responsibilities of state-based 
            health insurance exchanges, which are intended to function as 
            risk-pooling mechanisms and marketplaces that offer for sale a 
            variety of standardized health plans to individuals and small 
            businesses.  California's Exchange was established by AB 1602 
            (John A. Pérez), Chapter 655, Statutes of 2010 and SB 900 
            (Alquist), Chapter 659, Statues of 2010, and the five-member 
            Exchange Board has been meeting monthly since April 2011 to 
            address numerous issues related to launching the state's 
            Exchange.  The Exchange Board recently commissioned the 
            drafting of a marketing and outreach plan that is to be rolled 
            out later this year, with the intent to inform and enroll 
            populations between 133% and 400% of the FPL who will be 
            eligible for subsidies.  Because subsidies will only be 
            available to families when coverage is purchased inside the 
            Exchange, it is particularly important that consumers are not 
            misled about whether plans are actually authorized for sale in 
            the Exchange.



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