BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  AB 2315
                                                                  Page  1

          Date of Hearing:  March 27, 2012

                            ASSEMBLY COMMITTEE ON HEALTH
                              William W. Monning, Chair
                AB 2315 (Monning) - As Introduced:  February 24, 2012
           
          SUBJECT  :  Governor's appointments: Senate confirmation.

           SUMMARY  :  Revises existing law relating to Senate confirmation 
          of the head of the Office of Patient Advocate (OPA) to clarify 
          that the OPA is located within the California Health and Human 
          Services Agency (CHHSA).

           EXISTING LAW  :  

          1)Subjects gubernatorial appointments to various boards and 
            commissions, including the OPA, to confirmation by the Senate.

          2)Provides for the regulation of health plans by the Department 
            of Managed Health Care (DMHC) under the Knox-Keene Health Care 
            Service Plan Act of 1975, and for the regulation of health 
            insurers by the California Department of Insurance (CDI).

          3)Transfers the OPA from DMHC to CHHSA effective July 1, 2012, 
            and requires existing OPA duties to apply to health insurers 
            regulated by CDI and their insureds (in addition to 
            DMHC-regulated health plans). 

          4)Requires the OPA to consult with DMHC, CDI, the Managed Risk 
            Medical Insurance Board, the Department of Health Care 
            Services, and the California Health Benefit Exchange to 
            develop consumer educational and information guides.

           FISCAL EFFECT  :  None

           COMMENTS  :

           1)PURPOSE OF THIS BILL  .  According to the author, existing law 
            specifies that the appointment of the head of the OPA within 
            DMHC is subject to Senate confirmation.  However, the author 
            notes that, pursuant to AB 922 (Monning), Chapter 552, 
            Statutes of 2011, the OPA was moved from DMHC to CHHSA.  This 
            bill corrects existing law to reflect that transfer. 

           2)OPA  .  The OPA is intended to provide consumers with a clear 








                                                                  AB 2315
                                                                  Page  2

            and centralized source of assistance with obtaining and 
            navigating public and private health care coverage and 
            position California to receive federal monies made available 
            by the federal Patient Protection and Affordable Care Act 
            (ACA) for the purpose of establishing and operating such an 
            office.  The author states that it is imperative that the OPA 
            serve as a single source of correct and current information 
            about ACA to enable Californians to access the office and be 
            given informed advice.  Under AB 922, OPA was moved to CHHSA 
            and DMHC was moved from the Business, Transportation, & 
            Housing Agency (BT&H) to CHHSA.  According to the author, 
            these moves were necessary in order to create a clear internal 
            chain of command for the Administration.
           3)RELATED LEGISLATION  .  AB 1869 (John A. Perez), also pending in 
            the Assembly Health Committee, would require the OPA to 
            provide, and assist in the provision of, outreach and 
            education regarding federal health benefits for veterans.  AB 
            1869 is scheduled to be heard on March 27, 2012. 

           REGISTERED SUPPORT / OPPOSITION  :  

           Support 
           
          None on file.

           Opposition 
           
          None on file.
           
          Analysis Prepared by  :    Cassie Royce / HEALTH / (916) 319-2097