Existing law, the Knox-Keene Health Care Service Plan Act of 1975, provides for the licensure and regulation of health care service plans by the Department of Managed Health Care, and makes a willful violation of the act a crime. Existing law requires a health care service plan to demonstrate that it has a fiscally sound operation and adequate provision against the risk of insolvency, that it assumes full financial risk on a prospective basis for the provision of covered health care services, and that it has a procedure for the prompt payment or denial of provider and subscriber or enrollee claims.
This bill would make technical, nonsubstantive changes to these provisions.

Statutes affected:
SB 344: 1375.1 HSC
02/12/25 - Introduced: 1375.1 HSC