| ASSEMBLYMEMBER HECTOR DE LA TORRE 50TH ASSEMBLY DISTRICT For Immediate Release: July 11, 2007 Contact: Juan Carlos Torres Phone: (916) 319-2050 |
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Bill Prohibiting the Retroactive Cancellation of Health Insurance Policies Passes |
AB 1324 passed the Senate Committee on Insurance amid Major Opposition from Health Plans |
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Health Maintenance Organizations (HMOs) have engaged in a practice of dumping policyholders after authorizing medical treatment and then refusing to pay the medical bills. Regulators at the Department of Managed Health Care examined 90 randomly selected cases of policy cancellations —and found violations in each one. “Due to this unscrupulous practice, sick people are being denied benefits that they have paid for, been approved for, and should reasonably expect to receive. At a time where the focus is on increasing coverage of California’s uninsured, there are scores of Californians who are battling to hold on to coverage they have paid for,” stated De La Torre. “Even after consumers make their payments, some HMOs look for a cheap way out when it comes time to provide coverage. I will continue fighting the health plan lobby to ensure that Californian’s have the protections they deserve. AB 1324 will ensure that HMOs will no longer leave the sick stranded when they need medical attention the most,” stated De La Torre. While current law provides some protection to consumers, HMOs and Insurers have aggressively sought to skirt the law by finding loopholes as a way to rescind or modify a person’s policy after authorizing service for a treatment. By reaffirming existing law, this measure will ensure that health plans will no longer have the incentive to rescind coverage and not pay for treatment that was authorized. |
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| Capitol Office: State Capitol - P.O. Box 942849 - Sacramento, CA 94249-0050 - (916) 319-2050 - Fax: (916) 319-2150 District Office: 8724 Garfield Avenue, Suite 104 - South Gate, CA 90280 - (562) 927-1200 - Fax: (562) 927-6670 |