California

Health and Safety Code - HSC

17,661 sections, each with the official text and a plain-English explanation of what it means for you.

• § 13234 — The State Fire Marshal may establish regulations for certification according to Section 13233, including the general form and contents of letters certifying conformance with high rise fire codes.
• § 13235 — (a) Upon receipt of a request from a prospective licensee of a community care facility, as defined in Section 1502, of a residential care facility for the elderly, as defined in Section 1569.
• § 1324 — For purposes of this article, the following definitions shall apply: (a) (1) “Gross receipts” means gross receipts paid as compensation for services provided to residents of a designated intermediate
• § 1324.10 — In addition to the rate of payment that an eligible facility would otherwise receive for intermediate care facility services provided to Medi-Cal beneficiaries, an eligible facility shall receive quar
• § 1324.12 — (a) (1) The department shall seek approval from the federal Centers for Medicare and Medicaid Services for the implementation of this article.
• § 1324.14 — In implementing this article, the department may utilize the services of the Medi-Cal fiscal intermediary through a change order to the fiscal intermediary contract to administer this program, consist
• § 1324.2 — (a) As a condition for participation in the Medi-Cal program, there shall be imposed each state fiscal year upon the entire gross receipts of a designated intermediate care facility a quality assuranc
• § 1324.20 — For purposes of this article, the following definitions shall apply: (a) (1) “Continuing care retirement community” means a provider of a continuum of services, including independent living services,
• § 1324.21 — (a) For facilities licensed under subdivision (c) of Section 1250, there shall be imposed each fiscal year a uniform quality assurance fee per resident day.
• § 1324.22 — (a) The quality assurance fee, as calculated pursuant to Section 1324.
• § 1324.23 — (a) The Director of Health Care Services, or their designee, shall administer this article.
• § 1324.24 — (a) The quality assurance fee assessed and collected pursuant to this article shall be deposited in the State Treasury.
• § 1324.25 — The funds assessed pursuant to this article shall be available to enhance federal financial participation in the Medi-Cal program or to provide additional reimbursement to, and to support facility qua
• § 1324.26 — In implementing this article, the department may utilize the services of the Medi-Cal fiscal intermediary through a change order to the fiscal intermediary contract to administer this program, consist
• § 1324.27 — (a) In implementing this article, the department shall seek any federal approvals it deems necessary.
• § 1324.28 — (a) This article shall be implemented as long as both of the following conditions are met: (1) The state receives federal approval of the quality assurance fee from the federal Centers for Medicare an
• § 1324.29 — (a) The quality assurance fee shall cease to be assessed after December 31, 2026.
• § 1324.30 — This article shall become inoperative after December 31, 2026, except that the department shall be authorized to conduct all necessary closeout activities after this date and to continue implementing
• § 1324.4 — (a) On or before August 31 of each year, each designated intermediate care facility subject to Section 1324.
• § 1324.6 — (a) The Director of Health Services, or his or her designee, shall administer this article.
• § 1324.8 — (a) The quality assurance fee assessed and collected pursuant to this article shall be deposited in the General Fund.
• § 1324.9 — (a) The Long-Term Care Quality Assurance Fund is hereby created in the State Treasury.
• § 13240 — This chapter shall be known, and may be cited, as the Propane Storage and Handling Safety Act.
• § 13240.1 — For the purposes of this chapter, the following terms have the following meanings: (a) “Propane storage system” or “system” means any tank or collection of tanks or other vessels that are intended or
• § 13241 — Prior to January 1, 1996, the State Fire Marshal in conjunction with the Occupational Safety and Health Standards Board shall, after public hearings, adopt by reference the 1992 edition of the NFPA 58
• § 13242 — The State Fire Marshal, in cooperation with the Department of Industrial Relations as appropriate, shall do all of the following: (a) Prior to January 1, 1997, inspect and certify the safety of all pr
• § 13243 — The Department of Industrial Relations shall on or before January 1, 1996, develop a propane storage system inspection training curriculum and certification program for inspectors who are authorized t
• § 13243.3 — Any requirements adopted as provisions of the federal Clean Air Act (42 U.
• § 13243.6 — Any costs incurred by state agencies or departments pursuant to this article, that are not funded through fees pursuant to Section 13244.
• § 13244 — (a) All of the following persons or entities shall carry liability insurance set forth in subdivision (b): (1) Any person or entity that owns or operates a business engaged in whole or in part, in the
• § 13244.1 — Notwithstanding any provision of law, any person or entity that owns or operates a business engaged, in whole or in part, in the wholesale or retail sale of any energy product, liquid or vapor, which
• § 13244.2 — If any provision of this article or the application thereof to any person or circumstances is held invalid, that invalidity shall not affect other provisions or applications of this article which can
• § 13244.5 — The State Fire Marshal, in conjunction with local fire departments, shall determine a fee, not to exceed two hundred fifty dollars ($250) per propane storage system, to pay for the cost of the inspect
• § 1325 — The Legislature finds and declares that the transfer trauma which accompanies the abrupt and involuntary transfer of patients from one nursing home to another should be avoided when reasonable alterna
• § 1325.5 — (a) It is the intent of the Legislature in enacting this section to empower the state department to take quick, effective action to protect the health and safety of residents of long-term health care
• § 13250 — Whenever, in the judgment of the State Fire Marshal, any person has engaged in or is about to engage in any acts or practices which constitute or will constitute a violation of any provision of this p
• § 13251 — Every civil action brought under the provisions of this chapter at the request of the State Fire Marshal shall be brought by the district attorney or Attorney General in the name of the people of the
• § 13252 — Any civil action brought pursuant to this chapter shall be brought in the county in which the action occurs.
• § 13253 — In any civil action brought pursuant to this chapter in which a temporary restraining order, preliminary injunction, or permanent injunction is sought, it shall not be necessary to allege or prove at
• § 1326 — As used in this article, “long-term health care facility” means any skilled nursing facility, intermediate care facility, intermediate care facility/developmentally disabled, intermediate care facilit
• § 13260 — This chapter shall be known and may be cited as the Carbon Monoxide Poisoning Prevention Act of 2010.
• § 13261 — The Legislature finds and declares all of the following: (a) According to the American Medical Association, carbon monoxide is the leading cause of accidental poisoning deaths in the United States.
• § 13262 — For purposes of this chapter, the following definitions shall apply: (a) “Carbon monoxide device” means a device that meets all of the following requirements: (1) A device designed to detect carbon mo
• § 13263 — (a) (1) The State Fire Marshal shall develop a certification and decertification process to approve and list carbon monoxide devices and to disapprove and delist previously approved devices, if necess
• § 1327 — (a) Whenever circumstances exist indicating that continued management of a long-term health care facility by the current licensee would present a substantial probability or imminent danger of serious
• § 1327.1 — The state department shall investigate within 30 days of receipt of a complaint alleging that circumstances permitting a petition for receivership under Section 1327 exist in a long-term health care f
• § 1327.2 — In the event that the state department proceeds with a receivership petition, the state department shall hold an informational meeting in the affected community for residents, family members, and inte
• § 1327.3 — Subdivision (b) of Section 1327 shall not be construed to prohibit the state department from including on its list of qualified receivers a consortium of community agencies that includes one or more l
• § 1327.5 — No person shall impede the operation of a receivership created under Section 1327.
• § 1328 — (a) Notwithstanding any other provision of law, the receiver shall be liable only for damages resulting from gross negligence in the operation of the facility or intentional tortious acts.
• § 1329 — (a) When a receiver is appointed, the licensee may, at the discretion of the court, be divested of possession and control of the facility in favor of the receiver.
• § 1329.5 — (a) A receiver may not be required to honor any lease, mortgage, or secured transaction entered into by the licensee of the facility and another party if the court finds that the agreement between the
• § 1330 — A monthly accounting shall be made by the receiver to the state department of all moneys received and expended by the receiver on or before the 15th day of the following month or as ordered by the cou
• § 1331 — (a) The receiver shall be appointed for an initial period of not more than six months.
• § 1332 — The salary of the receiver shall be set by the court commensurate with long-term health care facility industry standards, giving due consideration to the difficulty of the duties undertaken, and shall
• § 1333 — (a) To the extent state funds are advanced for the salary of the receiver or for other expenses in connection with the receivership, as limited by subdivision (d) of Section 1329, the state shall be r
• § 1334 — (a) Nothing in this article shall impair the right of the owner of a long-term health care facility to dispose of his or her property interests in the facility, but any facility operated by a receiver
• § 1335 — The state department shall adopt regulations for the administration of this article.
• § 1336 — (a) Notwithstanding any other law, a long-term health care facility shall give written notice to the affected residents or to the guardians of the affected residents at least 60 days prior to any chan
• § 1336.1 — (a) After notifying its affected residents, the facility shall, in response to inquiries made by prospective residents or their representatives, include notification of the change in the status of the
• § 1336.2 — (a) Before residents are transferred due to any change in the status of the license or operation of a facility, including a facility closure or voluntary or involuntary termination of a facility’s Med
• § 1336.3 — (a) In the event of an emergency, such as earthquake, fire, or flood that threatens the safety or welfare of the residents in a facility, the facility shall do all of the following: (1) Notify, as soo
• § 1336.4 — Failure to comply with the requirements in Sections 1336 to 1336.
• § 1337 — (a) The Legislature finds that the quality of patient care in skilled nursing and intermediate care facilities is dependent upon the competence of the personnel who staff its facilities.
• § 1337.1 — A skilled nursing facility or intermediate care facility shall adopt an approved training program that meets standards established by the department.
• § 1337.15 — (a) A person who provides instruction or training, at a skilled nursing facility or intermediate care facility or in an educational institution, as part of a certified nurse assistant precertification
• § 1337.16 — (a) An online or distance learning nurse assistant training program shall comply with all of the following requirements: (1) Provide online instruction in which the trainees and the approved instructo
• § 1337.2 — (a) An applicant for certification as a certified nurse assistant shall comply with each of the following: (1) Be at least 16 years of age.
• § 1337.3 — (a) (1) The department shall prepare and maintain a list of approved training programs for nurse assistant certification.
• § 1337.4 — Every skilled nursing or intermediate care facility shall designate a licensed nurse as a director of staff development who shall be responsible for the management of the approved training program.
• § 1337.5 — (a) Approved training programs shall be conducted during the normal working hours of the nurse assistant unless the nurse assistant receives at least the normal hourly wage for any additional time spe
• § 1337.6 — (a) Certificates issued under this article shall be renewed every two years and renewal shall be conditional upon the occurrence of all of the following: (1) The certificate holder submitting document
• § 1337.8 — (a) The state department shall investigate complaints concerning misconduct by certified nurse assistants and may take disciplinary action pursuant to Section 1337.
• § 1337.9 — (a) The Legislature finds and declares all of the following: (1) Recidivism is reduced when criminal offenders are given the opportunity to secure employment and engage in a trade, occupation, or prof
• § 1338 — (a) The state department shall, through the Medi-Cal program, provide rate adjustments to skilled nursing or intermediate care facilities for the portion of additional costs attributable to the requir
• § 1338.1 — The state department shall assign sufficient qualified employees to supervise and evaluate training programs required by this article.
• § 1338.2 — (a) The state department shall convene a work group to develop recommendations to the department on ways to expand the availability of training programs and certified nurse assistants available for hi
• § 1338.3 — The State Director of Health Services may adopt emergency regulations pursuant to Chapter 3.
• § 1338.5 — (a) (1) (A) A criminal record clearance shall be conducted for all nurse assistants by the submission of fingerprint images and related information to the state department for processing at the Depart
• § 1338.6 — (a) For purposes of Section 668.
• § 1339 — The Legislature hereby finds and declares that: (a) In many areas, small, rural general acute care hospitals are experiencing financial difficulties brought upon partially because of governmental regu
• § 1339.10 — (a) The department may request and maintain employment information for nurse assistants and direct care staff of intermediate care facilities/developmentally disabled, other than state-operated interm
• § 1339.11 — Health systems agencies shall do all of the following: (a) Verify information in the health service plan received from hospitals in their respective health service area.
• § 1339.13 — Any primary health service hospital, or any group thereof, may submit a health service plan to the state department when a public meeting, which satisfies the following criteria, has been conducted in
• § 1339.15 — A primary health service hospital may request waivers pursuant to subdivision (d) of Section 1339.
• § 1339.17 — A primary health service hospital may amend its health service plan.
• § 1339.19 — The primary health service hospital shall operate under the following requirements: (a) The primary health service hospital shall be subject to the regulations contained in Division 5 (commencing with
• § 1339.21 — (a) In accordance with the procedures prescribed in subdivision (h) of Section 1339.
• § 1339.25 — Implementation of this article shall be consistent with federal rules and regulations in effect on January 1, 1979, and as adopted on or after such date.
• § 1339.3 — It is, therefore, the intent of the Legislature to designate certain general acute care hospitals as primary health service hospitals, which will facilitate the diversification of the small rural hosp
• § 1339.30 — A Special Hospital: Hospice Pilot Project is hereby created.
• § 1339.31 — For the purposes of this article, the following definitions shall apply: (a) “Hospice” means a specialized form of multidisciplinary health care which is designed to provide palliative care, alleviate
• § 1339.32 — A special hospital: hospice shall be deemed to provide acute palliative care.
• § 1339.33 — Notwithstanding any other provisions of law, in order to be licensed as a special hospital: hospice, each project facility shall meet the requirements of Sections 70101 to 70137, inclusive, 70201 to 7
• § 1339.34 — (a) Each facility that is part of the project shall report to the Legislature at the end of each year of operation on all of the following factors: (1) Acuity levels of patients using the project faci
• § 1339.35 — The project shall commence on January 1, 1990.
• § 1339.36 — The fee for each new or renewal application for a license for a Special Hospital: Hospice Pilot Project facility shall be the annual fee as set forth for general acute care hospitals in subdivision (a
• § 1339.40 — For the purposes of this article, the following definitions apply: (a) “Bereavement services” has the same meaning as defined in subdivision (a) of Section 1746.
• § 1339.41 — (a) A person, governmental agency, or political subdivision of the state shall not be licensed as a hospice facility under this chapter unless the person or entity is a provider of hospice services li
• § 1339.42 — (a) No private or public organization, including, but not limited to, any partnership, corporation, or political subdivision of the state, or other governmental agency within the state, shall do any o
• § 1339.43 — (a) A hospice facility shall provide a home-like environment that is comfortable and accommodating to both the patient and patient’s visitors.
• § 1339.44 — (a) A hospice facility shall provide, or make provision for, all of the following services and requirements: (1) (A) Medical direction and adequate staff.
• § 1339.5 — As used in this article, unless otherwise indicated: (a) “Health systems agency” means a health systems agency established pursuant to Public Law 93-641.
• § 1339.50 — This article shall be known and may be cited as the Payers’ Bill of Rights.
• § 1339.51 — (a) (1) Beginning July 1, 2004, a hospital, as defined in paragraph (2) of subdivision (b), shall make a written or electronic copy of its charge description master available, either by posting an ele
• § 1339.52 — A hospital may not condition acceptance of a contract with a health care service plan or health insurer upon the health care service plan or health insurer waiving any provision of this article.
• § 1339.54 — Any person may file a claim with the department alleging a violation of this article.
• § 1339.55 — (a) Beginning July 1, 2004, each hospital shall file a copy of its charge description master annually with the office, in a format determined by the office.
• § 1339.56 — (a) Each hospital shall compile a list of 25 common outpatient procedures and shall submit annually to the office a list of its average charges for those procedures, in a method determined by the offi
• § 1339.58 — Any information provided by the office on its Internet Web site pursuant to Section 1339.
• § 1339.585 — For a person without health coverage, a hospital shall provide the person with a written estimate of the amount the hospital will require the person to pay for the health care services, procedures, an
• § 1339.59 — (a) A hospital shall be in violation of this article if it knowingly or negligently fails to comply with the requirements of this article.
• § 1339.63 — (a) (1) As a condition of licensure under this division, every general acute care hospital, as defined in subdivision (a) of Section 1250, special hospital, as defined in subdivision (f) of Section 12
• § 1339.7 — The state department shall administer the program authorized in this article.
• § 1339.70 — Notwithstanding any other provision of law, a county may by ordinance establish a department of the county which may combine in the department any or all of the functions specified in this section or
• § 1339.75 — (a) A health facility, clinic, physician’s office, or office of a group practice that uses generative artificial intelligence to generate written or verbal patient communications pertaining to patient
• § 1339.8 — The Office of Statewide Health Planning and Development shall review and approve the number of swing beds that may be designated pursuant to paragraph (4) of subdivision (b) of Section 1339.
• § 1339.80 — Hospitals and other providers are not required to post, send, deliver, or otherwise provide the statement described in paragraph (1) of subdivision (b) of Section 1363.
• § 1339.81 — For purposes of this chapter, “provider” means any professional person, organization, health facility, or other person or institution licensed by the state to deliver or furnish health care services.
• § 1339.85 — The Legislature finds and declares both of the following: (a) It is in the state’s interest to encourage competitive business opportunities for all of its people.
• § 1339.86 — For the purposes of this chapter, the following definitions apply: (a) “Control” means to exercise the power to make policy decisions.
• § 1339.87 — (a) (1) By July 1, 2025, and annually, by July 1 thereafter, each licensed hospital with operating expenses of fifty million dollars ($50,000,000) or more, and each licensed hospital with operating ex
• § 1339.88 — (a) The department shall convene a hospital diversity commission comprised of the public and health care, diversity, and procurement stakeholders, as set forth in this section.
• § 1339.89 — (a) The department may, upon appropriation by the Legislature for this purpose, establish and operate a clearinghouse to maintain a database, and verify the statuses, of minority, women, LGBT, and dis
• § 1339.9 — In order to be eligible for designation as a primary health service hospital, a hospital shall be licensed pursuant to subdivision (a) of Section 1250 and meet one of the following criteria: (a) Be lo
• § 1340 — This chapter shall be known and may be cited as the Knox-Keene Health Care Service Plan Act of 1975.
• § 134000 — For purposes of this division: (a) “ANDA” means abbreviated new drug application.
• § 134002 — (a) (1) Except as provided in paragraph (3), an agreement resolving or settling, on a final or interim basis, a patent infringement claim, in connection with the sale of a pharmaceutical product, shal
• § 1341 — (a) There is in state government, in the California Health and Human Services Agency, a Department of Managed Health Care that has charge of the execution of the laws of this state relating to health
• § 1341.1 — The director shall have his or her principal office in the City of Sacramento, and may establish branch offices in the City and County of San Francisco, in the City of Los Angeles, and in the City of
• § 1341.10 — The department may use the unexpended balance of funds available for use in connection with the performance of the functions of the Department of Corporations to which the department succeeds pursuant
• § 1341.11 — All officers and employees of the Department of Corporations who, on the operative date of this section, are performing any duty, power, purpose, responsibility, or jurisdiction to which the departmen
• § 1341.12 — The department shall have possession and control of all records, papers, offices, equipment, supplies, moneys, funds, appropriations, licenses, permits, agreements, contracts, claims, judgments, land,
• § 1341.13 — All officers or employees of the department employed after the operative date of this section shall be appointed by the director.
• § 1341.14 — (a) Any regulation, order, or other action, adopted, prescribed, taken, or performed by the Department of Corporations or by an officer of the Department of Corporations in the administration of a pro
• § 1341.2 — In accordance with the laws governing the state civil service, the director shall employ and, with the approval of the Department of Finance, fix the compensation of such personnel as the director nee
• § 1341.3 — The director shall adopt a seal bearing the inscription: “Director, Department of Managed Health Care, State of California.
• § 1341.4 — (a) In order to effectively support the Department of Managed Health Care in the administration of this law, there is hereby established in the State Treasury, the Managed Care Fund.
• § 1341.45 — (a) There is hereby created in the State Treasury the Managed Care Administrative Fines and Penalties Fund.
• § 1341.5 — (a) The director, as a general rule, shall publish or make available for public inspection any information filed with or obtained by the department, unless the director finds that this availability or
• § 1341.6 — (a) The Attorney General shall render to the director opinions upon all questions of law, relating to the construction or interpretation of any law under the director’s jurisdiction or arising in the
• § 1341.7 — (a) Neither the director nor any of the director’s assistants, clerks, or deputies shall be interested as a director, officer, shareholder, member other than a member of an organization formed for rel
• § 1341.8 — The director shall have the powers of a head of a department pursuant to Chapter 2 (commencing with Section 11150) of Part 1 of Division 3 of Title 2 of the Government Code.
• § 1341.9 — The director and department succeed to, and are vested with, all duties, powers, purposes, responsibilities, and jurisdiction of the Commissioner of Corporations and the Department of Corporations as
• § 1342 — It is the intent and purpose of the Legislature to promote the delivery and the quality of health and medical care to the people of the State of California who enroll in, or subscribe for the services
• § 1342.2 — (a) Notwithstanding any other law, a health care service plan contract that covers medical, surgical, and hospital benefits, excluding a specialized health care service plan contract, shall cover the
• § 1342.3 — (a) A health care service plan contract that covers medical, surgical, and hospital benefits, excluding a specialized health care service plan contract, shall cover, without cost sharing and without p
• § 1342.4 — (a) The Department of Managed Health Care and the Department of Insurance shall maintain a joint senior level working group to ensure clarity for health care consumers about who enforces their patient
• § 1342.5 — The director shall consult with the Insurance Commissioner prior to adopting any regulations applicable to health care service plans subject to this chapter and other entities governed by the Insuranc
• § 1342.6 — It is the intent of the Legislature to ensure that the citizens of this state receive high-quality health care coverage in the most efficient and cost-effective manner possible.
• § 1342.7 — (a) The Legislature finds that in enacting Sections 1367.
• § 1342.71 — (a) The Legislature hereby finds and declares all of the following: (1) The federal Patient Protection and Affordable Care Act, its implementing regulations and guidance, and related state law prohibi
• § 1342.73 — (a) (1) With respect to an individual or group health care service plan contract subject to Section 1367.
• § 1342.74 — (a) (1) Notwithstanding Section 1342.
• § 1342.75 — (a) Notwithstanding any other law, a group or individual health care service plan offering an outpatient prescription drug benefit shall provide coverage for at least one medication approved by the Un
• § 1342.8 — The State Department of Health Services and the department shall coordinate, to the extent feasible, audits or surveys of physician offices required by this chapter and by the managed care program und
• § 1343 — (a) This chapter shall apply to health care service plans and specialized health care service plan contracts as defined in subdivisions (f) and (o) of Section 1345.
• § 1343.1 — This chapter shall not apply to any program developed under the authority of Chapter 8.
• § 1343.3 — (a) The director, no later than May 1, 2021, may authorize one pilot program in southern California whereby providers approved by the department may undertake risk-bearing arrangements with a voluntar
• § 1343.5 — In any proceeding under this chapter, the burden of proving an exemption or an exception from a definition is upon the person claiming it.
• § 1344 — (a) The director may from time to time adopt, amend, and rescind any rules, forms, and orders that are necessary to carry out the provisions of this chapter, including rules governing applications and
• § 1345 — As used in this chapter: (a) “Advertisement” means any written or printed communication or any communication by means of recorded telephone messages or by radio, television, or similar communications
• § 1345.5 — (a) “Minimum essential coverage” means any of the following: (1) Coverage under any of the following government-sponsored programs: (A) The Medicare program under Part A or Part C of Title XVIII of th
• § 1346 — (a) The director shall administer and enforce this chapter and shall have the following powers: (1) Recommend and propose the enactment of any legislation necessary to protect and promote the interest
• § 1346.1 — The department shall maintain a database indicating for each county, the names of the health care service plans that operate in that particular county.
• § 1346.2 — The director shall, in coordination with the Insurance Commissioner, review the Internet portal developed by the United States Secretary of Health and Human Services under subdivision (a) of Section 1
• § 1346.4 — (a) The Legislature finds and declares all of the following: (1) That millions of Californians are insured under health care service plans regulated by the Knox-Keene Health Care Service Plan Act of 1
• § 1346.5 — If the director determines that an entity purporting to be a health care service plan exempt from the provisions of Section 740 of the Insurance Code is not a health care service plan, the director sh
• § 1347.15 — (a) There is hereby established in the Department of Managed Health Care the Financial Solvency Standards Board composed of 11 members.
• § 1347.5 — (a) A health care service plan providing individual coverage in the Exchange shall cooperate with requests from the Exchange to collaborate in the development of, and participate in the implementation
• § 1347.8 — (a) (1) Beginning on July 1, 2023, and annually thereafter, a health care service plan providing a qualified health plan through the Exchange shall report to the director the total amount of funds mai
• § 1348 — (a) Every health care service plan licensed to do business in this state shall establish an antifraud plan.
• § 1348.5 — A health care service plan shall comply with the provisions of Section 56.
• § 1348.6 — (a) No contract between a health care service plan and a physician, physician group, or other licensed health care practitioner shall contain any incentive plan that includes specific payment made dir
• § 1348.8 — (a) A health care service plan that provides, operates, or contracts for telephone medical advice services to its enrollees and subscribers shall do all of the following: (1) Ensure that the in-state
• § 1348.9 — (a) On or before July 1, 2003, the director shall adopt regulations to establish the Consumer Participation Program, which shall allow for the director to award reasonable advocacy and witness fees to
• § 1348.95 — (a) Commencing March 1, 2013, and at least annually thereafter, a health care service plan, not including a health care service plan offering specialized health care service plan contracts, shall prov
• § 1348.96 — Any data submitted by a health care service plan to the United States Secretary of Health and Human Services, or his or her designee, for purposes of the risk adjustment program described in Section 1
• § 1349 — It is unlawful for any person to engage in business as a plan in this state or to receive advance or periodic consideration in connection with a plan from or on behalf of persons in this state unless
• § 1349.1 — A health care service plan which satisfies both of the following criteria is exempt from Section 1349: (a) Provides only emergency ambulance services or advanced life support services, as defined by S
• § 1349.2 — (a) A health care service plan, including a self-insured reimbursement plan that pays for or reimburses any part of the cost of health care services, operated by any city, county, city and county, pub
• § 135 — If a department within the California Health and Human Services Agency has received approval of an operational state plan by a federal agency, or has applied and has been approved for a waiver from a
• § 1350 — (a) Consistent with federal law, a sponsor of a prescription drug plan authorized by the federal Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (P.
• § 1351 — Each application for licensure as a health care service plan or specialized health care service plan under this chapter shall be verified by an authorized representative of the applicant, and shall be
• § 1351.1 — In addition to the requirements of Section 1351 and upon request of the director, each application shall be accompanied by authorization for disclosure to the director of financial records of each hea
• § 1351.2 — (a) If a prepaid health plan operating lawfully under the laws of Mexico elects to operate a health care service plan in this state, the prepaid health plan shall apply for licensure as a health care
• § 1351.3 — On and after January 1, 2007, the department, in considering an application for an initial license for any entity under this chapter, shall consider any information provided concerning whether the pla
• § 1352 — (a) A licensed plan shall, within 30 days after any change in the information contained in its application, other than financial or statistical information, file an amendment thereto in the manner the
• § 1352.1 — (a) Except as provided in subdivision (b), no plan shall enter into any new or modified plan contract or publish or distribute, or allow to be published or distributed on its behalf, any disclosure fo
• § 1353 — The director shall issue a license to any person filing an application pursuant to this article, if the director, upon due consideration of the application and of the information obtained in any inves
• § 1354 — Upon denial of application for licensure, or the issuance of an order pursuant to Section 1352 disapproving, suspending, or postponing a material modification, the director shall notify the applicant
• § 1355 — Every plan’s license issued under this chapter shall remain in effect until revoked or suspended by the director, except that every transitional license shall expire on September 30, 1978, unless such
• § 1356 — (a) Each plan applying for licensure under this chapter shall reimburse the director for the actual cost of processing the application, including overhead, up to an amount not to exceed twenty-five th
• § 1356.1 — Notwithstanding subdivision (f) of Section 1356, as amended by Section 2.
• § 1356.2 — The director, by notice to all licensed health care service plans on or before October 15, 2010, may require health care service plans to pay an additional assessment to provide the department with su
• § 1356.3 — (a) For the 2025–26 to 2026–27 fiscal years, inclusive, a health care service plan licensed by the department shall be assessed an annual fee in an amount determined by the department, in consultation
• § 1357 — As used in this article: (a) “Dependent” means the spouse or child of an eligible employee, subject to applicable terms of the health care plan contract covering the employee, and includes dependents
• § 1357.01 — Every health care service plan offering plan contracts to small employer groups shall in addition to complying with the provisions of this chapter and the rules adopted thereunder comply with the prov
• § 1357.02 — (a) A health care service plan providing or arranging for the provision of basic health care services to small employers shall be subject to this article if either of the following conditions are met: