California may see new insurance rules regarding coverage and mental health as judges reach a verdict regarding the issue. Earlier this year, Jeanne Harlick of Northern California was denied coverage for her anorexia treatment. Anorexia, an eating disorder, is designated as a mental illness in accordance with Californian law. The denial led Harlick to file a suit against her insurance company, Blue Shield Blue Cross. A panel of judges from the U.S. 9th Circuit Court of Appeals has ruled in favor of Harlick, citing her long struggle with anorexia and…
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California legislators toil over bill that could give insurance regulators increased authority
California lawmakers have been embroiled in a legislative battle over the authority of the state’s insurance regulators. Earlier this year, legislation was introduced that would expand the power of regulators and give them full authority to deny or approve insurance rate increases from the state’s insurance companies. Under the law, regulators would be able to deem rate increases unjustified and excessive with minimal information to back up their determination. This legislation has attracted its fair share of opponents, but the bill’s supporters say that the state must be able to…
Read MoreCalifornia to receive over $38 million to create state insurance exchange
The Department of Health and Human Services announced on Friday, August 12, 2011, that California would be receiving over $38 million from the $185 in total funds that were being distributed among 13 states and Washington D.C., in order to assist with the development of state health insurance exchanges which are required under the nationwide health reform laws that went into place last year. On the same day, the Department of the Treasury, in conjunction with the HHS, issued the proposed rules that the states would need to follow for…
Read MoreControversy surrounds the California health insurance industry
Blue Shield of California has had a tumultuous year when it comes to insurance rates. Earlier this year, the insurer sought steep rate hikes that drew the ire of the state’s Insurance Commissioner, Dave Jones, as well as criticisms from the public. After a lengthy battle in which the company refused to compromise on their proposed rate increases, Blue Shield finally submitted, abandoning their proposal altogether. Two weeks ago, the company came under fire again after the Department of Insurance revealed documents detailing how the insurer payed it’s top 10…
Read MoreCalifornia health insurance marketplace just got a little tougher for industry
In California’s ongoing battle over health insurance rates, legislators may have won some ground toward their goals of more affordable coverage. The state’s Assembly approved a bill late last week that would institute much stricter regulations regarding rate changes. The bill requires California insurers to seek approval from regulators regarding rate changes before they can collect premiums from new rates. The majority of the state’s insurance industry opposed the bill, but was unable to sway the minds of lawmakers. The bill expands the powers of the California’s Insurance Commissioner, Dave…
Read MoreHopes that new California health insurance law will speed up pain medication process
A new bill in California is seeking to help those with chronic pain disorders obtain medications through both Medi-Cal and private insurance companies. While the majority of the state’s insurers already provide coverage for pain medications, there is room for improvement according to legislators. California lawmakers believe that the process of trial and error that companies currently employ is unreasonable. The process leaves many chronic pain sufferers to deal with the pain while the companies try to figure out what is the most cost effective painkiller. Currently, insurers require that…
Read MoreCalifornia insurance bill addresses health premium rate hikes
Lawmakers in California are pushing a new bill that would grant the state’s insurance regulators the authority to either reject or approve rate increases imposed on health insurance policies. The issue of rate hikes is not a new one in California. Several months ago, some of the state’s biggest insurers proposed rate increases by as much as 40%. The debate raged until the insurers withdrew their proposals, but the turbulence left many legislators wondering where the decision making power for these issues should lie. The bill caused division within the…
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