California Health and Safety Code 1385.11 – (a) Whenever it appears to the department that any person has …
(a) Whenever it appears to the department that any person has engaged, or is about to engage, in any act or practice constituting a violation of this article, including the filing of inaccurate or unjustified rates or inaccurate or unjustified rate information, the department may review the rate filing to ensure compliance with the law.
(b) The department may review other filings.
Terms Used In California Health and Safety Code 1385.11
- department: means State Department of Health Services. See California Health and Safety Code 20
- Director: means "State Director of Health Services. See California Health and Safety Code 21
- Person: means any person, individual, firm, association, organization, partnership, business trust, foundation, labor organization, corporation, limited liability company, public agency, or political subdivision of the state. See California Health and Safety Code 1345
- plan: refers to health care service plans and specialized health care service plans. See California Health and Safety Code 1345
(c) The department shall accept and post to its Internet Web site any public comment on a rate increase submitted to the department during the applicable period described in subdivision (d) of Section 1385.07.
(d) The department shall report to the Legislature at least quarterly on all unreasonable rate filings.
(e) The department shall post on its Internet Web site any changes submitted by the plan to the proposed rate increase, including any documentation submitted by the plan supporting those changes.
(f) If the director makes a decision that an unreasonable rate increase is not justified or that a rate filing contains inaccurate information, the department shall post that decision on its Internet Web site.
(g) Nothing in this article shall be construed to impair or impede the department’s authority to administer or enforce any other provision of this chapter.
(Amended by Stats. 2016, Ch. 498, Sec. 4. (SB 908) Effective January 1, 2017.)