CAL LEG Health Care Record Review


On Sep. 6, CAL LEG issued bill relating to health plan record review.


  • CAL LEG passed bill AB-3221 Department of Managed Health Care review of records.
  • This bill amends Health and Safety Code CAL LEG 2-2.2-6-1380, CAL LEG 2-2.2-6-1381, CAL LEG 2-2.2-7-1386 relating to maintenance of health care service records.
  • Bill Provisions
  • Existing law requires the records of a health care service plan, other entities to be open to inspection by the director of the department during normal business hours.
  • This bill would require records to be open for inspection through electronic means, and require records stored in a format that is digitally searchable, to the extent feasible.
  • Violation of these requirements would be a crime, impose a state-mandated program.
  • Failure by a health care service plan to respond fully or timely, to a duly authorized request for production of records would constitute grounds for disciplinary action.
  • Legislative History
  • On Feb. 16, 2024, bill introduced in Assembly; on May 13, 2024, bill passed Assembly.
  • On May 13, 2024, bill introduced in Senate; on Aug. 21, 2024, bill passed in Senate.
  • On Aug. 21, 2024, bill sent to Assembly; on Aug. 26, 2024, amendments concurred.
  • On Sep. 5, 2024, bill was enrolled and was delivered to the CAL governor for action.
  • Effectiveness
  • If approved, bill takes effect on Jan. 1 of the year after bill enactment, Jan. 1, 2025
  • Sep. 2024 Governor Approved Bill
  • On Sep. 27, 2024, CAL LEG reported AB 3221 signed by governor, assigned Ch. 760.

Regulators CAL LEG
Entity Types Ins
Reference Ch 760, 9/27/2024; Bill, AB3221, 9/6/2024; Citation: CAL LEG 2-2.2-6-1380; CAL LEG 2-2.2-6-1381; CAL LEG 2-2.2-7-1386;
Functions Compliance; Legal; Operations; Record Retention
Countries United States of America
Category
State
Products Insurance; Insurance-Health
Regions Am
Rule Type Final
Rule Date 9/27/2024
Effective Date 1/1/2025
Rule Id 225263
Linked to N/A
Reg. Last Update 9/27/2024
Report Section US Consumer

Last substantive update on 10/02/2024