Nonprofit integrated health care service plans: investments: disclosure.

Existing law, the Knox-Keene Health Care Service Plan Act of 1975, provides for the licensure and regulation of health care service plans by the Department of Managed Health Care, and makes a willful violation of the act a crime. Existing law requires a health care service plan's assets to be invested in a prudent manner and requires the director of the department to determine the acceptability of a health care service plan's investments, as specified. This bill would require a nonprofit integrated health care service plan regulated by the department to annually disclose its material investment holdings to the department on or before July 1 of each year, unless otherwise specified by regulation, beginning on July 1, 2027. The bill would require the department to prominently display, and make accessible to the public, those disclosures on the department's internet website. If a nonprofit integrated health care service plan fails to comply with the disclosure requirements, the bill would require the department to assess a civil penalty against the plan, as specified. The bill would require the department and Covered California to prominently post the plan's noncompliance status on their internet websites until compliance is achieved. Because a violation of these requirements by a health care service plan would be a crime, this bill would impose a state-mandated local program. The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement. This bill would provide that no reimbursement is required by this act for a specified reason.