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5 Things California: Budget preview, Pre-filed bills, New leadership - State of Reform

5 Things California: Budget preview, Pre-filed bills, New leadership
DJ Wilson | Dec 16, 2020
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We feature a number of news bits out of Sacramento this week, as well as from our recent SoCal conference. But, perhaps the biggest news about California health care this week – at least outside of California – was the 60 Minutes story featuring the AG lawsuit against Sutter “for business practices that drove up health care prices for Californians.”
For California health policy geeks, this story might be old news. For folks in DC, this was something of an introduction to the new HHS Secretary-Designate Xavier Becerra. The AHA prioritized a response to this and it came up in conversations I’ve had with health care leaders in Florida, Virginia and Texas, just in the last few days. ....

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DMHC reminds Californians approved COVID-19 vaccines will be provided at no cost

The California Department of Managed Health Care (DMHC) issued guidance reminding health plans that all qualified, approved COVID-19 vaccines must be provided with no cost-sharing for health plan enrollees, regardless of whether the enrollee receives the vaccine from an in-network or out-of-network provider.
“As we begin to enter this new phase of the pandemic with vaccines becoming available, the DMHC is reminding health plans they must cover the cost of COVID-19 vaccines,” said DMHC Director Mary Watanabe. “It is critical that all Californians have access to a safe COVID-19 vaccine to help protect their health. Financial challenges should not and will not get in the way of getting protection from COVID-19.” ....

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