Table 4.
Assembly or Senate Bill Number | Proposed Benefit Mandate | Insured Members Targeted by Proposed Mandate | Total Targeted Insured Population (Millions) | Insured Members without Coverage before Mandate (Millions) | Utilization Rate before Mandate (%) | Utilization Rate after Mandate (%) | Total Insured Members Affected by Mandate (Millions) |
---|---|---|---|---|---|---|---|
AB 438 | Osteoporosis screening | Women 50–64 | 1.777 | 1.580 | 11.00 | 30.00 | 16.261 |
AB 547 | Ovarian cancer screening | Women 18–64 | 5.890 | 5.540 | 6.00 | 22.00 | 16.261 |
SB 101 | Substance disorder treatment | Members 0–64 | 16.261 | 16.261 | ** | ** | 16.261 |
SB 174 | Hearing aids for children | Members 0–17* | 4.408 | 1.630 | 63.00 | 65.00 | 15.513 |
SB 897 | Maternity services | Members 0–64 | 0.375 | 0.375 | 1.34 | 1.34 | 16.261 |
SB 1555 | Maternity services | Non-HMO Members 0–64 | 0.292 | 0.292 | 1.34 | 1.34 | 6.444 |
AB 2185 | Childhood asthma self-management | HMO Members 0–17 | 3.495 | 0.377 | 54.00 | 64.00 | 16.261 |
Does not apply to children covered by individual policies and enrolled in HMOs.
Multiple services are affected by mandate, so a single utilization rate does not apply.
Source: Analyses of individuals bills conducted by the California Health benefits review program. Individual reports are available at http://www/chbrp.org/analyses.html
HMO, health maintenance organization.