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Requires health care providers that have spent over $100 million in any 10-year period on anything other than direct patient care, and operated multifamily housing with over 500 high-severity health and safety violations, to spend 98% of the revenues from federal discount prescription drug program on direct patient care.
In the United States, an exclusive provider organization (EPO) is a hybrid health insurance plan in which a primary care provider is not necessary, but health care providers must be seen within a predetermined network. Out-of-network care is not provided, and visits require pre-authorization.
Proposition 35, titled Managed Care Organization Tax Authorization Initiative, was a successful California ballot proposition in the 2024 general election on November 5. [1] The proposition makes permanent an existing tax on managed health care insurance plans to fund Medi-Cal services pending federal approval.
The state’s Medicare Advantage plan allows members to see out-of-network providers for the same out-of-pocket costs as in-network providers, as long as they accept Medicare.
The Federally Facilitated Marketplace is established in a state by the HHS Secretary for states that chose not to set up their own marketplace or did not get approval for one. [2] Individuals (i.e. citizens of a state) and employers will have the ability to find and purchase Qualified Health Plans through the FFM and its partners. [1]
Humana's individual business, which sells plans under President Barack Obama's Affordable Care Act, has been a drag on results. Humana may exit Obamacare individual plans in some states Skip to ...
The AIDS Healthcare Foundation was the primary supporter and financial backer of this year's Proposition 33, as well as 2018 California Proposition 10, and 2020 California Proposition 21; all similar rent control proposals designed to overturn the Costa–Hawkins Rental Housing Act, which all failed with almost identical margins (60-40), while ...
Covered California receives no funding from state taxes; as of January 2014, it had received $1.1 billion in federal funds, but needed to be self-supporting by January 2015. [23] The estimated expenditures for personnel in fiscal year 2014-15 were $108 million. [ 22 ]