To assess overlapping or duplicate health coverage, every health insurer shall maintain a centralized file of the subscribers' names, mailing addresses, and social security numbers or dates of birth. This information is available to the California Department of Developmental Services or a regional center upon reasonable request. The Board of Administration of the California Public Employees' Retirement System and affiliated systems can data match with the state department to identify consumers with third-party health coverage or insurance.
(a) Insurers shall make medical records available to the Department of Developmental Services or a regional center upon request, so long as (1) the department/regional center certifies that the individual is an applicant/recipient of services for the developmentally disabled or the California Early Intervention Program; or is a person who is legally responsible for the applicant or recipient; and (2) the department/regional center is in certifiable compliance with all state and federal laws pertaining to the confidentiality of medical information.
This provision enumerates prohibited terms in a contract between insurers and health care providers. One such prohibited term is (b)(4) a requirement to permit access to patient information in violation of federal or state laws concerning the confidentiality of patient information.
Support orders issued or modified shall include a provision requiring the child support obligor to keep the agency informed of whether the obligor has health insurance coverage and, if so, the health insurance policy information. The court shall require that health insurance coverage for a supported child shall be maintained by either or both parents if that insurance is available at no cost or at a reasonable cost to the parent.
A legislative body of a local agency which provides medical services may hold a closed session to hear a charge or complaint from a member enrolled in its health plan if the member does not wish to have his or her name, medical status, or other information that is protected by federal law publicly disclosed.
The parent or person having custody of the child may contact the insurer, by telephone or in writing, and request information about the health insurance coverage for the child. The insurer shall provide the requested information that is specific to the health insurance coverage for the child.
If the local child support agency has been designated as payee for child support, the court shall order the parent to notify the agency upon applying for health insurance coverage for the child. The agency shall obtain a completed medical form and shall forward the completed form to the Department of Health Services. In cases where the agency is providing medical support enforcement services, the agency shall provide the parent with information pertaining to the health insurance policy.
Every health care service plan shall file with [the Dept of Managed Health Care] a copy of their policies and procedures to protect the security of patient medical information to ensure compliance with the Confidentiality of Information Act.