California Health and Safety Code

§ 1343.3

HSC § 1343.3 Effective Jan 1, 2026Div. 2 · Ch. 2.2 · Art. 1

Statute text

(a)The director, no later than May 1, 2021, may authorize one pilot program in southern California whereby providers approved by the department may undertake risk-bearing arrangements with a voluntary employees’ beneficiary association, as defined in Section 501(c)(9) of Title 26 of the United States Code or in Section 1349.2, notwithstanding paragraph (3) of subdivision (a) of Section 1349.2, with enrollment of greater than 100,000 lives, beginning no earlier than January 1, 2022, to December 31, 2027, inclusive, if all of the following criteria are met:

(1)The purpose of the pilot program is to demonstrate the control of costs for health care services and the improvement of health outcomes and quality of service when compared against a sole fee-for-service provider reimbursement model.

(2)The voluntary employees’ beneficiary association has entered into a contract with one or more health care providers under which each provider agrees to accept risk-based or global risk payment from the voluntary employees’ beneficiary association.

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Legislative history

Amended by Stats. 2025, Ch. 67, Sec. 115. (AB 1170) Effective January 1, 2026. Repealed as of January 1, 2030, by its own provisions.