California Health and Safety Code

§ 1385.10

HSC § 1385.10 Effective Jan 1, 2015Div. 2 · Ch. 2.2 · Art. 6.2

Statute text

(a)(1) A health care service plan shall annually provide claims data at no charge to a large group purchaser if the large group purchaser requests the information and otherwise meets the requirements of this section.

(2)The health care service plan shall provide claims data that a qualified statistician has determined are deidentified so that the claims data do not identify or do not provide a reasonable basis from which to identify an individual. If the statistician is unable to determine that the data has been deidentified, then the data that cannot be deidentified shall not be provided by the health care service plan to the large group purchaser. A health care service plan may provide the claims data in an aggregated form as necessary to comply with subdivisions (e) and (f).

(b)(1) As an alternative to providing claims data required pursuant to subdivision (a), the plan shall provide, at no charge to a large group purchaser, all of the following:

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Legislative history

Added by Stats. 2014, Ch. 577, Sec. 3. (SB 1182) Effective January 1, 2015.