agenda meeting description: cahu board of directors date ......a chapter challenge. cahu website...

CONFIDENTIAL This document and the information it contains are strictly for the use of the California Association of Health Underwriters.

Updated: 5/16/2019

AGENDA Meeting Description: CAHU Board of Directors Date and Time: May 20th, 2019 1:00 pm to 5:00 pm Location: Sycamore Ballroom, Sawyer Hotel, 500 J Street, Sacramento CA

Requests to add agenda items may be presented under item II. 1:00 pm I. Welcome, Call to Order, Antitrust Reminder President Page 2 II. Approval of Agenda of May 20th, 2019 President III. Approval of Minutes of April 23, 2019 President Page 3 1:10 p.m. IV. President’s Report President

1:15 p.m. V. Governance Affairs Team Report President Page 7

• Fiscal Report • Strategic Goals

1:45 p.m. VI. Membership Affairs Team Report VP Membership Page 20 2:30 p.m VII. Public Affairs Team Report VP Public Affairs Page 21

• Priority Bill Updates – Page 20 • Talking Points for Legislative Visits – Page 33 • PAC Local Chapters Report – Page 35

3:15 p.m. VIII. Chapter Updates/Forum – Strategic Planning

4:30 p.m IX. Old Business 4:45 p.m. X. New Business

5:00 p.m. XI. Adjourn 2018-2019 Board of Directors Meetings and Events

Month Date Start End Location

May 20 1 pm 5 pm Sawyer Hotel, Sacramento

May 20-22 CAHU Capitol Summit, Sawyer Hotel, Sacramento

June 28 10 am 3 pm Kona Kai Hotel, La Jolla Room, San Diego

June 29 – July 2 NAHU Annual Convention, San Diego

ANTITRUST COMPLIANCE POLICY OF CAHU0412.doc

ANTITRUST COMPLIANCE POLICY OF CAHU

It is the policy of the California Association of Health Underwriters to fully comply with the antitrust laws of the United States and the State of California. In order to assure full compliance, the following policies and procedures are to be followed by all employees and members of the Association and by representatives of any members of the Association.

1) At any meeting of the membership of the Association or any Committees of the Association or at any meeting where any employee of the Association is present or where the Association is in any way involved, there shall be no discussion of the following:

(a) Prices or rates for products or services provided by CAHU members or those

within the industry; (b) Changes or proposed changes in the prices or rates of products or services

offered to current or potential clients; (c) Formulas, procedures, means for the establishment and determination of prices,

rates, discounts, terms and conditions of products or services; (d) Price cutting, pricing too low, or any discussion of prices by individual members

at all, or any discussions or any acts, practices or conduct which would in any way ever be construed to constitute a boycott or any attempt to exclude any competitor;

(e) Any agreements which any member has with any potential or current clients. It is the intention of this paragraph to preclude any discussion whatsoever at any meeting or the Association of any meeting where Association personnel are present of any matter relating to prices, rates, discounts, and particular competitive practices of the members of the Association.

2) A copy of this Antitrust Compliance Policy is posted on the Association web site. 3) At each meeting of the membership, or of any Committee of the membership, the

membership shall be reminded by the President of this Antitrust Compliance Program, and that the members shall adhere to its policies both in formal meetings and any informal discussions before, after or during such meetings.

4) The President shall periodically review with members of the Executive Committee of the Association this Antitrust Compliance Policy and discuss its effectiveness.

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Board Meeting Sign In Sheet: April 23rd, 8:00 am to 10:30 am Location: Conference Call

Executive Board Title INITIAL Dave Fear Jr President X Bruce Benton President-Elect X Stephanie Berger Immediate Past President X Quorum: 19 Cathy Little VP Finance X Jim Morrison VP Legislation X Maggie Stedt VP Membership Yolanda Webb VP Professional Development X Cerrina Jensen VP PAC Brad Davis VP Public Affairs X Adam Rochon VP Corporate Relations X Kristie Scavarda VP Communications X Dawn McFarland VP Community Outreach X President or Voting Member (Sub)

President-Elect or Voting Member

INITIAL

Tess Phillips President CCAHU

Sandra Barr President DCAHU X Jean Chariton X

Sue Wakamoto Lee President GGAHU X Rick Coburn X Wayne Guzman President IEAHU X Ashley Ingram X Brian Sullivan President LAAHU X Brian Sullivan Marti Murray President NCAHU X Vanessa Ignacio X Dan Furtado President NVAHU X Leanne Chrisman Ryan Dorigan President OCAHU MaryAnn Trutanich Alexis DeVorss President SAHU Helen Ornellas X Sean Greene President SDAHU Stacy Moskowitz Laura Murphy President SBAHU X Vacant Lanea Riley President SVAHU X Vacant Korey Platt President VCAHU X Tim Kanter X

STAFF: COMMITTEE CHAIRS: Mike Belote Pat Stiffler, Awards Jennifer Blevins Helen Ornellas X, & Craig Gussin , Medicare Faith Borges X Samantha Siders, Vanguard Kimi Shigetani X

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AGENDA Meeting Description: CAHU Board of Directors Date and Time: April 23rd, 2019 8:00 am to 10:30 am Location: Conference Call

Requests to add agenda items may be presented under item II. 8:00 am I. Welcome, Call to Order, Antitrust Reminder 8:11 am President II. Approval of Agenda of April 23, 2019 President Dave asked for any changes – Dawn moved to approve, Yolanda seconded. No one opposed III. Approval of Minutes of March 20, 2019 President

Wayne moved to approve minutes, Bruce seconded. No opposition. Unanimous consent.

8:10 a.m. IV. President’s Report President Dave discussed the events he had attended in the past month. NVAHU, IEAHU. Noted that Capitol Summit was happening and that the board needed to register. June will also be in person in San Diego, 10 am to 3 pm, location TBD. Dave also noted that NAHU House of Delegates would be taking delegate names soon, and that board members should also remember to sign up for NAHU to get the early bird rate.

8:15 a.m. V. Governance Affairs Team Report President

• Fiscal Report – Cathy reported. Showing a operating loss of $18,396. This is an improvement as it is going down month to month. May end this year in a negative, but the board has done considerable work to correct courses. May also be fiscally conservative next year. Dave asked motion to accept the financials as presented. Vanessa moved, Marti seconded. No discussion or opposition to approval.

• Dave noted that the strategic goals were also updated. Kimi will send out updated strategic goals. Adam and Kimi are working on template for working with corporate sponsors.

• Nominations Committee Report – Stephanie reported on current slate of candidates. No contested races. House of Delegates will be short but there will be in person voting only.

• President Elect Report – Bruce discussed strategic planning on May 23, noted that Finance Committee has been working on draft budget. Plan to distriute on May 9th to board to review prior to May board meeting. Annual Convention planning is on hold for now. Will be working on Corporate Affairs, will be re-building database. Bruce is working on Board survey to review strategic planning. Stratgic planning should conclude at noon on May 23. The 2019-20 board is required to attend, local chapter leadership should also attend if possible.

9:00 a.m. VI. Membership Affairs Team Report VP Membership

Membership report – current number at 1964. Yolanda reviewed report. Speakers bureau will be maintained by NAHU – will share it with CAHU members. Yolanda has already started on working with NAHU, will be divided into topic areas. Triple Crown information has been released. Maggie is working with chairs on membership

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numbers. Training modules are put on hold – goal is to do it at a statewide level. NAHU did not agree to goal around CAHU designation, suggested doing a certification instead. Membership contest prizes will be rewarded in May at Capitol Summit. Chapters are working hard on retention and on NAHU goal for membership, but not likely to meet the NAHU goal. Kristie noted that the Communications Committee has a chapter challenge. CAHU website re-design is in draft, Kimi will send out link.

9:30 a.m VII. Public Affairs Team Report VP Public Affairs

• Foundation Update – Dawn will be attending ICIC meetings with Kaiser. Started Man on the Street videos, and will be working on fundraising.

• PAC Update – working on a inforgraphic for CAHU PAC. • Priority Bill Updates – Jim noted that the Legislative Committee calls have

been moved to 3:30 pm on Thursdays, but that board attendance has been weak. Will be starting to ramp up the Legislative calls as the legislature picks up. Capitol Summit committee has been busy, schedule is almost full. Jim encouraged everyone to register as the hotel block will close on April 30th.

Faith – legislature is still in policy phase. Will be hearing bills next week that are non-fiscal. May revise should be out around May 10th or so. Fiscal studies from CHBRP are out and will have report next week.

• CAHU Survey Results – Brad reported on the survey. 494 responses – ranged from CAHU members to legislators. 79% were CAHU dues paying members. The overall numbers of who responded to survey were spread across different areas of the industry. Brad reviewed the name change questions and the responses. Dave asked about the next steps – Brad noted that the board should continue the discussion with next years board. Bruce asked about the legal implications. Brad noted that there was a phone call with NAHU after the last years NAHU House of Delegates. NAHU bylaws do require that the chapters be named a certain way, but that there was an option to do a DBA (Doing Business As) so as to not lose the affiliation. Wayne thanked Brad for the persistence in the email notifications. Jim noted that the “underwriter” piece being in the name with the legislature is not always a positive connotation.

10:00 a.m XIII. Old Business • Women’s Leadership Summit Update – Stephanie reported on the Summit

that happened in April 3-5. Stephanie noted that there were major leaders who spoke and contributed to the event, and that the feedback was very positive. Dawn sent the board a link to a video from the event. The programming was very different than the usual conferences – it was both professional and personal development combined. There has been a commitment already for the next year’s event. Bruce noted that LISI has agreed to sponsor for the 2019-2020 year. Korey added that it was an excellent networking event, and walked away with connections that were strong. Instagram page @CAHUWLS. Encouraged everyone to watch the video.

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10:10 a.m. XIV. New Business • Women’s Leadership Summit 2020 Proposal –

Stephanie motioned to book the JW Marriott in Las Vegas, March 25-27, 2020, and to approve a $4,000 deposit. Brad seconded. Jim asked about the numbers for this year. Stephanie noted that the budget numbers were not final, and that figures were still moving. Registration costs were designed to cover all the food costs. Registration costs will not be lowered. Wayne asked if there was going to be an impact on other events or local sponsorships. Stephanie noted that it is a unique event, and not timed to impact other events. Brad asked if the board should consider officially putting together a committee on this event if the motion passed. Stephanie noted that Cerrina has agreed to chair the planning committee for the 2020 event if the motion passes. Motion passed unanimously (vote taken by roll call). Stephanie asked that if anyone wanted to be involved to please email Kimi with their request. Structure of planning will be reported on under old business at May meeting.

• Jim asked that we evaluate technology options – conference calling systems and webinar issues seem to be persistent. Dave asked Kristie if she could explore some options for the May meeting.

Dave noted that the May meeting will have a opportunity for the chapters to discuss their actions, and will have a discussion topic as well.

10:30 a.m. XV. Adjourned at 10:10 am 2018-2019 Board of Directors Meetings and Events

Month Date Start End Location

April 23 8 am 10:30 am Conference Call

May 20 1 pm 5 pm Sawyer Hotel, Sycamore Ballroom, Sacramento

May 20-22 CAHU Capitol Summit, Sawyer Hotel, Sacramento

June 28 10 am 3 pm San Diego, NAHU Annual Convention

June 29 – July 2 NAHU Annual Convention, San Diego

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CAHU GAT Meeting

May 9, 2019

On call: Brad, Kimi, Bruce, Dave,

Reviewed Strategic Plan updates

1b2&3 = discussed leadership development training – postponed planning til end of June for 2019 Annual Convention.

Kimi will send Adam follow up email – push out to later date?

1e – Dave talked to Sam, not able to do this year but thought it should still be worked on. No Vanguard chair identified as of yet for 19-20. Bruce is going to work on a strong Vanguard chair for upcoming year.

2a5 – Dave will follow up with Adam on progress.

3h - Discussed public affairs and media management. Brad and Bruce will be working on this – goal date remains.

No new policies & procedures for May board meeting. Discussed MAT and PAT structure and possible creation of ad hoc Governance committee.

NAHU Annual Convention – will list out who will be reimbursed for event.

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California Assn of Health Underwriters

Income Statement

Year-to-Date Performance, April 2019

10 Months Ended

April 30, 2019 Annual

Budget Unused % Used

Income

4000.000 Membership Dues - NAHU 308,210.48 360,000.00 51,789.52 85.6 %

4210.001 HCS - Registration 23,065.00 23,254.00 189.00 99.2 %

4220.001 HCS - Vendors 33,950.00 33,950.00 0.00 100.0 %

4230.001 HCS - Sponsors 46,687.50 37,875.00 (8,812.50) 123.3 %

4250.001 HCS - Golf Income 1,344.00 0.00 (1,344.00)

4265.001 HCS - NAHU Certif. Sponsor 0.00 2,000.00 2,000.00

4270.001 Vanguard (Fall) - Reg. 2,150.00 3,500.00 1,350.00 61.4 %

4275.001 Vanguard (Fall)- Sponsors 4,312.51 5,500.00 1,187.49 78.4 %

4300.002 Capitol Summit - Registration 8,156.00 20,000.00 11,844.00 40.8 %

4320.002 Capitol Summit - Sponsors (all) 50,762.50 65,000.00 14,237.50 78.1 %

4325.002 Capitol Summit -Vendor 1,900.00 6,000.00 4,100.00 31.7 %

4330.002 Vanguard (Spring) - Reg 0.00 3,000.00 3,000.00

4340.002 Vanguard (Spring)- Sponsor 4,787.51 5,500.00 712.49 87.0 %

4360.004 WLS - Registration 28,550.00 0.00 (28,550.00)

4380.004 WLS - Sponsors 9,600.00 0.00 (9,600.00)

4390.004 WLS - Mars Squad 7,000.00 0.00 (7,000.00)

4410.004 WLS - Shirts 550.00 0.00 (550.00)

4420.004 WLS - Keys 75.00 0.00 (75.00)

4900.000 Miscellaneous Income 0.25 0.00 (0.25)

TOTAL Income 531,100.75 565,579.00 34,478.25 93.9 %

Expenses

6030.000 Awards & Gifts 0.00 2,000.00 2,000.00

6050.000 Bank/Credit Card Fees 7,153.73 4,500.00 (2,653.73) 159.0 %

6110.000 Board Meeting - A/V 0.00 500.00 500.00

6120.000 Board - Banquet 5,258.85 8,000.00 2,741.15 65.7 %

6135.000 Board - Postage 68.22 20.00 (48.22) 341.1 %

6140.000 Board - Printing 125.80 250.00 124.20 50.3 %

6145.000 Board Meeting - Room Rental 0.00 700.00 700.00

6150.000 Board - Supplies 0.00 75.00 75.00

6155.000 Board - Strategic Planning 0.00 3,500.00 3,500.00

6160.000 Board - Travel & Lodging 18,057.71 21,000.00 2,942.29 86.0 % 6170.000 Board - Officer - Past Pres. 0.00 500.00 500.00

6180.000 Board - Officer - President 813.47 4,500.00 3,686.53 18.1 %

6190.000 Board - Officer - Pres. Elect 65.30 1,000.00 934.70 6.5 %

6200.000 Board - Officer - VP Comm. 0.00 100.00 100.00

6205.000 Board - Officer - VP Comm. O/R 0.00 100.00 100.00

6210.000 Board - Officer - VP Education 0.00 100.00 100.00

6230.000 Board - Officer - VP Legis. 0.00 1,000.00 1,000.00

6233.000 Board - Officer - VP Membership 0.00 250.00 250.00

6235.000 Board - Officer - VP PAC 0.00 240.00 240.00

6237.000 Board - Officer - VP Public Aff 0.00 275.00 275.00

6239.000 VP Corporate Relations 0.00 100.00 100.00

6242.000 Chapter Exp - KAHU Dissolution 0.00 1,500.00 1,500.00

California Assn of Health Underwriters 8

10 Months Ended



6250.000 Committee Expenses 517.66 0.00 (517.66)

6300.000 Continuing Education Exp 1,286.86 2,000.00 713.14 64.3 %

6310.000 Dues/Subscriptions 3,582.38 3,500.00 (82.38) 102.4 %

6320.000 Insurance - All 4,014.66 4,000.00 (14.66) 100.4 %

6323.000 CAHU PAC Donation 10,000.00 10,000.00 0.00 100.0 %

6345.000 Legal & Accounting (taxes) 0.00 1,750.00 1,750.00

6360.000 Legislative/Council 2,221.60 5,000.00 2,778.40 44.4 %

6365.000 Legis. Advocate - Fees 130,000.00 156,000.00 26,000.00 83.3 %

6370.000 Legis. Advocate - Expenses 1,578.83 4,500.00 2,921.17 35.1 %

6390.000 Medicare Summit Expenses 616.86 0.00 (616.86)

6392.000 Medicare Task Force Chair 0.00 500.00 500.00

6400.000 Management Fees - CAMS 152,600.00 183,120.00 30,520.00 83.3 %

6405.000 Management Travel (CAMS) 5,081.75 3,000.00 (2,081.75) 169.4 %

6445.000 Membership Marketing 0.00 1,500.00 1,500.00

6455.000 NAHU Annual Convention 0.00 12,000.00 12,000.00

6460.000 NAHU Cap Conference 3,500.00 3,500.00 0.00 100.0 %

6462.000 NAHU - Region 8 2,626.98 2,800.00 173.02 93.8 %

6485.000 Office Supplies/Expense 2,570.19 3,500.00 929.81 73.4 %

6495.000 Postage - Admin 564.64 1,100.00 535.36 51.3 %

6500.000 Printing - Admin 41.00 325.00 284.00 12.6 %

6505.000 Public Affairs/Relations Exp. 425.00 20,000.00 19,575.00 2.1 %

6520.000 Telephone/Fax/Internet 786.01 1,100.00 313.99 71.5 %

6525.000 Website 2,080.05 2,500.00 419.95 83.2 %

6526.000 Webinar Expenses 319.74 225.00 (94.74) 142.1 %

6530.000 Prior Year Expenses 215.27 0.00 (215.27)

6540.001 HCS - Audio/Visual 21,598.39 14,000.00 (7,598.39) 154.3 %

6552.001 HCS - Door Prize 1,350.20 0.00 (1,350.20)

6547.001 HCS - NAHU Certif. Training 3,725.05 2,000.00 (1,725.05) 186.3 %

6555.001 HCS - Food & Beverage 52,881.34 50,000.00 (2,881.34) 105.8 %

6557.001 HCS - Golf Expenses 1,536.00 0.00 (1,536.00)

6560.001 HCS - Other 0.00 500.00 500.00

6565.001 HCR - Photography 0.00 1,500.00 1,500.00

6570.001 HCS - Postage & Shipping 1,110.89 750.00 (360.89) 148.1 %

6580.001 HCS - Printing 2,230.28 2,500.00 269.72 89.2 % 6585.001 HCS - Security 773.36 0.00 (773.36)

6590.001 HCS - Speakers 16,753.71 10,000.00 (6,753.71) 167.5 %

6600.001 HCS - Supplies 279.98 500.00 220.02 56.0 %

6610.001 HCS - Vendors 3,738.00 3,000.00 (738.00) 124.6 %

6625.001 Vanguard (Fall) - Entertainment 0.00 500.00 500.00

6630.001 Vanguard (Fall) - F& B 1,376.99 3,500.00 2,123.01 39.3 %

6635.001 Vanguard (Fall)- Prizes 0.00 800.00 800.00

6640.001 Vanguard (Fall) - Printing Exp. 53.51 200.00 146.49 26.8 %

6645.001 Vanguard (Fall) - Supplies 0.00 250.00 250.00

6640.002 Capitol Summit - Audio/Visual 0.00 3,250.00 3,250.00

6650.002 Capitol Summit - F&B 2,000.00 17,500.00 15,500.00 11.4 %

6670.002 Capitol Summit - Pstg/Shipping 0.00 250.00 250.00

6680.002 Capitol Summit - Printing 1,115.84 3,000.00 1,884.16 37.2 %

6685.002 Capitol Summit - Room Rental 0.00 1,500.00 1,500.00

6686.002 Capitol Summit - Sponsor Items 0.00 500.00 500.00

6687.002 Capitol Summit - Speakers 0.00 7,000.00 7,000.00


10 Months Ended



6690.002 Capitol Summit - Supplies 0.00 500.00 500.00

6700.002 Capitol Summit - Signage 0.00 200.00 200.00

6750.002 Vanguard (Spring)-Entertainment 0.00 500.00 500.00

6755.002 Vanguard (Spring) - F&B 0.00 3,000.00 3,000.00

6760.002 Vanguard (Spring) - Supplies 0.00 500.00 500.00

6800.004 Women's Leadership Summit F&B 52,530.98 0.00 (52,530.98)

6810.004 WLS - Giveaways 3,060.87 0.00 (3,060.87)

6815.004 WLS - Postage/Shipping 805.28 0.00 (805.28)

6820.004 WLS - Supplies 1,143.83 0.00 (1,143.83)

TOTAL Expenses 524,237.06 599,830.00 75,592.94 87.4 %

****** OPERATING PROFIT(LOSS) 6,863.69 (34,251.00) (41,114.69) -20.0 % Other Income & Expenses

7000.000 Interest Income 188.57 25.00 (163.57) 754.3 %

TOTAL Other Income & Expenses 188.57 25.00 (163.57) 754.3 %

****** PROFIT(LOSS) BEFORE TAXES 7,052.26 (34,226.00) (41,278.26) -20.6 % Provisions for Taxes

7100.000 Income Tax Expenses 10.00 10.00 0.00 100.0 %

TOTAL Provisions for Taxes 10.00 10.00 0.00 100.0 %

****** NET PROFIT(LOSS) 7,042.26 (34,236.00) (41,278.26) -20.6 %



Balance Sheet

April 2019

ASSETS

Current Assets

Wells Fargo Checking 157,321.51 Charles Schwab 98,496.60 Accounts Receivable 33,556.63 Accounts Receivable- Due from Foundation 356.91 Prepaid Summit Expenses 5,000.00 Prepaid Insurance 2,911.68

TOTAL Current Assets 297,643.33

TOTAL ASSETS 297,643.33 LIABILITIES

Current Liabilities

Deferred Revenue -HCS 2,250.00 Deferred Revenue - Vanguard 375.00 Management Fees Payable 15,260.00 NAHU Unite Donations Payable 300.00

TOTAL Current Liabilities 18,185.00

TOTAL LIABILITIES 18,185.00 EQUITY Fund Balance 272,416.07 Year-to-Date Earnings 7,042.26

TOTAL EQUITY 279,458.33 TOTAL LIABILITIES & EQUITY 297,643.33



Income Statement

Year-to-Date Only, April 2019, April 2018

10 Months Ended 10 Months Ended Variance

April 30, 2019 April 30, 2018 Fav/<Unf> % Var Income

4000.000 Membership Dues - NAHU 308,210.48 285,776.81 22,433.67 7.9 %

4210.001 HCS - Registration 23,065.00 17,046.00 6,019.00 35.3 %

4220.001 HCS - Vendors 33,950.00 26,000.00 7,950.00 30.6 %

4230.001 HCS - Sponsors 46,687.50 79,187.52 (32,500.02) -41.0 %

4250.001 HCS - Golf Income 1,344.00 0.00 1,344.00

4270.001 Vanguard (Fall) - Reg. 2,150.00 6,188.00 (4,038.00) -65.3 %

4275.001 Vanguard (Fall)- Sponsors 4,312.51 2,000.00 2,312.51 115.6 %

4300.002 Capitol Summit - Registration 8,156.00 10,069.00 (1,913.00) -19.0 %

4320.002 Capitol Summit - Sponsors (all) 50,762.50 54,187.52 (3,425.02) -6.3 %

4325.002 Capitol Summit -Vendor 1,900.00 3,800.00 (1,900.00) -50.0 %

4330.002 Vanguard (Spring) - Reg 0.00 2,062.00 (2,062.00) -100.0 %

4340.002 Vanguard (Spring)- Sponsor 4,787.51 0.00 4,787.51

4360.004 WLS - Registration 28,550.00 0.00 28,550.00

4380.004 WLS - Sponsors 9,600.00 0.00 9,600.00

4390.004 WLS - Mars Squad 7,000.00 0.00 7,000.00

4410.004 WLS - Shirts 550.00 0.00 550.00

4420.004 WLS - Keys 75.00 0.00 75.00

4600.000 Website Advertising 0.00 250.00 (250.00) -100.0 %

4625.000 NAHU Vanguard Event 0.00 960.00 (960.00) -100.0 %

4650.000 Board Sponsor 0.00 3,000.00 (3,000.00) -100.0 %

4900.000 Miscellaneous Income 0.25 47.00 (46.75) -99.5 %

TOTAL Income 531,100.75 490,573.85 40,526.90 8.3 %

Expenses

6030.000 Awards & Gifts 0.00 986.13 986.13 100.0 %

6050.000 Bank/Credit Card Fees 7,153.73 3,751.11 (3,402.62) -90.7 %

6110.000 Board Meeting - A/V 0.00 147.50 147.50 100.0 %

6120.000 Board - Banquet 5,258.85 7,514.34 2,255.49 30.0 %

6135.000 Board - Postage 68.22 0.46 (67.76) -14730.4 %

6140.000 Board - Printing 125.80 237.37 111.57 47.0 %

6145.000 Board Meeting - Room Rental 0.00 789.75 789.75 100.0 %

6150.000 Board - Supplies 0.00 69.42 69.42 100.0 %

6160.000 Board - Travel & Lodging 18,057.71 16,928.99 (1,128.72) -6.7 % 6170.000 Board - Officer - Past Pres. 0.00 173.52 173.52 100.0 %

6180.000 Board - Officer - President 813.47 4,233.87 3,420.40 80.8 %

6190.000 Board - Officer - Pres. Elect 65.30 0.00 (65.30)

6250.000 Committee Expenses 517.66 0.00 (517.66)

6300.000 Continuing Education Exp 1,286.86 1,419.98 133.12 9.4 %

6305.000 Donation 0.00 1,991.65 1,991.65 100.0 %

6310.000 Dues/Subscriptions 3,582.38 3,440.00 (142.38) -4.1 %

6320.000 Insurance - All 4,014.66 3,855.50 (159.16) -4.1 %

6323.000 CAHU PAC Donation 10,000.00 20,000.00 10,000.00 50.0 %

6346.000 Legal Opinion: Agent Fees 0.00 3,000.00 3,000.00 100.0 %

6360.000 Legislative/Council 2,221.60 1,139.16 (1,082.44) -95.0 %

6365.000 Legis. Advocate - Fees 130,000.00 130,000.00 0.00

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10 Months Ended 10 Months Ended Variance

April 30, 2019 April 30, 2018 Fav/<Unf> % Var

6370.000 Legis. Advocate - Expenses 1,578.83 3,399.62 1,820.79 53.6 %

6390.000 Medicare Summit Expenses 616.86 1,118.72 501.86 44.9 %

6400.000 Management Fees - CAMS 152,600.00 152,600.00 0.00

6405.000 Management Travel (CAMS) 5,081.75 3,270.00 (1,811.75) -55.4 %

6460.000 NAHU Cap Conference 3,500.00 15,348.56 11,848.56 77.2 %

6462.000 NAHU - Region 8 2,626.98 972.05 (1,654.93) -170.3 %

6463.000 NAHU Cap Conf - Vanguard 0.00 300.00 300.00 100.0 %

6485.000 Office Supplies/Expense 2,570.19 2,911.90 341.71 11.7 %

6495.000 Postage - Admin 564.64 982.66 418.02 42.5 %

6500.000 Printing - Admin 41.00 300.42 259.42 86.4 %

6505.000 Public Affairs/Relations Exp. 425.00 0.00 (425.00)

6510.000 Public Relations Expenses 0.00 4,000.00 4,000.00 100.0 %

6520.000 Telephone/Fax/Internet 786.01 774.18 (11.83) -1.5 %

6525.000 Website 2,080.05 1,968.15 (111.90) -5.7 %

6526.000 Webinar Expenses 319.74 0.00 (319.74)

6530.000 Prior Year Expenses 215.27 0.00 (215.27)

6540.001 HCS - Audio/Visual 21,598.39 2,631.40 (18,966.99) -720.8 %

6552.001 HCS - Door Prize 1,350.20 0.00 (1,350.20)

6547.001 HCS - NAHU Certif. Training 3,725.05 0.00 (3,725.05)

6555.001 HCS - Food & Beverage 52,881.34 32,871.97 (20,009.37) -60.9 %

6557.001 HCS - Golf Expenses 1,536.00 0.00 (1,536.00)

6560.001 HCS - Other 0.00 464.85 464.85 100.0 %

6565.001 HCR - Photography 0.00 1,500.00 1,500.00 100.0 %

6570.001 HCS - Postage & Shipping 1,110.89 641.56 (469.33) -73.2 %

6580.001 HCS - Printing 2,230.28 2,453.82 223.54 9.1 %

6585.001 HCS - Security 773.36 0.00 (773.36)

6590.001 HCS - Speakers 16,753.71 5,395.97 (11,357.74) -210.5 %

6600.001 HCS - Supplies 279.98 534.56 254.58 47.6 %

6610.001 HCS - Vendors 3,738.00 0.00 (3,738.00)

6625.001 Vanguard (Fall) - Entertainment 0.00 513.30 513.30 100.0 %

6630.001 Vanguard (Fall) - F& B 1,376.99 4,876.35 3,499.36 71.8 %

6635.001 Vanguard (Fall)- Prizes 0.00 781.41 781.41 100.0 %

6640.001 Vanguard (Fall) - Printing Exp. 53.51 177.15 123.64 69.8 %

6650.002 Capitol Summit - F&B 2,000.00 0.00 (2,000.00)

6680.002 Capitol Summit - Printing 1,115.84 0.00 (1,115.84) 6690.002 Capitol Summit - Supplies 0.00 54.50 54.50 100.0 %

6800.004 Women's Leadership Summit F&B 52,530.98 0.00 (52,530.98)

6810.004 WLS - Giveaways 3,060.87 0.00 (3,060.87)

6815.004 WLS - Postage/Shipping 805.28 0.00 (805.28)

6820.004 WLS - Supplies 1,143.83 0.00 (1,143.83)

TOTAL Expenses 524,237.06 440,521.85 (83,715.21) -19.0 %

****** OPERATING PROFIT 6,863.69 50,052.00 (43,188.31) -86.3 % Other Income & Expenses

7000.000 Interest Income 188.57 68.39 120.18 175.7 %

TOTAL Other Income & Expenses 188.57 68.39 120.18 175.7 %

****** PROFIT BEFORE TAXES 7,052.26 50,120.39 (43,068.13) -85.9 % Provisions for Taxes

7100.000 Income Tax Expenses 10.00 0.00 (10.00)

TOTAL Provisions for Taxes 10.00 0.00 (10.00)

****** NET PROFIT 7,042.26 50,120.39 (43,078.13) -85.9 % 13


Balance Sheet

$ % April 2019 April 2018 Variance Variance

ASSETS

Current Assets

Wells Fargo Checking 157,321.51 236,124.76 (78,803.25) -33.4% Charles Schwab 98,496.60 98,243.46 253.14 0.3% Accounts Receivable 33,556.63 24,241.00 9,315.63 38.4% Accounts Receivable- Due from Foundation 356.91 6,429.14 (6,072.23) -94.4% Accounts Receivable - West Coast Calling 0.00 14,350.00 (14,350.00) -100.0% Prepaid Summit Expenses 5,000.00 10,354.50 (5,354.50) -51.7% Prepaid Insurance 2,911.68 2,828.34 83.34 2.9% TOTAL Current Assets 297,643.33 392,571.20 (94,927.87) -24.2% TOTAL ASSETS 297,643.33 392,571.20 (94,927.87) -24.2%

LIABILITIES

Current Liabilities

Deferred Revenue -HCS 2,250.00 625.00 1,625.00 260.0% Deferred Revenue - Vanguard 375.00 0.00 375.00 100.0% Management Fees Payable 15,260.00 15,260.00 0.00 0.0% NAHU Unite Donations Payable 300.00 0.00 300.00 100.0% TOTAL Current Liabilities 18,185.00 15,885.00 2,300.00 14.5% TOTAL LIABILITIES 18,185.00 15,885.00 2,300.00 14.5%

EQUITY

Fund Balance 272,416.07 326,565.81 (54,149.74) -16.6% Year-to-Date Earnings 7,042.26 50,120.39 (43,078.13) -85.9%

TOTAL EQUITY 279,458.33 376,686.20 (97,227.87) -25.8% TOTAL LIABILITIES & EQUITY 297,643.33 392,571.20 (94,927.87) -24.2%


STRATEGIC GOAL IStatus

Gov

erna

nce

Affairs

Tea

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(GAT

)

Mem

bership

Affairs

Tea

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(MAT

)

Public

Affairs

Tea

m(PAT

)

IP = In Progress C= Complete NS = Not Started

1) Produce a "What Has CAHU Done For You Lately" document by 10/1/2018 X C2) Produce an annual legislative recap by 11/1/2018 (Completed) X C3) Produce a list of top Federal and State bills for members and clients by 11/1/2018 (Completed) X C4) Produce a "CAHU Live" newsletter by 1/1/2019 (next one out in February) X C5) Create CAHU branding pieces for use by members by 2/1/2019 X IP6) Conduct a semi‐annual membership survey by 8/01/2018 and 3/31/2018 X C/IP7) Present "Working with the Media" powerpoint at training meetings that will be held by 09/18/2018 X NS8) Form a Website Sub‐Committee and have them conduct annual audit of CAHU website and review of local websites by09/01/2018 X C9) Maintain and promote use of a member‐friendly CAHU master calendar by 8/7/2018 X C10) Invite members to review CAHU's materials and provide comments by 09/15/2018 X C11) Draft, approve and post a statement of accountability to members by 09/15/2018 X C1) Conduct breakout sessions at Health Care Summit for: Membership, Professional Development, Legislation and Awards X X X C2) Record these training sessions so they can be shared via webinar for those who don't attend the Health Care Summit 10/1/2019 X IP3) Develop a chapter template for event fundraising by 5/1/2019 X IP4) Train locals how to use the Pacesetter Award requirements as a guide to run their chapter by 08/31/2018 X C1) Produce and file CE courses for use at the Health Care Summit and Capitol Summit X C/IP2) Maintain and update a CAHU speakers bureau by 01/01/2019 X IP3) Maintain and update CE courses and database for use by locals and other members by 8/15/2019 X IP1) Develop New Member Orientation templates for use by local chapters by 09/15/2018 X C2) Assist local chapters in the implementation of an Adopt‐a‐Member program at the local level by 09/15/2018 X C3) Assist local chapters in the implementation of a Mentoring program at the local level by 05/1/2019 X IP1) Identify chapters who do not have a local Vanguard and assist them in recruiting local Vanguard leaders/members by 10/01/2018 X C2) Have the local Vanguard committees head up the Mentoring program by 03/01/2019 X N/C1) Re‐Emphasize the NAHU Triple Crown program by communicating this to all members and provide them with their "score" as towhere they stand in terms of qualification this award by 09/01/2018, 1/1/2019, 03/1/2019 X C2) Create a "financial incentives" outline in which members are rewarded financially for their activites ‐ Board decided to table tillater date X C3) Create valuable content at all state events which will promote attendance by 8/17/2018 X C4) Provide meaningful member recognition for member engagement by 1/1/2019 X IP 5) Conduct post‐event attendee surveys (Health Care Summit and Capitol Summit) X C/IP1) Form a State Chapter Development sub‐committee of the Membership Affairs Team by 8/8/2018 X X C2) Develop training modules and videos that can be shown via internet for each area of leadership by 10/1/2019, videos 10/1/2019 X X IP

F) Get Members more Involved in the various functions and events of CAHU

G) Actively engage and develop chapters and their

I. CAHU will exceed our members

expectations

B) Provide Leadership Training for Local Chapters on specific functions

C) Enhance CAHU's Professional Development Program

D) Standardize and update the New Member Orientation program

E) Establish a State‐Wide Vanguard Committee

Assigned/Priority

STRATEGICGOAL

ANNUALGOAL TASKS AND OBJECTIVES

A) Produce effective, succinct and direct communication to members that demonstrate full transparency in all we do

CAHU Strategic Plan 2018 5 15 2019.xlsx Page 1 of 2 Pages 5/16/201915

STRATEGIC GOAL IStatus

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(GAT

)

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bership

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Tea

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(MAT

)

Public

Affairs

Tea

m(PAT

)


Assigned/Priority

STRATEGICGOAL


3) Reach out and engage the cooperation and assistance of local chapter executive directors by 8/8/2018 X Cleadership


STRATEGIC GOAL IIStatus

Gov

erna

nce

Affairs

Tea

m

(GAT

)

Mem

bership

Affairs

Tea

m

(MAT

)

Public

Affairs

Tea

m(PAT

)

IP = In Progress C = Complete NS = Not Started

1) Produce a customizable consumer‐facing PDF entitled "Why CAHU" by 9/15/2018 X C2) Produce educational and promitional video content series by 3/15/2019 X IP 3) Create a CAHU designation for members only 1/1/2019 X IP4) Create a Members Only section of the CAHU website by 4/1/2019 X IP5) Introduce affinity programs for members only by 6/1/2019 X X IP6) Create co‐branded collateral for use by agents in the field by 2/1/2019 X IP1) Conduct two statewide campaigns at the local levels which conclude by 10/31/2018 and 4/30/2019 respectively X C2) Achieve a net new membership growth rate of 10% by 4/30/2019 X IP3) Achieve a net membership retention rate of 85% by 4/30/2019 X IP1) Invest in quality speakers and presenters by 3/1/2019 X C2) Produce new and innovating networking opportunities at these events by 3/1/2019 X C3) Invest in event production by 10/1/2019 X IP

TASKS AND OBJECTIVES

Assigned/Priority

II. Health Insurance

professionals will view

membership in CAHU as essential

A) Produce Member Only collateral

B) Conduct annual membership campaigns

C) Produce exceptional state‐wide events that attract members

STRATEGICGOAL

ANNUALGOAL


STRATEGIC GOAL IIIStatus

Gov

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)

Mem

bership

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Tea

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(MAT

)

Public

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Tea

m(PAT

)


1) Produce a series of white papers on various topics by 10/1/2018, 1/1/2019, 4/1/2019, 7/1/2019 X NS2) Produce a "Where is CAHU" piece each year by 5/1/2019 X C1) Produce sample "Letters to the Editor" and/or Op‐Ed pieces that can be used by local members by 10/1/2018, 1/1/2019, 4/1/2019, 7/1/2019 X NS

2) Generate a monthly press release dealing with current legislatiive, industry or regulatory topics, the first of which by 8/7/2018 X IP

3) Create a listing / database of local media contacts X C1) Hold a PAC event in conjunction with all state events X IP2) Invite key legislators to PAC events X IP3) Provide training to local PAC chairs as to how to raise PAC donations at both State and Federal levels by XX/XX/XXXX X IP1) Begin the process of identifying firms or individuals as candidates for hire/contract by 6/1/2019 X C2) Create professional Public Relations and Advocacy documents and reports by 4/1/2019 X NS1) Continue to retain the services of a government affairs lobbyist X C2) Update and enhance the CAHU Adopt‐a‐Legislator program by XX/XX/XXXX X IP3) Continue to participate in coalition activities, identify new coalition relationships and assign appropriate personnel to work in these coalitions X C

4) Expand coalition activities to include government, regulatory and industry bodies X C5) Continue weekly legislative committee calls X C6) Continue the annual bill‐review process and produce weekly updates on key bills X IP7) Hold annual Capitol Summit X IP8) Conduct "Voter Voice" activities on a regular basis X NS1) Conduct annual training for local legislative chairs as to their duties by XX/XX/XXXX X IP2) Train replacements for legislative leaders at the state and local level XX/XX/XXXX X IP3) Conduct local legislative town halls by XX/XX/XXXX X IP

1) Create, name and maintain a special team of board members who will provide a rapid response to legislative issues by 7/1/2018 X X C

2) Create a "Grass Tops" program and announce it to membership by 4/1/2019 X NS1) Develop a State board Policy and Procedure for this by 6/1/2019 X NS2) Identify spokesperson candidates and invite them for training by 6/1/2019 X IP3) Consider using NAHU resources for training and education of spokespersons X X X NS

STRATEGICGOAL


Assigned/Priority

III. CAHU will be known as a leader in advocacy,

industry and public policy

forums

A) Produce a series of Public Affairs collateral

B) Increase our Media presence

C) Promote and grow CAHU support of the PAC

D) Secure the services of a Public Relations consultant

E) Improve and enhance CAHU's legislative presence

F) Train members and local leaders how the CAHU Legislative Program works

G) Create and maintain a Legislative Response Team

H) Create a training course for chapter spokespersons


MAT Meeting

May 15, 2019

On call: Yolanda, Maggie, Kristie, Dave, Sam Siders

Maggie reviewed strategic goals.

Yolanda noted that setting up the speakers bureau was more complicated than anticipated. Kristie noted that the website updates are in progress, and that the workload was more than she had originally anticipated. Discussion about committee chairs and how to structure that differently to manage the work and to engage them. Membership is another area that needs some examination. Recruitment seems to be going well, but not sure they are all renewing. California is down in membership right now, but it presents opportunities for growth for the next year. Sam discussed Vanguard. Most chapters do have Vanguard chairs or someone who takes on that role. Discussion around changing the name for Vanguard to something more representative. Sam would be interested in being a committee member on communications for social media.

Discussed surveys to go out.

Reviewed Strategic plan and goals. Updated goals and noted that some of them would need to be moved to the next year.

Dave pointed out that having the goals and working towards them was the critical piece – not necessarily completing every goal.

Maggie noted that the group had achieved a great deal over the course of the year and that she anticipated more being achieved the next year.

20

Public Affairs Team Meeting

May 6, 2019

Called to order: 3:01 pm

On call: Jim, Dawn, Kimi, Faith, Brad, Cerrina

Jim – Capitol Summit is getting fine tuned, major logistics are set and working on picking up registrations. Having a “town hall” discussion regarding the survey results, Kaiser is doing a tour through the sports medicine facility and Golden 1 center. Still looking for exhibitors.

Faith – noted that the legislative updates are the same as Thursdays leg call. Reminder that May revise should be out at the end of this week. Hoping to get more clarity on some of the larger issues (individual mandate, medicare for all, etc). Senator Bloom – asked if we could review amendments with a cap on technology and replacements for the hearing aid bill. Faith asked what information agents have for agents on record or are they notified when they leave medi-cal, the answer is none. SB 260 (automatic enrollment depending on income) are open to agent notification but need specific language.

Cerrina – CAHU PAC reception will be shorter than last year, but will be nice. Will be on the Magnolia Terrace on Tuesday of Cap Summit. Working on infographic, and hoping to have it ready for Capitol Summit for distribution.

Dawn – have a draft policy & procedure for the gift cards in regards to distribution. Brad asked Dawn to share with the GA team. Discussed the NAHU United effort and what to do with the gift cards and how to structure future donations. Working on video and will have badge ribbons for donors at Cap Sum.

Brad – has had discussions with finance committee around public affair contractor position, will have more discussion at strategic planning. Strongly considering doing a town hall type of discussion at Capitol Summit.

19

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CAHU Top Priority Bill StatusReport

as of 5/16/2019

AB 4 (Bonta D) Medi-Cal: eligibility. Current Text: Amended: 3/28/2019 html pdf

Introduced: 12/3/2018 Last Amend: 3/28/2019 Status: 5/1/2019-In committee: Set, first hearing. Referred to APPR. suspense file. Location: 5/1/2019-A. APPR. SUSPENSE FILE Calendar: 5/16/2019 Upon adjournment of Session - State Capitol, Room 4202

ASSEMBLY APPROPRIATIONS SUSPENSE, GONZALEZ, Chair Summary: Federal law prohibits payment to a state for medical assistance furnished to an alien

who is not lawfully admitted for permanent residence or otherwise permanently residing in theUnited States under color of law. Current law requires that individuals under 19 years of ageenrolled in restricted-scope Medi-Cal at the time the Director of Health Care Services makes adetermination that systems have been programmed for implementation of these provisions to beenrolled in the full scope of Medi-Cal benefits, if otherwise eligible, pursuant to an eligibility andenrollment plan, which includes outreach strategies. This bill would extend eligibility for full-scopeMedi-Cal benefits to individuals of all ages, if otherwise eligible for those benefits, but for theirimmigration status, and would delete provisions delaying eligibility and enrollment until the directormakes the determination as specified

Organization Position Subject Group CAHU Support Medi-Cal CAHU TOP

PRIORITYBILL, Priority3

Notes 1: CAHU SUPPORTS AB4 which brings California close to universal healthcare by providingaccess to basic coverage to all residents. This bill may also lower the costs of unreimbursed medicaltreatment which is subsidized by our client's insurance premiums.

AB 5 (Gonzalez D) Worker status: employees and independent contractors. Current Text: Amended: 5/1/2019 html pdf


ASSEMBLY APPROPRIATIONS SUSPENSE, GONZALEZ, Chair Summary: Would state the intent of the Legislature to codify the decision in the Dynamex case and

clarify its application. The bill would provide that the factors of the “ABC” test be applied in order todetermine the status of a worker as an employee or independent contractor for all provisions of theLabor Code and the Unemployment Insurance Code, unless another definition or specification of“employee” is provided. The bill would codify existing exemptions for specified professions that arenot subject to wage orders of the Industrial Welfare Commission or the ruling in the Dynamex case.

Organization Position Subject Group CAHU Support CAHU TOP


Notes 1: CAHU is in SUPPORT of AB5 which clarifies that a recent California Supreme Court ruling,Dynamex Operations West Inc. v. Superior Court (Dynamex) does not alter an insurance agent orbroker’s ability to be an independent contractor. Without this clarification, many agents could beforced to become W-2 employees. This would have negatively impacted agents and brokers byrestricting commissions and the ability to work independently while impacting existing tax reportingand deductions.

21

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https://a18.asmdc.org/

https://ctweb.capitoltrack.com/Bills/19Bills/asm/ab_0001-0050/ab_4_98_A_bill.htm

https://ctweb.capitoltrack.com/Bills/19Bills/asm/ab_0001-0050/ab_4_98_A_bill.pdf

http://ctweb.capitoltrack.com/public/publishbillinfo.aspx?bi=NqL1rQHvg3uyIK04XCN00hafR2uJS58PG%2fhJ51GIlarpk8NkodJJHUrLPsXSHlA6






AB 207 (Daly D) Insurance licensing. Current Text: Introduced: 1/14/2019 html pdf

Introduced: 1/14/2019 Status: 5/2/2019-Read third time. Passed. Ordered to the Senate. In Senate. Read first time. To

Com. on RLS. for assignment. Location: 5/2/2019-S. DESK Summary: Current law generally regulates the business of insurance in the state, including the

licensing of persons who transact insurance. Current law prohibits a person from soliciting,negotiating, or effecting a contract of insurance without a valid license from the InsuranceCommissioner, and makes transacting insurance without a valid license punishable as amisdemeanor by imprisonment in a county jail for not more than one year, a fine of not more than$50,000, or both that fine and imprisonment. This bill would increase the maximum fine fortransacting insurance without a valid license to $70,000.

Organization Position Subject Group CAHU Support Medi-care CAHU TOP


Notes 1: Along with IIABCal, and NAIFA, CAHU is in SUPPORT of AB 207 which would increase thefine for transacting insurance without a valid license. Our associations have a long history ofsupporting legislation attempting to address the issue of bad actors in the insurance marketplace.AB 207 would enhance the Department of Insurance’s ability to fine unscrupulous individuals whoare avoiding the very stringent licensing laws and taking advantage of consumers.

AB 233 (Cooley D) Insurance: licensees. Current Text: Amended: 4/11/2019 html pdf

Introduced: 1/17/2019 Last Amend: 4/11/2019 Status: 5/9/2019-Read third time. Passed. Ordered to the Senate. In Senate. Read first time. To

Com. on RLS. for assignment. Location: 5/9/2019-S. DESK Summary: Current law requires the license of a residential property broker-agent, casualty broker-

agent, personal lines broker-agent, or limited lines automobile insurance agent to be prominentlydisplayed in the holder’s office. Current law requires the Insurance Commissioner to impose a $200fine for the first violation of that requirement if it is not corrected within 45 days, and authorizesthe commissioner to impose a $400 fine if another violation is committed within 3 years of the firstviolation. This bill would require a broker-agent, agent, or licensed organization that maintainsmultiple offices to prominently display a copy of its license in each office.

Organization Position Subject Group CAHU Watch CAHU TOP

PRIORITYBILL

Notes 1: CAHU is closely WATCHING AB 233 sponsored by the Independent Insurance Agents andBrokers of California. This bill would exempt licensed insurance agents and brokers from theDynamex test and instead establish an industry-tailored set of criteria under which parties couldenter independent contractor relationships. Similar language was recently amended into AB 5which is the identified sole legislative vehicle with legislative leaderships' backing for all effortspertaining to Dynamex. 5-2-19 Watch per call with JM

Review 4-11-19 amends

AB 290 (Wood D) Health care service plans and health insurance: third-party payments. Current Text: Amended: 3/5/2019 html pdf


ASSEMBLY APPROPRIATIONS SUSPENSE, GONZALEZ, Chair Summary: Would require a health care service plan or an insurer that provides a policy of health

22

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https://ctweb.capitoltrack.com/Bills/19Bills/asm/ab_0201-0250/ab_207_99_I_bill.htm

https://ctweb.capitoltrack.com/Bills/19Bills/asm/ab_0201-0250/ab_207_99_I_bill.pdf

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insurance to accept payments from specified third-party entities, including an Indian tribe or a local,state, or federal government program. The bill would also require a financially interested entity, asdefined, other than those entities, that is making a third-party premium payment to provide thatassistance in a specified manner and to perform other related duties, including disclosing to theplan or the insurer the name of the enrollee or insured, as applicable, for each plan or policy onwhose behalf a third-party premium payment will be made.


PRIORITYBILL

Notes 1: CAHU is WATCHING AB 290 which would put reasonable requirements on financiallyinterested third-parties who wish to pay patients’ premiums. It also allows commercial health plansto reimburse services at the Medicare rate for a patient who is billed by a financially-interestedprovider. This bill protects patient choice and care while preventing providers from running a scamthat drives up health care costs for all Californians.

AB 414 (Bonta D) Healthcare coverage: minimum essential coverage. Current Text: Introduced: 2/7/2019 html pdf

Introduced: 2/7/2019 Status: 5/8/2019-In committee: Set, first hearing. Referred to APPR. suspense file. Location: 5/8/2019-A. APPR. SUSPENSE FILE Calendar: 5/16/2019 Upon adjournment of Session - State Capitol, Room 4202

ASSEMBLY APPROPRIATIONS SUSPENSE, GONZALEZ, Chair Summary: Current federal law, the Patient Protection and Affordable Care Act (PPACA), enacts

various healthcare coverage market reforms as of January 1, 2014. PPACA generally requiresindividuals, and any dependents of the individual, to maintain minimum essential coverage, asdefined, and, if an individual fails to maintain minimum essential coverage, PPACA imposes on theindividual taxpayer a penalty. This provision is referred to as the individual mandate. This bill wouldrequire a California resident to ensure that the resident and the resident’s dependents are coveredunder minimum essential coverage for each month beginning after 2019. The bill would impose apenalty for the failure to maintain minimum essential coverage.


PRIORITYBILL

Notes 1: CAHU is currently WATCHING AB 414 which would create a state level individualmandate for individuals and their dependents not possessing minimum essential coverage. Thereare still many variables that are yet to be determined, such as the amount on the penalty, andwhat the impact of implementation may be on the overall price of premiums. Assembly version on SB 175.

AB 528 (Low D) Controlled substances: CURES database. Current Text: Introduced: 2/13/2019 html pdf

Introduced: 2/13/2019 Status: 5/2/2019-Read third time. Urgency clause adopted. Passed. Ordered to the Senate. In

Senate. Read first time. To Com. on RLS. for assignment. Location: 5/2/2019-S. DESK Summary: Would require a dispensing pharmacy, clinic, or other dispenser to report the

information required by the CURES database no more than one working day after a controlledsubstance is dispensed.



Notes 1: CAHU is in SUPPORT of AB 528 and the Legislature’s coordinated efforts to curb opioidaddiction and abuse and decrease the associated high costs of prescription drugs on premiums.

AB 598 (Bloom D) Hearing aids: minors. Current Text: Introduced: 2/14/2019 html pdf

Introduced: 2/14/2019 23

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http://ctweb.capitoltrack.com/public/publishbillinfo.aspx?bi=atY%2bHpUMtI%2fsXe6IdHO39m0fR6Zvjo371y0TJiEvGur5NKFL%2f%2fD4L11Nf%2fXvoQB%2b




http://ctweb.capitoltrack.com/public/publishbillinfo.aspx?bi=IiHe5n3SuaKZoDVGNTL84Xv%2finmDn7cjsbrC8YxG4Aw6UARxoVX%2fT68H7bjdpFJF






Status: 5/8/2019-In committee: Set, first hearing. Referred to APPR. suspense file. Location: 5/8/2019-A. APPR. SUSPENSE FILE Calendar: 5/16/2019 Upon adjournment of Session - State Capitol, Room 4202

ASSEMBLY APPROPRIATIONS SUSPENSE, GONZALEZ, Chair Summary: Would require a health care service plan contract or a health insurance policy issued,

amended, or renewed on or after January 1, 2020, to include coverage for hearing aids, as defined,for an enrollee or insured under 18 years of age, as specified. Because a willful violation of theserequirements by a health care service plan would be a crime, this bill would impose a state-mandated local program.

Organization Position Subject Group CAHU Support if

Amended CAHU TOP

PRIORITYBILL

Notes 1: CAHU is SUPPORTING AB 598 if the bill is amended to include cost controls such aslimits on annual replacements and innovative technologies. Costs are expected to come down inthe near future. There is currently a CHBRP analysis being done on this bill.

AB 651 (Grayson D) Air ambulance services. Current Text: Amended: 4/8/2019 html pdf


ASSEMBLY APPROPRIATIONS SUSPENSE, GONZALEZ, Chair Summary: Would require a health care service plan contract or a health insurance policy issued,

amended, or renewed on or after January 1, 2020, to provide that if an enrollee, insured, orsubscriber (individual) receives covered services from a noncontracting air ambulance provider, theindividual shall pay no more than the same cost sharing that the individual would pay for the samecovered services received from a contracting air ambulance provider, referred to as the in-networkcost-sharing amount. The bill would provide that an individual would not owe the noncontractingprovider more than the in-network cost-sharing amount for services.



Notes 1: CAHU SUPPORTS AB 651 CAHU because our members provide ongoing service andsupport for clients to effectively adjust and utilize their healthcare coverage as medical necessityand coverage options change. Through these efforts, we see firsthand the importance for ourclients to have clear coverage options without the confusion and financial instability that balancebilling creates, especially when it comes to exorbitant out of pocket costs for life saving treatment.

AB 731 (Kalra D) Health care coverage: rate review. Current Text: Amended: 3/20/2019 html pdf


ASSEMBLY APPROPRIATIONS SUSPENSE, GONZALEZ, Chair Summary: Current law provides for the regulation of health insurers by the Department of

Insurance. Current law requires a health care service plan or health insurer offering a contract orpolicy in the individual or small group market to file specified information, including total earnedpremiums and total incurred claims for each contract or policy form, with the appropriatedepartment at least 120 days before implementing a rate change. This bill would expand thoserequirements to apply to large group health care service plan contracts and health insurancepolicies.


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BILL Notes 1: CAHU is closely WATCHING AB 731 which require health plans and insurers to provide

regulators with detailed information about a large groups health care plan. CAHU believes AB 731will impose a new and costly administrative burden on plans, insurers, and regulators withoutadding direct value. However, CAHU also acknowledges the objective of rate transparency andinformation to control skyrocketing premium, co-pay, and deductible increases.

AB 767 (Wicks D) Health care coverage: infertility. Current Text: Amended: 4/30/2019 html pdf


ASSEMBLY APPROPRIATIONS SUSPENSE, GONZALEZ, Chair Summary: Would require every large group health care service plan contract, including applicable

HMO contracts, or large group disability insurance policy that covers hospital, medical, or surgicalexpenses, issued, amended, or renewed on or after January 1, 2020, to provide coverage for thetreatment of infertility, including a maximum of 3 cycles of in vitro fertilization and mature oocytecryopreservation, to a lifetime maximum benefit of $75,000 paid at contracted rates per enrollee orinsured, as applicable.

Organization Position Subject Group CAHU Oppose CAHU TOP


Notes 1: CAHU is OPPOSED to AB 767 because the associated costs could devastate the smallgroup health insurance market, where employers are not required to provide coverage and aresensitive to price increases, and may elect to drop coverage for employees. The average cost offertility treatment is $22K per treatment and it takes an average of three treatments to beeffective. There is also concern that this bill could also lead to medical tourism in CA. FLB will report the analysis of CHBRP analysis being done on this bill.

http://analyses.chbrp.com/document/view.php?id=1410

"Expenditures. AB 767 would increase total net annual expenditures by $850,696,000 or 0.49%due to a $537,777,000 increase in total health insurance premiums, adjusted by decrease inenrollee expenses for covered and/or noncovered benefits.

a. Enrollees with uncovered expenses at baseline would receive on the whole a $133,897,000reduction in their out-of-pocket spending for covered and noncovered expenses.

b. Per member per month premiums would increase between $2.76 for enrollees in CalPERS HMOs(an increase of 0.47%) and $3.72 in the DMHC-regulated small group market (an increase of0.68%)."

AB 981 (Daly D) Insurance Information and Privacy Protection Act. Current Text: Amended: 4/30/2019 html pdf

Introduced: 2/21/2019 Last Amend: 4/30/2019 Status: 5/15/2019-From committee: Do pass. To Consent Calendar. (Ayes 16. Noes 0.) (May 15). Location: 5/15/2019-A. CONSENT CALENDAR Calendar: 5/16/2019 #17 ASSEMBLY SECOND READING FILE -- ASSEMBLY BILLS

Summary: Would eliminate a consumer’s right to request a business to delete or not sell theconsumer’s personal information under the California Consumer Privacy Act of 2018 if it isnecessary to retain or share the consumer’s personal information to complete an insurancetransaction requested by the consumer.



Notes 1: CAHU SUPPORTS AB 981 (Daly) when amends the Insurance Information and Privacy25

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Protection Act (IIPPA) to make it clear that entities governed by the IIPPA are not subject to theCalifornia Consumer Privacy Act of 2018 (CCPA). This will ensure continued consumer protection while avoiding different and conflicting standardswhich may work counter to the best privacy and security protection for consumers. If there areadditional consumer protections needed beyond those provided in the IIPPA, a much better solutionwould be to clarify such issues in the IIPA. Trying to reconcile the CCPA with a long standing and well-vetted insurance-specific law will resultin foreseeable legal conflicts, and jeopardize the critical balance achieved in current privacy andsecurity laws applicable to and strongly supported by insurers.

AB 1174 (Wood D) Health care: anesthesia services. Current Text: Amended: 3/25/2019 html pdf


ASSEMBLY APPROPRIATIONS SUSPENSE, GONZALEZ, Chair Summary: Would require a health care service plan, its delegated entity, or a health insurer to

notify the Department of Managed Health Care or the Insurance Commissioner before the expirationor plan-, entity-, or insurer-initiated termination of a contract pursuant to which anesthesia servicesare provided. The bill would require the Department of Managed Health Care or the InsuranceCommissioner to issue a finding that, at the expiration or termination of an anesthesia servicescontract initiated by a health care service plan, its delegated entity, or a health insurer, contractsare required to be in place with individual health professionals who are licensed by the state todeliver or furnish anesthesia services so that specified requirements are met.



Notes 1: CAHU is WATCHING AB 1174. This bill puts the responsibility on plans to have contractswith anesthesiologist but attempts to address a critical issue of provider shortages and exorbitantbalance billing practices which unfairly puts the consumer in the middle of contract disputes andreimbursement rates.

AB 1309 (Bauer-Kahan D) Health care coverage: enrollment periods. Current Text: Introduced: 2/22/2019 html pdf

Introduced: 2/22/2019 Status: 4/24/2019-In committee: Set, first hearing. Referred to APPR. suspense file. Location: 4/24/2019-A. APPR. SUSPENSE FILE Calendar: 5/16/2019 Upon adjournment of Session - State Capitol, Room 4202

ASSEMBLY APPROPRIATIONS SUSPENSE, GONZALEZ, Chair Summary: Would require a health care service plan and a health insurer, for policy years beginning

on or after January 1, 2020, to provide a special enrollment period to allow individuals to enroll inindividual health benefit plans through the Exchange from December 16 of the preceding calendaryear, to January 31 of the benefit year, inclusive.



Notes 1: CAHU SUPPORTS AB 1309 which helps agents by extending enrollment periods for 2020under which people may purchase health insurance through Covered California and the individualinsurance market.

AB 1529 (Low D) Telephone medical advice services. Current Text: Introduced: 2/22/2019 html pdf

Introduced: 2/22/2019 Status: 4/24/2019-Referred to Com. on B., P. & E.D. 26

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Location: 4/24/2019-S. B., P. & E.D. Summary: Would specify that a telephone medical advice service is required to ensure that all

health care professionals who provide telephone medical advice services from an out-of-statelocation are operating consistent with the laws governing their respective licenses. The bill wouldspecify that a telephone medical advice service is required to comply with all directions andrequests for information made by the respective healing arts licensing boards.



Notes 1: CAHU is in SUPPORT of AB 1529 which would conform rules for in state and out of statetelephone medical advice service providers which currently differ slightly from state to state. Thisbill also ensures staff members cannot claim or use a title or designation unless it is in compliancewith California law and the appropriate scope of practice.

AB 1611 (Chiu D) Emergency hospital services: costs. Current Text: Amended: 4/29/2019 html pdf


ASSEMBLY APPROPRIATIONS SUSPENSE, GONZALEZ, Chair Summary: Would require a health care service plan contract or insurance policy issued, amended,

or renewed on or after January 1, 2020, to provide that if an enrollee or insured receives coveredservices from a noncontracting hospital, the enrollee or insured is prohibited from paying more thanthe same cost sharing that the enrollee or insured would pay for the same covered servicesreceived from a contracting hospital. The bill would require a health care service plan or insurer topay a noncontracting hospital for emergency services rendered to an enrollee or insured pursuantto a specified formula, would require a noncontracting hospital to bill, collect, and make refunds in aspecified manner, and would provide a dispute resolution procedure if any party is dissatisfied withpayment.



Notes 1: CAHU is in SUPPORT of AB 1611 which bans hospitals from sending surprise bills topatients for emergency room care beyond their regular co-payment or deductible.

AB 1630 (Irwin D) Medical billing task force. Current Text: Introduced: 2/22/2019 html pdf

Introduced: 2/22/2019 Status: 4/26/2019-Failed Deadline pursuant to Rule 61(a)(2). (Last location was HEALTH on

3/18/2019)(May be acted upon Jan 2020) Location: 4/26/2019-A. 2 YEAR Summary: Would require OSHPD, in consultation with the Insurance Commissioner, to establish a

medical billing task force on or before April 1, 2020. The bill would require the task force to, amongother things, engage interested parties in the development of a system to improve the readability ofmedical bills and create a standard medical billing form. The bill would require OSHPD, on or beforeDecember 1, 2020, to submit a report to the Legislature on the task force’s efforts.



Notes 1: CAHU SUPPORTS AB 1630 which would lead to more transparency and consumerprotection by improving the readability of medical bills and creating a standard medical billingform.

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3-27-19 Staff reported this is a 2-year bill that will not be moving this year.

AB 1676 (Maienschein D) Health care: mental health. Current Text: Amended: 4/22/2019 html pdf


ASSEMBLY APPROPRIATIONS SUSPENSE, GONZALEZ, Chair Summary: Would require health care service plans and health insurers, by January 1, 2021, to

establish a telehealth consultation program that provides providers who treat children and pregnantand postpartum persons with access to a psychiatrist, as specified, in order to more quicklydiagnose and treat children and pregnant and postpartum persons suffering from mental illness.



Notes 1: CAHU supports AB 1676 because it creates more access to mental health services forpatients of obstetricians and pediatricians to assist in addressing maternal mental health issuesquicker than if the patient were required to travel to the nearest psychiatrist.

AB 1803 (Committee on Health) Pharmacy: healthcare coverage: claims for prescription drugssold for retail price.

Current Text: Introduced: 2/28/2019 html pdf

Introduced: 2/28/2019 Status: 5/9/2019-Read third time. Urgency clause adopted. Passed. Ordered to the Senate. In

Senate. Read first time. To Com. on RLS. for assignment. Location: 5/9/2019-S. DESK Summary: The Pharmacy Law requires a pharmacy to inform a customer at the point of sale for a

covered prescription drug whether the retail price is lower than the applicable cost-sharing amountfor the prescription drug, except as specified, and, if the customer pays the retail price, requires thepharmacy to submit the claim to the customer’s health care service plan or health insurer. This billwould instead make the provision requiring the pharmacy to submit the claim to the health careservice plan or health insurer operative on January 1, 2020. The bill would also repeal a provisionthat is similar to the provision being amended by the bill.



Notes 1: CAHU SUPPORTS AB 1803 which extends the operative date from January 1, 2019 toJanuary 1, 2020 for provisions of AB 2863 (Chaptered in 2018) which limited the amount a healthcarrier may require a beneficiary to pay at the point of sale for a covered prescription to the lowestavailable cost, whether it is the applicable cost-sharing amount or the retail price. It also requiredthe amount paid for a prescription to be applied to the beneficiary’s deductible and out-of-pocketmaximum if the beneficiary opts to pay the cash price. This would give pharmacies an additionalyear to update their administrative systems to comply with the pharmacy law that was signed byGov. Brown in August, 2018.

SB 65 (Pan D) Health care coverage: financial assistance. Current Text: Amended: 4/3/2019 html pdf

Introduced: 1/8/2019 Last Amend: 4/3/2019 Status: 5/10/2019-Set for hearing May 16. Location: 4/29/2019-S. APPR. SUSPENSE FILE Calendar: 5/16/2019 Upon adjournment of Session - John L. Burton Hearing Room (4203)

SENATE APPROPRIATIONS SUSPENSE, PORTANTINO, Chair Summary: Would require the California Health Benefit Exchange, only to the extent that the

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http://sd06.senate.ca.gov/

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Legislature appropriates funding for these purposes, to administer a program of financialassistance, to be known as the Affordable Care Access Plus Program, to help low-income andmiddle-income Californians access affordable health care coverage with respect to individualcoverage that is made available through the Exchange. The bill would require the program toprovide financial assistance to California residents with household incomes below 600% of thefederal poverty level, and would authorize the program to provide other appropriate subsidiesdesigned to make health care more accessible and affordable for individuals and households.


PRIORITYBILL

Notes 1: CAHU is closely WATCHING SB 65 which provides financial assistance to low and middleincome individuals to make insurance more affordable through Covered California by expandingexisting subsidies. While this additional coverage is a benefit to an additional 650k Californians, italso places strain on the small group market, where insurance is provided voluntarily by employers,by creating additional incentive to join the individual market, which is less stable and providesfewer healthcare options and providers for consumers. Members also noted need to address the "family glitch" in small group, employer sponsoredcoverage. This bill is the Senate version of AB 174.

SB 129 (Pan D) Health care coverage reporting. Current Text: Amended: 2/26/2019 html pdf

Introduced: 1/10/2019 Last Amend: 2/26/2019 Status: 5/6/2019-Referred to Com. on HEALTH. Location: 5/6/2019-A. HEALTH Summary: Current law requires a health care service plan or health insurer that covers individuals,

small groups, large groups, or administrative services only business lines to report the number ofcovered lives by product type to the Department of Managed Health Care or the Department ofInsurance. Current law requires the Department of Managed Health Care and the Department ofInsurance to publicly report that data, including posting that data on each department’s internetwebsite. This bill would expand those health care service plan and health insurer reportingrequirements to include any other business lines.


PRIORITYBILL

Notes 1: CAHU is closely WATCHING SB 129 which requires existing annual health plan andinsurer enrollment reporting to include enrollment data for products sold inside and outside ofCovered California, any other business lines, and multiple employer welfare arrangements. The billalso requires the California Department of Insurance and the Department of Managed Health Careto publicly report annual enrollment data no later than April 15th of each year.

SB 175 (Pan D) Health care coverage: minimum essential coverage. Current Text: Amended: 4/3/2019 html pdf


SENATE APPROPRIATIONS SUSPENSE, PORTANTINO, Chair Summary: Would create the Minimum Essential Coverage Individual Mandate to require a

California resident to ensure that the resident, and any dependent of the resident, is covered underminimum essential health coverage, as defined, for each month beginning on January 1, 2020,except as specified. The bill would require the Exchange to grant exemptions from the mandate forreason of hardship or religious conscience, and would require the Exchange to establish a processfor determining eligibility for an exemption.

Organization Position Subject Group CAHU Re-Check CAHU TOP29

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Notes 1: Please review 4-3-19 amends

CAHU is in SUPPORT (L3) of SB 175 which would create a state level individual mandate forindividuals and their dependents not possessing minimum essential coverage. There are still many variables that are yet to be determined, such as the amount on the penalty,and what the impact of implementation may be on the overall price of premiums. FLB is getting afactsheet and gathering the additional information the Leg. Committee requested 3-12-19 at BillReview. Will report additional information. This is the Senate version of AB 414 which CAHU is WATCHING

SB 260 (Hurtado D) Automatic health care coverage enrollment. Current Text: Amended: 3/26/2019 html pdf


SENATE APPROPRIATIONS SUSPENSE, PORTANTINO, Chair Summary: Would require the Exchange, beginning no later than July 1, 2020, to enroll an

individual in the lowest cost silver plan or another plan, as specified, upon receiving the individual’selectronic account from a county, or upon receiving information from the State Department ofHealth Care Services regarding an individual terminated from department-administered healthcoverage. The bill would require enrollment to occur before Medi-Cal coverage or coverageadministered by the State Department of Health Care Services is terminated, and would prohibit thepremium due date from being sooner than the last day of the first month of enrollment.


PRIORITYBILL

Notes 1: CAHU is WATCHING SB 260 which requires Covered California to enroll an individual orindividuals who are determined ineligible for Medi-Cal in the lowest cost silver plan upon receipt ofinformation from a county unless Covered California has information that another plan is moreappropriate. The bill also requires a health plan or insurer to annually notify an enrollee, subscriber,policy holder, or certificate holder when they cease to be enrolled in coverage, their contactinformation will be provided to Covered California to assist them in obtaining other coverage, orthat they may opt out of this transfer of information. There are issues with the agent of origin. Ask the author if they intend to recognize the originalenrollment entity? (-) As drafted it is impossible to select coverage.

SB 441 (Galgiani D) Electronic health records: vendors. Current Text: Amended: 3/25/2019 html pdf

Introduced: 2/21/2019 Last Amend: 3/25/2019 Status: 4/26/2019-Failed Deadline pursuant to Rule 61(a)(2). (Last location was HEALTH on

3/7/2019)(May be acted upon Jan 2020) Location: 4/26/2019-S. 2 YEAR Summary: Would enact the California Interoperability Enforcement Act to regulate electronic health

record vendors operating in California. The bill would require the Office of Health InformationIntegrity to review federal law and policy for opportunities to regulate electronic health recordvendors and to establish an interoperability enforcement structure. The bill would require the officeto promulgate regulations for this purpose. The bill would establish a Complaint and TechnicalAssistance Division within the office and the Interoperability Enforcement Fund, which would beavailable, upon appropriation, to fund the administration of these provisions.


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BILL, Priority3

Notes 1: CAHU SUPPORTS SB 441 which would help insure the ability of health care providers toquickly and appropriately access health related information across different health care settings.We believe this would limit excessive charging and opportunistic pricing that hinders a health careproviders ability to clearly and efficiently exchanging information pertaining to our clients health.

SB 522 (Hertzberg D) Taxation. Current Text: Introduced: 2/21/2019 html pdf

Introduced: 2/21/2019 Status: 3/7/2019-Referred to Com. on RLS. Location: 2/21/2019-S. RLS. Summary: Current law imposes various taxes, including sales and use taxes and income taxes.This

bill would make legislative findings regarding the need for further efforts to modernize andrestructure the state’s tax system and would state the intent of the Legislature to enact legislationthat would accomplish specified purposes, including realigning the state’s outdated tax code withthe realities of California’s 21st century economy.

Organization Position Subject Group CAHU Oppose CAHU TOP


Notes 1: CAHU OPPOSES SB 522, which proposes to establish a first-time sales tax on services,including services provided by independent health insurance agents.

SB 639 (Mitchell D) Medical services: credit or loan. Current Text: Amended: 4/11/2019 html pdf

Introduced: 2/22/2019 Last Amend: 4/11/2019 Status: 5/7/2019-Read second time. Ordered to third reading. Location: 5/7/2019-S. THIRD READING Calendar: 5/16/2019 #29 SENATE SENATE BILLS -THIRD READING FILE

Summary: Current law prohibits a healing arts licensee, as defined, or an employee or agent ofthat licensee from charging treatment or costs to an open-end credit or loan extended by a thirdparty that is arranged for or established in the licensee’s office before the date on which thetreatment is rendered or costs are incurred without first providing a specified written treatmentplan, a specified written or electronic notice, and a specified list of which treatment and services arebeing charged. This bill would also prohibit a licensee or employee or agent of that licensee fromcharging treatment or costs to an open-end credit or loan that is extended by a third party and thatis arranged for, or established in, that licensee’s office before the date on which the treatment isrendered or costs are incurred without providing that plan or list.



Notes 1: CAHU SUPPORTS (L3) SB 639 which would protect consumers that opt for a treatment,but still either have questions, doubts or time restrictions regarding their treatment. This bill wouldinsure that credit and interest are not being charged in the lead time for treatment program.

SB 737 (Jones R) Insurance: electronic transmission. Current Text: Introduced: 2/22/2019 html pdf

Introduced: 2/22/2019 Status: 5/3/2019-Failed Deadline pursuant to Rule 61(a)(3). (Last location was INS. on 3/14/2019)

(May be acted upon Jan 2020) Location: 5/3/2019-S. 2 YEAR Summary: Current law authorizes an insurer to provide notices of insurance transactions by

electronic transmission, if the insurer complies with specified requirements, including that theinsurer acquires the consent of the person to opt in to receive the notice by electronic transmission.Current law, until January 1, 2021, requires a licensee who is required to transmit a record by amethod of delivery evidencing actual receipt by the person, and who transmits that recordelectronically, to maintain a process or system that demonstrates proof of delivery and actual31

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https://berryhill.cssrc.us/

https://ctweb.capitoltrack.com/Bills/19Bills/sen/sb_0501-0550/sb_522_99_I_bill.htm

https://ctweb.capitoltrack.com/Bills/19Bills/sen/sb_0501-0550/sb_522_99_I_bill.pdf

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https://jones.cssrc.us/





receipt of the record. Under Current law, until January 1, 2021, a licensee who transmits a notice oflapse, nonrenewal, cancellation, or termination of an insurance product electronically is alsorequired to demonstrate that proof of delivery. This bill would delete the January 1, 2021, repealdate, making those proof of delivery and actual receipt requirements apply indefinitely.



Notes 1: CAHU SUPPORTS (L3) SB 737 which removes the pending sunset of 2021 on existing lawthat allows for insurance companies to communicate electronically to the agent or the client if theyopt in. CAHU supports opt in digital communication because it promotes efficiency and lessenscosts.

SB 746 (Bates R) Health care coverage: anticancer medical devices. Current Text: Introduced: 2/22/2019 html pdf

Introduced: 2/22/2019 Status: 5/14/2019-Read second time. Ordered to third reading. Location: 5/14/2019-S. THIRD READING Calendar: 5/16/2019 #57 SENATE SENATE BILLS -THIRD READING FILE

Summary: Would require health care service plan contracts and health insurance policies issued,amended, or renewed on or after January 1, 2020, that cover chemotherapy or radiation therapyfor the treatment of cancer to also cover anticancer medical devices. The bill would define“anticancer medical device” as a medical device that has been approved for marketing by thefederal Food and Drug Administration or is exempt from that approval, is primarily designed to beused outside of a medical facility, and has been prescribed by an authorized provider upon theprovider’s determination that the device is medically reasonable and necessary for the treatment ofthe patient’s cancer.



Notes 1: CAHU SUPPORTS (L3) SB 746 which would include anticancer devices as a part ofcovered cancer treatment. This would provide an extension/clarification of what is assumed to becoverage in place for consumers. Too often, when cancer patients are being told their options, ananticancer device is brought to their attention that they want to utilize, only to find out it is notcovered.

Report findings from CHBRP analysis

Priority 1/Key Bill- Submit a letter outlining CAHU’s position to the author and in official legislative records. Testify incommittees and lobby key staff and legislators at every opportunity. Submit letter to the Governor asking for asignature or veto. Communicate frequent updates to CAHU leadership and membership on efforts relating to all of theabove. Priority 2- Submit a letter outlining CAHU’s position to the author and for official legislative records. Testify incommittees and lobby key staff and legislators when time permits. Submit letter to the Governor asking for a signatureor veto. Communicate significant updates to CAHU leadership and membership on substantive changes. Priority 3- CAHU supports/opposes in concept and may join a coalition aligned with our perspective but staff time willnot be allocated to generating letters or lobbying efforts. Watch- Bill is monitored for amendments and is tracked for any movement through the legislative process. Changesare reported to leadership in a prompt time frame. Most frequently used when bills are spot or intent language andawaiting further amendments Total Measures: 28Total Tracking Forms: 28 5/16/2019 9:39:56 AM

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http://district36.cssrc.us/



The California Association of Health Underwriters CAHU is the state’s largest association of health insurance agents, brokers and other health insurance industry professionals. Our members help millions of individual Californians, families and businesses evaluate, select, purchase, and use their health care coverage plans. Our agents and brokers also serve as consumer advocates for policyholders and their families year round to help with questions and if coverage disputes arise - all at no additional cost to the

consumer. AB 1309 • Bauer- Kahn (Orinda) - SUPPORT Health care coverage: enrollment periods CAHU SUPPORTS AB 1309 which extends the enrollment periods for individuals both on and off of the California Health Benefits Exchange (Covered California) in 2020 from October 15, 2019 through January 31, 2020. Extending special enrollment into January allows agents to reach more consumers and get them enrolled during a very busy time of year – the Holiday season. Further, AB 1309 gives agents and brokers the opportunity to adequately help mitigate the harmful impacts on consumers from ongoing rate increases, and uncertainty due to constant changes at the federal level. CAHU has been an active stakeholder, supporter and participant with Covered California and as a result, the percentages of those who are uninsured are at record lows. It is important to note that licensed, certified health insurance agents contributed in large part to this success story, having helped millions of Californians find and keep affordable health care coverage. It is critical that California continues to enact good policy such as AB 1309, to continue a healthy risk mix, competitive marketplace and decreases in the number of the uninsured. AB 5 • Gonzalez (San Diego) - SUPPORT Employees and independent contractors CAHU SUPPORTS AB 5 which exempts certain industries/professions, including insurance agents, brokers and licensed insurance organizations from the application of the Dynamex Operations West v. Superior Court (Dynamex) decision. This clarification is extremely important to the health insurance industry, as the sales force has traditionally consisted of independent contractors, whether they are independent insurance agents and brokers or businesses licensed as direct sellers of insurance products. Agents and brokers maintain their own offices, purchase their own insurance, most often own their renewals, hire employees, and pay employment taxes. The Dynamex decision and the new ABC Test challenges these arrangements as it would be virtually impossible for insurance companies who appoint agents, brokers and licensed organizations as their sales and service representatives to overcome the B portion of the ABC Test. The B provision requires that the worker performs work that is outside the usual course of the hiring entity’s business, however, both insurance companies and their representatives are in the business of selling insurance. Without the clarification provided by AB 5, these entities would face a challenging situation legally to overcome the presumption of being an employee as set forth in the court’s decision in the Dynamex case.

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CAHU is in support of several legislative efforts to further reduce the unfair practice of balance billing which can put consumers in the middle of contract disputes between providers and health plans or insurers. As medical necessity and coverage options change, CAHU members provide ongoing service and support for clients to effectively adjust and utilize their healthcare coverage. Through these efforts, we see firsthand the importance for our clients to have clear coverage options without the confusion and financial instability that balance billing creates. “Balance Billing” or “Surprise Billing” sometimes occurs when an insured consumer receives emergency care from a health care provider that is out-of-network. After a health plan or insurer reimburses the provider, the provider, i.e., (air) ambulance providers or anesthesiologists, seeks the “balance” of what they want to be paid and what insurer will pay, from the consumer. Since consumers often don’t know that a provider working at their network hospital or an emergency response entity is out-of-network, these large bills are often a “surprise” out-of-pocket bill and can be tens of thousands of dollars. History Chaptered in 2016, CAHU SUPPORTED AB 72 which restricted the practice of balance billing. However, AB 72 did not apply to an estimated 7 million Californians covered by federally-regulated and self-insured plans or to care received in the emergency room. AB 651 • Grayson (Concord) - SUPPORT Air Ambulance Services CAHU SUPPORTS AB 651 which would require a health plan contract or insurance policy to provide that an insured consumer would not owe a non-contracting air ambulance provider more than the in-network copayment amount for services beginning January 1, 2020. This would protect injured consumers from very expensive out-of-pocket bills. In response to medical bills that have run as high as $60,000 per flight, AB 651 is necessary to address exorbitant medical bills and the problem of “surprise billing.” This bill is a constructive step towards representing injured Californians who are often left in the middle of billing disputes for services that were most often out of their control. AB 651 will also increase Medi-Cal reimbursement rates for emergency air ambulance providers. Without this legislation, reimbursement will revert back to 1993 levels which the California Association of Air Medical Services (Cal-AAMS), the sponsor of this bill, states would be devastating and could restrict access to critical medical care for the most vulnerable. AB 1611 • Chiu (San Francisco) - SUPPORT Emergency hospital services: costs CAHU SUPPORTS AB 1611 which require a health plan or insurer, on or after January 1, 2020, to charge patients only their regular co-payment, deductible or cost sharing for any emergency room care in or out-of network. This bill also closes the loophole that leaves workers with self-insured or federally-regulated coverage through their job exposed to surprise bills. AB 1611 also prohibits hospitals from charging more than the average contracted rate on a fee-for-service basis for the same or similar hospital services in the general geographic region, for emergency care or poststabilization care.

• 2520 Venture Oaks Way #150 • Sacramento, CA 95833 • 800/322-5934 • www.cahu.org •

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http://www.cahu.org/

CAHU PAC LOCAL CHAPTER CONTRIBUTION GOALS AND YEAR-TO-DATE PROGRESS

AS OF

4/30/2019

Chapter

Contributions

# Members

from NAHU

roster as o April

2018

Funding

Per

Member

(Goal)

# of Members

Contributing

This Month

16-17 Fund

Raising Target

Current Month

Funds Raised 4/1/19

through 4/30/19

YTD $ raised per

contributor

% of Members

Contributing % of Goal

Current Year to

Date Funds

Raised 7/1/18 -

4/30/19

Prior Year to

Date Funds

Raised 7/1/17-

4/30/18

Current Year

to Prior Year

Comparison

Money Raised

for Issues PAC

Central California 130 175.00$ 9 22,750.00$ 437.00$ 552.78$ 6.9% 21.9% 4,975.00$ 4,061.00$ 123% $0.00

Desert Cities 52 175.00$ 6 9,100.00$ 87.00$ 109.83$ 11.5% 7.2% 659.00$ 540.00$ 122% $0.00

Golden Gate 200 175.00$ 16 35,000.00$ 542.00$ 436.94$ 8.0% 20.0% 6,991.00$ 19,066.00$ 37% $0.00

Inland Empire 171 175.00$ 17 29,925.00$ 434.00$ 287.41$ 9.9% 16.3% 4,886.00$ 6,622.00$ 74% $0.00

Los Angeles 398 175.00$ 18 69,650.00$ 878.00$ 637.17$ 4.5% 16.5% 11,469.00$ 23,092.00$ 50% $0.00

North Coast 72 175.00$ 4 12,600.00$ 291.00$ 502.75$ 5.6% 16.0% 2,011.00$ 721.00$ 0% $0.00

North Valley 43 175.00$ 9 7,525.00$ 415.00$ 454.67$ 20.9% 54.4% 4,092.00$ 5,543.00$ 74% $0.00

Orange County 334 175.00$ 16 58,450.00$ 629.00$ 424.25$ 4.8% 11.6% 6,788.00$ 7,030.00$ 97% $0.00

Sacramento 220 175.00$ 11 38,500.00$ 380.00$ 437.91$ 5.0% 12.5% 4,817.00$ 3,825.00$ 126% $0.00

Santa Barbara 45 175.00$ 3 7,875.00$ 121.00$ 514.33$ 6.7% 19.6% 1,543.00$ 2,678.00$ 58% $0.00

San Diego 240 175.00$ 31 42,000.00$ 1,073.00$ 343.45$ 12.9% 25.4% 10,647.00$ 17,653.00$ 60% $0.00

Silicon Valley 167 175.00$ 12 29,225.00$ 535.00$ 435.58$ 7.2% 17.9% 5,227.00$ 7,624.00$ 69% $0.00

Ventura 79 175.00$ 10 13,825.00$ 861.00$ 975.65$ 12.7% 70.6% 9,756.50$ 5,508.50$ 177% $0.00

CAHU -$ 11,360.00$ 11,360.00$

TOTALS 2151 162 376,425.00$ 6,683.00$ 526.06$ 9.0% 22.6% 85,221.50$ 99,902.50$ 85% $0.00

58 Auto Checking $2,383.00

Net Worth as of

4/30/19

101 Credit Cards $3,789.00 $54,896.10 All Purpose Account

3 One-Time $571.00 $0.00 Restricted Use Account

162 Total $6,743.00 $24,948.30 G.P. Issues Account

$79,844.40 Total Net Worth

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agenda meeting description: cahu board of directors date ......a chapter challenge. cahu website...

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