Regulation - California Association of Health Plans

Regulation

The California Association of Health Plans is active in a variety of state regulatory activities. California state government agencies submit hundreds of proposed actions each year to adopt, amend, and repeal regulations. CAHP follows the regulatory actions of the California Department of Managed Health Care (DMHC), the California Department of Health Care Services (DHCS), the Office of the Patient Advocate (OPA), Covered California, and the Centers for Medicare and Medicaid Services (CMS).

The following links provide more information on the government agencies that regulate health plans.

Health Plan Regulators

Pending Regulations

Health Plan Statutes

Knox-Keene Act
Code of Federal Regulations
- Title 42 of the Code of Federal Regulations are the CMS rules, which are very relevant to health plans
California Code of Regulations
- Titles 10, 22, and 28 of the California Code of Regulations are most relevant to health plans
- In Title 10, you can find rules regarding MRMIB programs (HFP, AIM, and MRMIP)
- In Title 22, you can find DHCS/Medi-Cal rules
- Title 28 is rules for managed care plans (DMHC)

Latest News

CAHP Press Release - CAHP Issues Statement on Governor's January 2023-2024 State Budget

January 11, 2023

CAHP Fact Sheet: California's Health Care Dollar

January 5, 2023

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