Summary

This bill would authorize the creation of the Adult Health Coverage Expansion Program as a
pilot program in Santa Clara County that would be administered by the county or a local initiative in the county if the county elects to participate in the program.
The program would provide health care coverage to eligible employees, as specified, of a small business, as defined, that participates in the program, not to exceed 5,000 employees

Background

Existing law requires a health care service plan and a health insurer to fairly and affirmatively offer, market, and sell its contract or its policy, as specified, to small employers, as defined.
Existing law also provides for a local initiative, which is defined as a prepaid health plan organized by a county government or by
stakeholders to provide comprehensive health care to eligible Medi-Cal beneficiaries.

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