Section 1347.5 Of Article 2. Administration From California Health And Safety Code >> Division 2. >> Chapter 2.2. >> Article 2.
1347.5
. (a) A health care service plan providing individual
coverage in the Exchange shall cooperate with requests from the
Exchange to collaborate in the development of, and participate in the
implementation of, the Medi-Cal program's premium and cost-sharing
payments under Sections 14102 and 14148.65 of the Welfare and
Institutions Code for eligible Exchange enrollees.
(b) A health care service plan providing individual coverage in
the Exchange shall not charge, bill, ask, or require an enrollee
receiving benefits under Section 14102 or 14148.65 of the Welfare and
Institutions Code to make any premium or cost-sharing payments for
any services that are subject to premium or cost-sharing payments by
the State Department of Health Care Services under Section 14102 or
14148.65 of the Welfare and Institutions Code.
(c) For purposes of this section, "Exchange" means the California
Health Benefit Exchange established pursuant to Title 22 (commencing
with Section 100500) of the Government Code.