AB 792

This bill requires the commissioner of insurance to determine the sufficiency

of the network of providers of a defined network plan or preferred provider plan to

ensure that all covered services are accessible to enrollees without unreasonable

travel or delay. Defined network plans and preferred provider plans are types of

managed care organizations that provide health care benefits to their enrollees. The

bill authorizes the commissioner to require a plan to make accommodations for

enrollees to obtain covered services if the plan's network is insufficient. The bill also

specifies factors that the commissioner may consider when determining whether a

plan's network is sufficient.