This division shall be known and may be cited as the Adult Health Coverage Expansion Program.
Chapter 1General Provisions
Section § 131500
This section names the division as the Adult Health Coverage Expansion Program.
Adult Health Coverage Coverage Expansion Health Program Healthcare Access Adult Healthcare Californian healthcare Coverage Policy Healthcare Benefits Insurance Expansion Health System Public Health Initiative Healthcare Services Health Coverage Healthcare Support Health Policy
Section § 131501
This law aims to establish a pilot program to offer health care coverage to eligible adults living and working in Santa Clara County who currently lack any form of health insurance.
It is the intent of the Legislature that the Adult Health Coverage Expansion Program provide health care coverage on a pilot program basis to eligible adults domiciled and employed in Santa Clara County who are without health care coverage.
Adult Health Coverage Expansion Program Santa Clara County health care coverage pilot program eligible adults uninsured adults domiciled employed health insurance coverage eligibility Legislature intent health care access pilot basis program benefits local health initiative
Section § 131502
This section provides definitions for terms used in this part of the law. A "local initiative" refers to a definition from the Insurance Code. The "program" is defined as the Adult Health Coverage Expansion Program. A "small business" is a company in Santa Clara County with 50 or fewer employees, where at least 35% earn less than 350% of the federal poverty level. This business must not have offered health insurance involving significant employer contributions for at least a year. Individual franchise outlets are also considered small businesses under certain conditions.
The following definitions apply for purposes of this division:
(a)CA Health and Safety Code § 131502(a) “Local initiative” has the same meaning as set forth in Section 12693.08 of the Insurance Code.
(b)CA Health and Safety Code § 131502(b) “Program” means the Adult Health Coverage Expansion Program.
(c)CA Health and Safety Code § 131502(c) “Small business” means an entity located in Santa Clara County that employs 50 or fewer persons, with at least 35 percent of the employees
earning less than 350 percent of the federal poverty level for a family size of one, and that has not offered health care coverage to its employees for, at minimum, 12 consecutive months, provided that the provisions of any such prior coverage required the employer to contribute at least 50 percent of the total amount of the premium for that coverage. For purposes of the program authorized by this division, a small business shall be a “small employer” pursuant to Article 3.1 (commencing with Section 1357) of Chapter 2.2 of Division 2, subject to the provisions and exceptions of this division. Notwithstanding the company affiliation and tax filing provision of paragraph (1) of subdivision (l) of Section 1357, an individual franchise outlet shall be considered a small business.
Adult Health Coverage Expansion Program local initiative small business definition Santa Clara County employee earnings threshold federal poverty level health care coverage employer contribution individual franchise outlet small employer insurance coverage history business qualifications employee count requirement Article 3.1 of Chapter 2.2
