(a) The council shall prepare an analysis and evaluation, known as a feasibility analysis, to determine the feasibility of a public health insurance plan option to increase competition and choice for health care consumers.

(b) At a minimum, the feasibility analysis shall include all of the following:

(1) An actuarial and economic analysis of a public health insurance plan.

(2) A plan to expand the participation of public health plans, including state-licensed county organized health systems and local health plans.

(3) A state developed public health insurance plan.

(4) A list of necessary federal waivers for a state-developed public health insurance plan.

(5) A discussion of potential funding and state costs for a public health insurance plan.

(6) An analysis of the extent to which a new public health insurance plan option could address the underlying factors that limit health plan choices in some regions.

(c) In developing the feasibility analysis, the council shall consult with key stakeholders, including, but not limited to, consumer advocates, health care providers, and health plans, including, but not limited to, county organized health systems and local health plans.

(d) (1) The council shall submit the feasibility analysis to the Legislature and the Governor on or before October 1, 2021. The feasibility analysis shall be submitted in compliance with Section 9795 of the Government Code.

(2) The council shall provide an update detailing its progress in developing the feasibility analysis to the Governor and the health committees of the Senate and the Assembly on or before January 1, 2020, and shall update those committees every six months thereafter.

(e) This section does not authorize the council to apply for a waiver under Section 1332 of the federal Patient Protection and Affordable Care Act (Public Law 111-148), as amended by the federal Health Care and Education Reconciliation Act of 2010 (Public Law 111-152), and any amendments to, or regulations or guidance issued under, those acts.

(Added by Stats. 2018, Ch. 677, Sec. 2. (AB 2472) Effective January 1, 2019.)