« BACK TO HUB
PROTOCOL // STATUTORY FRAMEWORK

THE KNOX-KEENE ACT

"The California law that gives Medi-Cal members enforceable rights — and the one health plans hope you never read."

California Health & Safety Code §§ 1340–1399.818

The Knox-Keene Health Care Service Plan Act of 1975 is California's primary law governing managed care health plans — including Medi-Cal plans like L.A. Care, Anthem Blue Cross, and Molina Healthcare. It is enforced by the Department of Managed Health Care (DMHC).

SECTION 1368

The 72-Hour Rule

When a member faces an "imminent and serious threat to their health," the plan must provide an expedited grievance resolution within 72 hours. Stalling is a violation.

SECTION 1367

Network Adequacy

Health plans must ensure their network of providers is sufficient to provide services in a timely manner. "Ghost networks" are a direct violation of this mandate.

If the Plan Ignores You:

  • Direct DMHC Access: You do not have to wait 30 days for a grievance if the threat is imminent (H&S Code § 1368.01).
  • Independent Medical Review (IMR): You have the right to an external review if the plan denies a service as "not medically necessary."
  • Reimbursement (Conlan): If the plan's network failure forces you to pay out-of-pocket, you have a right to reimbursement at the Medi-Cal rate.
REAL-WORLD APPLICATION

The Case for Accountability

The investigation documented on this site — Case #26AVSC00192 — arose directly from an L.A. Care Health Plan failure to comply with Health & Safety Code § 1368.01(b).

HISTORICAL CONTEXT
L.A. Care was under a state-monitored corrective action plan following a $55 million settlement with DMHC and DHCS in October 2024 for systemic failures.