What are the legal requirements for health care public disclosure?

In California, health care public disclosure is regulated by the Department of Health Care Services (DHCS). Health care public disclosure refers to the requirement that health care providers, facilities, and insurers publicly disclose certain information. Under the law, providers and facilities must disclose information to the public that includes their licenses, certifications, and accreditations; ownership; audited financial statements; and certain information about quality and safety. Insurers must disclose their rates, benefits, and coverage limitations. In addition, health care providers and facilities must disclose information to patients, including the provider’s license and qualifications, the facility’s services, any possible conflicts of interest, and any other information that could help the patient make an informed decision about their care. Finally, providers, facilities, and insurers must also disclose information to other health care providers and insurers relating to patient care, such as the patient’s diagnosis and treatment. This information must be shared in a timely fashion, and it cannot be used for marketing or advertising purposes or to solicit business. The DHCS is responsible for enforcing public disclosure rules and penalties can be imposed on any health care provider or facility that is found to be in violation. Patients also have the right to file a complaint with the DHCS if they believe a health care provider or facility has violated public disclosure rules.

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