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New bill would expand OCA reporting and add private equity, health systems and MSOs to oversight
Summary
OCA staff told the advisory committee that Assembly Bill 1415 (AB 1415), introduced by Assemblymember Mia Bonta and sponsored by Health Access, would expand the entities subject to the spending growth law and require additional pre‑transaction reporting from private equity, hedge funds and transaction‑specific entities.
OCA staff briefed the committee on AB 1415, a bill introduced this legislative session that would change who is covered by the state spending‑growth law and who must notify OCA of proposed mergers and acquisitions.
The director’s office said AB 1415 would add “healthcare systems” and management services organizations (MSOs) to the definition of entities subject to OCA’s spending growth target statute and would allow OCA to collect data at the health‑system level. The bill would also add private equity groups, hedge funds and newly created entities formed for a transaction to the list of parties required to provide notice to OCA before a proposed merger or acquisition takes effect.
OCA staff characterized the additions as a response to concerns that complex deals and newly formed acquisition vehicles can obscure who ultimately controls price‑setting and market power. The bill is moving through the legislative process; staff framed the committee briefing as an early update for advisory members.
The committee did not take formal action on the bill during the meeting. Staff said they would continue monitoring legislative progress and report back to the board and advisory committee as the bill moves through the session.
