Insurance and Healthcare Reform Committee
Updated June, 2016
The Insurance and Healthcare Reform Committee shall present ideas for CAMFT
to consider for implementation on ways to approach insurance companies and
managed care plans with issues affecting the membership and/or the mental
health field without violating antitrust laws.
The Insurance and Healthcare Reform Committee is prohibited from doing the
- Engaging in discussions or agreements about professional fees, fee policies,
pricing methods, or any other issues concerning fees.
- Engaging in discussions or agreements about managed care reimbursement
rates. ? Engaging in discussions or agreements about managed care reimbursement
and managed care contract terms related to reimbursement rates.
- Engaging in discussions or agreements about a boycott of managed care
plans, termination of managed care plan contracts, or collective appeals
care plans. ? Engaging in discussions or agreements about the retention
or refusal to deal with other providers, businesses, or vendors.
- Engaging in discussions or agreements about division of markets, territories,
clients, or practice areas.
The Insurance and Healthcare Reform Committee shall be comprised of a no less
than three (3) and up to five (5) members, a majority of whom shall be clinical
members and one of whom shall be a member of the CAMFT Board of Directors.
All Committee members shall have been members of the Association for at least
two (2) years prior to appointment. A chair of the Committee shall be elected
by the Committee members. Diversity in committee composition is desired.
Committee members are appointed by and serve at the pleasure of the CAMFT Board
of Directors for a term of one (1) year. A member may serve as Chair for
up to two (2) years, if re-appointed.
The Insurance and Healthcare Reform Committee shall meet up to two (2) times
a year, via tele/video conference.
- Knowledge of and experience with managed care organizations
- Understanding of Anti-Trust law
- Committee members are required to sign: Committee Member Participation
Agreement, Conflict of Interest Policy, Anti-Trust Compliance Policy, and
Consent to Electronic