CA SB175

Repeals existing Section 1367.001 of the Health and Safety Code that tied prohibition on lifetime and annual limits in health plans to federal law requirements only.

Adds new Section 1367.001 prohibiting individual and group health care service plan contracts from establishing lifetime or annual limits on dollar value of benefits for enrollees, effective indefinitely rather than only as required by federal law.

Allows group health care service plan contracts to place annual or lifetime limits on specific covered benefits that are not essential health benefits, as permitted under federal or state law.

Exempts health care service plan contracts for Medi-Cal, Medi-Cal Access Program, and California Major Risk Medical Insurance Program from the lifetime and annual limits prohibition.

Specifies that no state reimbursement is required for local agencies or school districts because any costs result from changes to criminal penalties under existing law.