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CA AB1926

Bill

Status

Engrossed

5/21/2024

Primary Sponsor

Damon Connolly

Click for details

Origin

State Assembly

2023-2024 Session

AI Summary

  • Requires health care service plan contracts and disability insurance policies issued or renewed on or after July 1, 2025, to provide coverage for dietary enteral formulas for treatment of regional enteritis.

  • Dietary enteral formulas must be prescribed by a licensed physician or nurse practitioner and deemed medically necessary to prevent serious physical or mental disabilities or promote normal development.

  • Excludes Medi-Cal managed care plans from coverage requirements to the extent services are excluded under their contracts with the State Department of Health Care Services.

  • Defines "dietary enteral formula" as enteral formulas that may be taken orally at home and are prescribed for treatment of regional enteritis by authorized health care providers.

  • Specifies no state reimbursement to local agencies or school districts is required under the California Constitution.

Legislative Description

Health care coverage: regional enteritis.

Last Action

In committee: Held under submission.

8/15/2024

Committee Referrals

Appropriations6/13/2024
Health5/29/2024
Rules5/22/2024
Appropriations4/3/2024
Health2/5/2024

Full Bill Text

No bill text available