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CA AB384
Bill
Status
2/2/2026
Primary Sponsor
Damon Connolly
Click for details
AI Summary
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Prohibits health care service plans and health insurers from requiring prior authorization for medically necessary inpatient admissions for mental health disorders, substance use disorders, or co-occurring conditions, effective January 1, 2027
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Eliminates prior authorization requirements for all medically necessary health care services provided during inpatient stays for mental health and substance use treatment
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Applies the same prior authorization prohibitions to the Medi-Cal program, contingent on federal financial participation and necessary federal approvals
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Defines qualifying "24-hour care in inpatient settings" to include general acute care hospitals, acute psychiatric hospitals, psychiatric health facilities, chemical dependency recovery hospitals, and psychiatric residential treatment facilities
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Authorizes the Department of Managed Health Care, Insurance Commissioner, and Department of Health Care Services to impose administrative penalties, civil penalties, sanctions, or contract terminations for violations
Legislative Description
Health care coverage: mental health and substance use disorders: inpatient admissions.
Last Action
From committee: Filed with the Chief Clerk pursuant to Joint Rule 56.
2/2/2026