AB 3175: Health care coverage: dental services.
- Session Year: 2023-2024
- House: Assembly
- Latest Version Date: 2024-02-16
Current Status:
Failed
(2024-02-17: From printer. May be heard in committee March 18.)
Introduced
In Committee
First Chamber
In Committee
Second Chamber
Enacted
What does this bill do?
This bill makes minor wording changes to a law that bars health care service plans (including dental plans) from imposing dental waiting periods in large-group plans or preexisting-condition exclusions for any plan. It mainly updates definitions and replaces phrases like "preceding" with "before" and removes an unnecessary "shall" without changing the law's substance.
The summary is provided by generative AI which can make mistakes. For original language, please view the details in the table below.
Existing law, the Knox-Keene Health Care Service Plan Act of 1975, provides for the licensure and regulation of health care service plans by the Department of Managed Health Care and makes a willful violation of the acts requirements a crime. Existing law imposes specified coverage and disclosure requirements on health care service plans, including specialized plans, that cover dental services. Existing law, on and after January 1, 2025, prohibits a health care service plan from issuing, amending, renewing, or offering a plan contract that imposes a dental waiting period provision in a large group plan or preexisting condition provision for any plan.
This bill would make technical, nonsubstantive changes to those provisions.
(a)The following definitions shall apply for purposes of this section:
(1)Dental waiting period provision means a plan contract provision that limits coverage for a specified period of time following an enrollees effective date of coverage.
(2)Plan means a health care service plan that issues, sells, renews, or offers a plan contract covering dental services, including a specialized health care service plan covering dental services.
(3)Preexisting condition provision means a contract provision that excludes or limits coverage for services, charges, or expenses incurred following an enrollees effective date of coverage for a condition for which dental services, diagnosis, care, or treatment was recommended or received preceding before the effective date of coverage.
(b)On and after January 1, 2025, a plan shall not issue, amend, renew, or offer a plan contract that imposes a dental waiting period provision in a large group plan or preexisting condition provision for any plan.
(c)This section does not apply to Medi-Cal dental managed care contracts authorized under Chapter 7 (commencing with Section 14000) and Chapter 8 (commencing with Section 14200) of Part 3 of Division 9 of the Welfare and Institutions Code.
|
Date
|
Status
|
|---|---|
| Feb 17, 2024 | From printer. May be heard in committee March 18. |
| Feb 16, 2024 | Read first time. To print. |
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Positions by individuals are not included.
Bill Author
Bill Co-Author(s):