Compare Versions


PDF |Add To My Favorites |Track Bill | print page

AB-1904 Pelvic floor physical therapy coverage.(2019-2020)



Current Version: 01/08/20 - Introduced         Compare Versions information image


AB1904:v99#DOCUMENT


CALIFORNIA LEGISLATURE— 2019–2020 REGULAR SESSION

Assembly Bill
No. 1904


Introduced by Assembly Member Boerner Horvath

January 08, 2020


An act to add Section 1367.623 to the Health and Safety Code, and to add Section 10119.55 to the Insurance Code, relating to health care coverage.


LEGISLATIVE COUNSEL'S DIGEST


AB 1904, as introduced, Boerner Horvath. Pelvic floor physical therapy coverage.
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 act a crime. Existing law provides for the regulation of health insurers by the Department of Insurance. Existing law requires a health care service plan contract or health insurance policy to provide maternity coverage, and prohibits the restriction, reduction, or denial of specified maternity benefits.
This bill would require a health care service plan contract or health insurance policy issued, amended, or renewed on or after January 1, 2021, to provide coverage for pelvic floor physical therapy after pregnancy. Because a willful violation of the bill’s requirements relative to health care service plans would be a crime, the bill would impose a state-mandated local program.
The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.
This bill would provide that no reimbursement is required by this act for a specified reason.
Vote: MAJORITY   Appropriation: NO   Fiscal Committee: YES   Local Program: YES  

The people of the State of California do enact as follows:


SECTION 1.

 Section 1367.623 is added to the Health and Safety Code, to read:

1367.623.
 (a) A health care service plan contract issued, amended, or renewed on or after January 1, 2021, shall provide coverage for pelvic floor physical therapy after pregnancy.
(b) “Health care service plan” includes a Medi-Cal managed care plan that contracts with the State Department of Health Care Services pursuant to 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.

SEC. 2.

 Section 10119.55 is added to the Insurance Code, to read:

10119.55.
 A health insurance policy issued, amended, or renewed on or after January 1, 2021, shall provide coverage for pelvic floor physical therapy after pregnancy.

SEC. 3.

 No reimbursement is required by this act pursuant to Section 6 of Article XIII B of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIII B of the California Constitution.