Obesity Prevention Treatment Parity Act.
Vote required
Majority
Fiscal committee
No
Appropriation
No
Current location
Health
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Progress
Where this bill stands in the legislative process.
- Introduced
- Passed Assembly
- Passed Senate
- To Governor
- Became Law
Overview
The Obesity Prevention Treatment Parity Act requires health insurance plans and health care service plans in California to cover at least one FDA-approved anti-obesity medication and intensive behavioral therapy for the treatment of obesity without requiring prior authorization. This aims to address health equity gaps and ensure access to obesity treatment options, regardless of a patient’s obesity severity, by removing the requirement of reaching a ‘morbid obesity’ designation. The bill also clarifies coverage criteria for these medications and excludes certain specialized plans.
Key provisions
- Requires health plans and insurance policies to cover FDA-approved anti-obesity medications (including GLP-1RAs) for obesity treatment.
- Mandates coverage for intensive behavioral therapy as part of obesity treatment.
- Eliminates the requirement for prior authorization for these treatments.
- Expands the definition of ‘obesity’ to include patients without ‘morbid obesity’.
- Clarifies coverage criteria for FDA-approved anti-obesity medications.
- Excludes certain specialized plans (dental, vision, and Medicare supplement contracts) from the coverage requirements.
- Addresses health equity gaps and social determinants of health related to obesity.
- Provides a statutory exemption from reimbursement requirements under the California Constitution for local agencies and school districts.
Who is affected
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Sponsors
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1 on record
Primary sponsor
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