Health care coverage: antiretroviral drugs, drug devices, and drug products.
Vote required
Majority
Fiscal committee
No
Appropriation
No
Current location
Enrolled
Take action
Record your position on this measure.
Create an account to record your position, submit testimony, or contact your legislator.
Progress
Where this bill stands in the legislative process.
- Introduced
- Passed Senate
- Passed Assembly
- To Governor
- Became Law
Overview
This bill aims to ensure that health insurance plans in California don't require prior authorization or step therapy for antiretroviral drugs, drug devices, or drug products used to prevent HIV/AIDS, including pre- and post-exposure prophylaxis. It mandates that insurance coverage includes these medications, aligning with FDA approvals, and applies to plans issued on or after January 1, 2027. The bill also updates related provisions in the Insurance Code to achieve these goals.
Key provisions
- Prohibits prior authorization or step therapy for antiretroviral drugs, drug devices, and drug products used to prevent HIV/AIDS.
- Requires health insurance policies issued on or after January 1, 2027, to cover FDA-approved antiretroviral drugs as an outpatient prescription drug benefit.
- Applies to health care service plans and health insurers, excluding Medi-Cal managed care plans.
- Requires health care service plans to cover preexposure prophylaxis and postexposure prophylaxis dispensed by pharmacists.
- Updates the Insurance Code to align with the changes regarding antiretroviral drug coverage.
- Clarifies that this bill does not apply to specialized health insurance policies covering dental, mental health, or vision benefits.
- Specifies that no reimbursement is required from the state for local agencies or school districts due to the creation of a new crime.
- Addresses technical changes to existing laws.
Who is affected
Bill text
Read the latest version inline or switch to a previous version.
Text extraction is in progress. View the official source.
Sponsors
Official sponsors from legislative records.
2 on record
Primary sponsor
Cosponsor
Arguments
Reasons offered for and against this legislation.
Arguments in favor
No arguments in favor have been submitted.
Submit yoursArguments opposed
No arguments opposed have been submitted.
Submit yours