Health care coverage: lung cancer.
Vote required
Majority
Fiscal committee
No
Appropriation
No
Current location
Appropriations
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Progress
Where this bill stands in the legislative process.
- Introduced
- Passed Senate
- Passed Assembly
- To Governor
- Became Law
Overview
This bill requires health care service plans and health insurance policies in California to cover follow-up screening or diagnostic services for lung cancer, starting January 1, 2027. It prohibits these plans from charging copays, coinsurance, or deductibles for this coverage, with exceptions for high-deductible plans that must comply with federal requirements. The bill also clarifies the types of services covered.
Key provisions
- Requires health care service plans and health insurance policies to cover follow-up screening and diagnostic services for lung cancer.
- Prohibits cost-sharing (copays, coinsurance, deductibles) for this coverage.
- Allows high-deductible plans to impose cost-sharing only if it doesn't conflict with federal requirements for such plans.
- Defines ‘followup screening or diagnostic services for lung cancer’ to include specific procedures like CT scans, biopsies, and pathology.
- Excludes specialized health insurance policies covering dental, mental health, or vision benefits from the coverage requirements.
Who is affected
- Health care service plans
- Health insurance policyholders
- Individuals diagnosed with lung cancer
- Healthcare providers
- California residents
Notable changes
- Expands coverage for lung cancer screening and diagnostic services.
Bill text
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Sponsors
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2 on record
Primary sponsor
Cosponsor
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