Bill Text: CA SB600 | 2019-2020 | Regular Session | Amended
Bill Title: Health care coverage: fertility preservation.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Passed) 2019-10-12 - Chaptered by Secretary of State. Chapter 853, Statutes of 2019. [SB600 Detail]
Download: California-2019-SB600-Amended.html
Amended
IN
Senate
April 30, 2019 |
Senate Bill | No. 600 |
Introduced by Senator Portantino |
February 22, 2019 |
LEGISLATIVE COUNSEL'S DIGEST
This bill would also prohibit a health care service plan or health insurer from denying coverage for standard fertility preservation services based on medical necessity when a provider of a treatment of a medical condition authorized by the plan or policy states that the treatment may cause iatrogenic infertility to an enrollee or insured. Because a willful violation of these provisions by a health care service plan 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.
Digest Key
Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program:Bill Text
The people of the State of California do enact as follows:
SECTION 1.
Section 1374.551 is added to the Health and Safety Code, to read:1374.551.
(a)(a)Standard fertility preservation services shall be deemed medically necessary when a provider of treatment of a medical condition authorized by a health care service plan states that there is a substantial likelihood that the treatment may directly or indirectly cause iatrogenic infertility to the enrollee.
(b)When a provider states that standard fertility preservation services are medically necessary pursuant to subdivision (a), a health care service plan shall not deny coverage for those services based on medical necessity.
SEC. 3.SEC. 2.
Section 10119.61 is added to the Insurance Code, to read:10119.61.
(a) An individual or group health insurance policy that covers hospital, medical, or surgical expenses includes coverage for medically necessary expenses for standard fertility preservation services when a medically necessary treatment may directly or indirectly cause iatrogenic infertility to an insured.(a)Standard fertility preservation services shall be deemed medically necessary when a provider of treatment of a medical condition authorized by a health insurance policy states that there is a substantial likelihood that the treatment may cause iatrogenic infertility to the insured.
(b)When a provider states that standard fertility preservation services are medically necessary pursuant to subdivision (a), an insurer shall not deny coverage for those services based on medical necessity.
SEC. 3.
Section 14132.43 is added to the Welfare and Institutions Code, immediately following Section 14132.42, to read:14132.43.
(a) Medically necessary expenses for standard fertility preservation services are covered under this chapter when a medically necessary treatment may directly or indirectly cause iatrogenic infertility to a beneficiary.SEC. 5.SEC. 4.
The addition of Section 1374.551 to the Health and Safety Code and Section 10119.61 to the Insurance Code by this act does not constitute a change in, but is declaratory of, existing law.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.