CALIFORNIA LEGISLATURE 20192020 REGULAR SESSION Assembly Bill No. 1904Introduced by Assembly Member Boerner HorvathJanuary 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 DIGESTAB 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 bills 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.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: YES Bill TextThe 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 XIIIB 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 XIIIB of the California Constitution.
CALIFORNIA LEGISLATURE 20192020 REGULAR SESSION Assembly Bill No. 1904Introduced by Assembly Member Boerner HorvathJanuary 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 DIGESTAB 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 bills 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.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: YES
CALIFORNIA LEGISLATURE 20192020 REGULAR SESSION
Assembly Bill
No. 1904
Introduced by Assembly Member Boerner HorvathJanuary 08, 2020
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
## 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 bills 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.
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 bills 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.
## Digest Key
## Bill Text
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 XIIIB 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 XIIIB of the California Constitution.
The people of the State of California do enact as follows:
## 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.
SECTION 1. Section 1367.623 is added to the Health and Safety Code, to read:
### SECTION 1.
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.
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.
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.
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. 2. Section 10119.55 is added to the Insurance Code, to read:
### SEC. 2.
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.
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.
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.
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 XIIIB 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 XIIIB of the California Constitution.
SEC. 3. No reimbursement is required by this act pursuant to Section 6 of Article XIIIB 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 XIIIB of the California Constitution.
SEC. 3. No reimbursement is required by this act pursuant to Section 6 of Article XIIIB 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 XIIIB of the California Constitution.
### SEC. 3.