The legislation aligns with existing laws that govern the regulation of health care service plans in California, aiming to enhance public health safety amid wildfires, which are increasingly prevalent in the state. In recognition of the particulate pollution from wildfire smoke that poses significant health risks, especially to vulnerable populations, this bill establishes a statutory right for eligible individuals to secure protective measures that could potentially mitigate adverse health outcomes related to air quality. This additional coverage could lead to enhanced health outcomes in populations disproportionately affected by environmental emergencies.
Summary
Assembly Bill 546, introduced by Assembly Member Caloza, mandates that large group health care service plans and insurance policies provide coverage for portable high-efficiency particulate air (HEPA) purifiers for certain enrollees. Effective from January 1, 2026, this bill specifically targets individuals who are pregnant or diagnosed with asthma or chronic obstructive pulmonary disease (COPD) and reside in or are displaced from counties under a local or state emergency due to wildfires. The requirement stipulates that the cost of the HEPA purifier should not exceed $500, adjusted for inflation, and must be prescribed by a healthcare provider.
Sentiment
The sentiment around AB 546 is largely supportive, particularly among public health advocates, who see it as a proactive measure to safeguard health in the face of climate-related emergencies. However, there may be concerns voiced by insurance companies regarding the financial implications of such coverage requirements. The bill reflects a growing awareness of and response to the public health crises precipitated by climate change, particularly in California, where wildfires have become an annual challenge.
Contention
Notably, the bill has provisions that exempt certain health plans, including Medicare supplement policies and Medi-Cal managed care plans, from the requirement. As a result, some critics argue that the bill could leave out significant segments of the population who may also benefit from similar protections. Furthermore, the urgency clause indicates the bill's critical nature; it is designed to take effect immediately to address immediate public health needs stemming from wildfire smoke exposure.