California 2025-2026 Regular Session

California Assembly Bill AB546

Introduced
2/11/25  
Refer
2/24/25  
Refer
2/24/25  
Report Pass
4/30/25  
Refer
5/5/25  
Report Pass
5/21/25  
Engrossed
5/27/25  
Refer
5/28/25  
Refer
6/4/25  
Report Pass
7/3/25  
Refer
7/7/25  
Refer
8/18/25  
Report Pass
8/29/25  

Caption

Health care coverage: portable HEPA purifiers.

Impact

The bill is expected to significantly influence state health care regulations, particularly in light of California's increasing wildfire incidents which lead to hazardous air quality. By mandating coverage for HEPA purifiers, AB 546 seeks to protect vulnerable populations, namely pregnant individuals and those with preexisting respiratory conditions, who are at higher risk when exposed to environmental pollutants. This initiative reflects a response to emerging public health needs linked to climate change and environmental disasters, highlighting the state's proactive approach in safeguarding public health.

Summary

Assembly Bill 546, introduced by Assembly Member Caloza, aims to enhance health care coverage by mandating that large group health care service plans and health insurance policies include coverage for portable high-efficiency particulate air (HEPA) purifiers. This provision is specifically targeted at enrollees who are either pregnant or diagnosed with asthma or chronic obstructive pulmonary disease (COPD) and reside in counties affected by state or local emergency declarations due to wildfires. The bill establishes that coverage will take effect for plans issued or renewed on or after January 1, 2026, with the purifier's cost capped at $500, adjusted for inflation.

Sentiment

The sentiment around AB 546 appears generally supportive among health advocacy groups, who recognize the bill's potential to mitigate health risks associated with wildfires and poor air quality. However, concerns have been raised regarding the practical implementation of this mandate, especially related to insurance providers' compliance and the associated costs that could be passed on to enrollees. Overall, the bill is positioned as a positive step towards enhancing health outcomes for at-risk populations, but it has sparked discussions about insurance frameworks and emergency preparedness.

Contention

Despite its emphasis on health and safety, AB 546 faces scrutiny regarding the implications of such mandates on insurers and potential legislative loopholes. There is apprehension about how well insurance companies will internalize the costs associated with covering HEPA purifiers, especially in terms of pricing and accessibility for consumers. Additionally, some stakeholders argue that while the bill addresses immediate health concerns during wildfire emergencies, it could lead to broader questions about health care responsibility and the scope of insurance coverage during natural disasters.

Companion Bills

No companion bills found.

Previously Filed As

CA SB635

Health care coverage: hearing aids.

CA AB2843

Health care coverage: rape and sexual assault.

CA AB2467

Health care coverage for menopause.

CA SB90

Health care coverage: insulin affordability.

CA AB1060

Health care coverage: naloxone hydrochloride.

CA SB257

Health care coverage: diagnostic imaging.

CA SB421

Health care coverage: cancer treatment.

CA SB1180

Health care coverage: emergency medical services.

CA AB2180

Health care coverage: cost sharing.

CA AB632

Health care coverage: prostate cancer screening.

Similar Bills

CA SB1308

Ozone: indoor air cleaning devices.

CA AB2293

Chronic obstructive pulmonary disease (COPD): research, education, and treatment.

CA AB619

Air quality.

CA AB1003

Public health: emergency plans and wildfire research.