CAL LEG Cost Sharing, Health Coverage


On Sep. 13, CAL LEG passed bill health care coverage, cost sharing.


  • CAL LEG passed bill AB 2258 relating to health care coverage and cost-sharing.
  • The bill would amend CAL LEG 2-2.2-5-1367.002 and CAL INS 2-2-1-1-10112.2.
  • Bill Provisions
  • Prohibits group or individual non-grandfathered health care policy after Jan. 1, 2025, from imposing a cost-sharing requirement for preventive care services and screenings.
  • Require policies to cover items, services for preventive care services and screenings, including home test kits for sexually transmitted diseases, specified cancer screenings.
  • Willful violation of provisions by a health care service plan would be a crime.
  • Authorize the Insurance Commissioner to impose a civil penalty of less than $5,000 against an insurer for each violation, or less than $10,000 per violation if was willful.
  • Legislative History
  • On Feb. 8, 2024, bill introduced in Assembly; on May 23, 2024, bill passed Assembly.
  • On May 24, 2024, bill introduced in Senate; on Aug. 29, 2024, bill passed Senate.
  • On Aug. 31, 2024, bill concurred in Assembly; on Sep. 13, 2024, bill was enrolled.
  • Effectiveness
  • No effective date specified; generally effective Jan. 1 after enactment, on Jan. 1, 2025.
  • Sep. 27, 2024 CAL LEG Governor Approved Bill
  • On Sep. 27, 2024, CAL LEG reported governor signed bill AB 2258; chaptered 708.

Regulators CAL LEG
Entity Types Ins
Reference PR, Ch 708, 9/27/2024; Bill AB2258, 9/13/2024; Citation: CAL LEG 2-2.2-5-1367.002; CAL INS 2-2-1-1-10112.2;
Functions Claims/Accelerated Benefits; Compliance; Financial; Legal; Operations
Countries United States of America
Category
State
Products Insurance; Insurance-Health
Regions Am
Rule Type Final
Rule Date 9/27/2024
Effective Date 1/1/2025
Rule Id 226254
Linked to N/A
Reg. Last Update 9/27/2024
Report Section US Insurance

Last substantive update on 10/02/2024