California § 1374.17. 1374.17. (Added by Stats. 2005, Ch. 419, Sec. 1.)

California Statutes

§ 1374.17. — 1374.17. (Added by Stats. 2005, Ch. 419, Sec. 1.)

California·Code HSC Health and Safety Code - HSC·Div. 2. DIVISION 2. LICENSING PROVISIONS·Ch. 2.2. CHAPTER 2.2. Health Care Service Plans·Art. 5. ARTICLE 5. Standards

(a)A health care service plan shall not deny coverage that is otherwise available under the plan contract for the costs of solid organ or other tissue transplantation services based upon the enrollee or subscriber being infected with the human immunodeficiency virus.

(b)Notwithstanding any other provision of law, in the provision of benefits required by this section, a health care service plan may utilize case management, network providers, utilization review techniques, prior authorization, copayments, or other cost sharing, subject to the terms and conditions of the plan contract and consistent with sound clinical processes and guidelines.

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(a)
A health care service plan shall not deny coverage that is otherwise available under the plan contract for the costs of solid organ or other tissue transplantation services based upon the enrollee or subscriber being infected with the human immunodeficiency virus.
(b)
Notwithstanding any other provision of law, in the provision of benefits required by this section, a health care service plan may utilize case management, network providers, utilization review techniques, prior authorization, copayments, or other cost sharing, subject to the terms and conditions of the plan contract and consistent with sound clinical processes and guidelines.

California § 1374.17. (1374.17. (Added by Stats. 2005, Ch. 419, Sec. 1.)) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.