§ 10123.1935. — 10123.1935. (Added by Stats. 2024, Ch. 633, Sec. 2.)

California § 10123.1935.

• Jurisdiction: California
• Code INS: Insurance Code - INS
• Div. 2.: DIVISION 2. CLASSES OF INSURANCE
• Part 2.: PART 2. LIFE AND DISABILITY INSURANCE
• Ch. 1.: CHAPTER 1. The Contract
• Art. 1.: ARTICLE 1. General Provisions

Text

(a)
Notwithstanding any other law, a group or individual health insurer offering an outpatient prescription drug benefit shall provide coverage for at least one medication approved by the United States Food and Drug Administration in each of the following categories without prior authorization, step therapy, or utilization review:
(1)
Medication for the reversal of opioid overdose, including a naloxone product or another opioid antagonist.
(2)
Medication for the detoxification or maintenance treatment of a substance use disorder, including a daily oral buprenorphine product.
(3)
A long-acting buprenorphine
product.
(4)
A long-acting injectable naltrexone product.
(b)
This section does not prohibit a health insurer from selecting an AB-rated generic equivalent, biosimilar, as defined in Section 262(i)(2) of Title 42 of the United States Code, or interchangeable biological product, as defined in Section 262(i)(3) of Title 42 of the United States Code, to meet the requirements of subdivision (a).

Legislative History

Added by Stats. 2024, Ch. 633, Sec. 2. (AB 1842) Effective January 1, 2025.