SB 613

Bill Subjects

Abstract

Existing law, the Knox-Keene Health Care Service Plan Act of 1975, provides for licensure and regulation of health care service plans by the Department of Managed Health Care and makes a willful violation of that act a crime. Existing law also provides for the regulation of health insurers by the Department of Insurance. Existing law imposes certain requirements on health care service plans and health insurance policies that provide maternity coverage, including requiring those plans and policies to provide inpatient hospital care to a mother for no less than less than 48 hours following a normal vaginal delivery and no less than 96 hours following a delivery by caesarean section, except as specified. This bill would require a health care service plan or health insurance policy issued, amended, or renewed on or after January 1, 2022, that provides maternity coverage, to include coverage for a neonate medical wrap following a cesarean section delivery, and, if requested by the mother, to include coverage for a neonate medical wrap following a natural birth. Because a willful violation of the bill's requirement by a health care service plan would be a crime, the bill would impose a state-mandated local program. The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement. This bill would provide that no reimbursement is required by this act for a specified reason.