California Health and Safety Code

§ 1367.21

HSC § 1367.21 Effective Sep 26, 2025Div. 2 · Ch. 2.2 · Art. 5

Statute text

(a)A health care service plan contract that covers prescription drug benefits shall not be issued, amended, delivered, or renewed in this state if the plan limits or excludes coverage for a drug on the basis that the drug is prescribed for a use that is different from the use for which that drug has been approved for marketing by the United States Food and Drug Administration (FDA), provided that all of the following conditions have been met:

(1)The drug is approved by the FDA.

(2)(A) The drug is prescribed by a participating licensed health care professional for the treatment of a life-threatening condition; or

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Legislative history

Amended by Stats. 2025, Ch. 136, Sec. 15. (AB 260) Effective September 26, 2025.