California Health and Safety Code

§ 1367.71

HSC § 1367.71 Effective Jan 1, 1999Div. 2 · Ch. 2.2 · Art. 5

Statute text

(a)Every health care service plan contract, other than a specialized health care service plan contract, that is issued, amended, renewed, or delivered on or after January 1, 2000, shall be deemed to cover general anesthesia and associated facility charges for dental procedures rendered in a hospital or surgery center setting, when the clinical status or underlying medical condition of the patient requires dental procedures that ordinarily would not require general anesthesia to be rendered in a hospital or surgery center setting. The health care service plan may require prior authorization of general anesthesia and associated charges required for dental care procedures in the same manner that prior authorization is required for other covered diseases or conditions.

(b)This section shall apply only to general anesthesia and associated facility charges for only the following enrollees, and only if the enrollees meet the criteria in subdivision (a):

(1)Enrollees who are under seven years of age.

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Legislative history

Added by Stats. 1998, Ch. 790, Sec. 1. Effective January 1, 1999.