California Insurance Code

§ 10123.195

INS § 10123.195 Effective Sep 26, 2025Div. 2 · Part 2 · Ch. 1 · Art. 1

Statute text

(a)A group or individual disability insurance policy issued, delivered, or renewed in this state or certificate of group disability insurance issued, delivered, or renewed in this state pursuant to a master group policy issued, delivered, or renewed in another state that, as a provision of hospital, medical, or surgical services, directly or indirectly covers prescription drugs shall not limit or exclude 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 contracting licensed health care professional for the treatment of a life-threatening condition; or

…

Legislative history

Amended by Stats. 2025, Ch. 136, Sec. 19. (AB 260) Effective September 26, 2025.