California Welfare and Institutions Code

§ 15884

WIC § 15884 Effective Jun 20, 2014Div. 9 · Part 3.3 · Ch. 4 · Art. 5

Statute text

(a)Each resident of the state meeting the eligibility criteria of this section and who is unable to secure adequate private health coverage is eligible to apply for major risk medical coverage through the program. For these purposes, “resident” includes a member of a federally recognized California Indian tribe.

(b)To be eligible for enrollment in the program, an applicant shall have been rejected for health care coverage by at least one private health plan. An applicant shall be deemed to have been rejected if the only private health coverage that the applicant could secure would do one of the following:

(1)Impose substantial waivers that the department determines would leave a subscriber without adequate coverage for medically necessary services.

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Legislative history

Added by Stats. 2014, Ch. 31, Sec. 90. (SB 857) Effective June 20, 2014. Section operative July 1, 2014, pursuant to Section 15872.5.