Bill Full Text
Home
-
Bills
-
Bill
-
Authors
-
Dates
-
Locations
-
Analyses
-
Organizations
<?xml version="1.0" ?>
<ns0:MeasureDoc xmlns:html="http://www.w3.org/1999/xhtml" xmlns:ns0="http://lc.ca.gov/legalservices/schemas/caml.1#" xmlns:ns3="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" version="1.0" xsi:schemaLocation="http://lc.ca.gov/legalservices/schemas/caml.1# xca.1.xsd">
<ns0:Description>
<ns0:Id>20250SB__130999INT</ns0:Id>
<ns0:VersionNum>99</ns0:VersionNum>
<ns0:History>
<ns0:Action>
<ns0:ActionText>INTRODUCED</ns0:ActionText>
<ns0:ActionDate>2026-02-20</ns0:ActionDate>
</ns0:Action>
</ns0:History>
<ns0:LegislativeInfo>
<ns0:SessionYear>2025</ns0:SessionYear>
<ns0:SessionNum>0</ns0:SessionNum>
<ns0:MeasureType>SB</ns0:MeasureType>
<ns0:MeasureNum>1309</ns0:MeasureNum>
<ns0:MeasureState>INT</ns0:MeasureState>
</ns0:LegislativeInfo>
<ns0:AuthorText authorType="LEAD_AUTHOR">Introduced by Senator Rubio</ns0:AuthorText>
<ns0:Authors>
<ns0:Legislator>
<ns0:Contribution>LEAD_AUTHOR</ns0:Contribution>
<ns0:House>SENATE</ns0:House>
<ns0:Name>Rubio</ns0:Name>
</ns0:Legislator>
</ns0:Authors>
<ns0:Title> An act to add Section 1367.58 to the Health and Safety Code, and to add Section 10123.78 to the Insurance Code, relating to health care coverage.</ns0:Title>
<ns0:RelatingClause>health care coverage</ns0:RelatingClause>
<ns0:GeneralSubject>
<ns0:Subject>Health care coverage: lung cancer.</ns0:Subject>
</ns0:GeneralSubject>
<ns0:DigestText>
<html:p>Existing law, the Knox-Keene Health Care Service Plan Act of 1975, provides for the licensure and regulation of health care service plans by the Department of Managed Health Care, and makes a willful violation of the act a crime. Existing law provides for the regulation of health insurers by the Department of Insurance. Existing law requires a health care service plan contract or health insurance policy to provide coverage for all generally medically accepted cancer screening tests.</html:p>
<html:p>This bill would require a health care service plan contract or health insurance policy issued, amended, or renewed on or after January 1, 2027, that provides coverage for hospital, medical, or surgical expenses to provide coverage for followup screening or diagnostic services for lung cancer, as specified. The bill would prohibit a contract or policy from imposing a
copayment, coinsurance, deductible, or any other form of cost sharing for this coverage. Because a willful violation of these provisions by a health care service plan would be a crime, the bill would impose a state-mandated local program.</html:p>
<html:p>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.</html:p>
<html:p>This bill would provide that no reimbursement is required by this act for a specified reason.</html:p>
</ns0:DigestText>
<ns0:DigestKey>
<ns0:VoteRequired>MAJORITY</ns0:VoteRequired>
<ns0:Appropriation>NO</ns0:Appropriation>
<ns0:FiscalCommittee>YES</ns0:FiscalCommittee>
<ns0:LocalProgram>YES</ns0:LocalProgram>
</ns0:DigestKey>
<ns0:MeasureIndicators>
<ns0:ImmediateEffect>NO</ns0:ImmediateEffect>
<ns0:ImmediateEffectFlags>
<ns0:Urgency>NO</ns0:Urgency>
<ns0:TaxLevy>NO</ns0:TaxLevy>
<ns0:Election>NO</ns0:Election>
<ns0:UsualCurrentExpenses>NO</ns0:UsualCurrentExpenses>
<ns0:BudgetBill>NO</ns0:BudgetBill>
<ns0:Prop25TrailerBill>NO</ns0:Prop25TrailerBill>
</ns0:ImmediateEffectFlags>
</ns0:MeasureIndicators>
</ns0:Description>
<ns0:Bill id="bill">
<ns0:Preamble>The people of the State of California do enact as follows:</ns0:Preamble>
<ns0:BillSection id="id_31C71CB1-B3B7-4F07-8AF4-9D1E3B0B3928">
<ns0:Num>SECTION 1.</ns0:Num>
<ns0:ActionLine action="IS_ADDED" ns3:type="locator" ns3:href="urn:caml:codes:HSC:caml#xpointer(%2Fcaml%3ALawDoc%2Fcaml%3ACode%2F%2Fcaml%3ALawSection%5Bcaml%3ANum%3D'1367.58'%5D)" ns3:label="fractionType: LAW_SECTION">
Section 1367.58 is added to the
<ns0:DocName>Health and Safety Code</ns0:DocName>
, to read:
</ns0:ActionLine>
<ns0:Fragment>
<ns0:LawSection id="id_9A51C2E7-4345-4136-87CA-9E1C51AC2E95">
<ns0:Num>1367.58.</ns0:Num>
<ns0:LawSectionVersion id="id_E576850C-EAB3-4356-A898-AA12659E57AD">
<ns0:Content>
<html:p>
(a)
<html:span class="EnSpace"/>
A health care service plan contract issued, amended, or renewed on or after January 1, 2027, that provides coverage for hospital, medical, or surgical expenses shall provide coverage for followup screening or diagnostic services for lung cancer recommended by a health care provider acting within the scope of their practice.
</html:p>
<html:p>
(b)
<html:span class="EnSpace"/>
Coverage required pursuant to this section shall not be subject to copayment, coinsurance, deductible, or any other form of cost sharing.
</html:p>
<html:p>
(c)
<html:span class="EnSpace"/>
For purposes of this section, “followup screening or diagnostic services for lung cancer” means a service provided after an initial abnormal or indeterminate test result, including a diagnostic computed tomography scan, positron emission
tomography/computed tomography scan, tissue sampling, biopsy, bronchoscopy, pathology, and surgical consultation.
</html:p>
</ns0:Content>
</ns0:LawSectionVersion>
</ns0:LawSection>
</ns0:Fragment>
</ns0:BillSection>
<ns0:BillSection id="id_36DFAECB-FF83-4636-9DE8-E78F812B411F">
<ns0:Num>SEC. 2.</ns0:Num>
<ns0:ActionLine action="IS_ADDED" ns3:type="locator" ns3:href="urn:caml:codes:INS:caml#xpointer(%2Fcaml%3ALawDoc%2Fcaml%3ACode%2F%2Fcaml%3ALawSection%5Bcaml%3ANum%3D'10123.78'%5D)" ns3:label="fractionType: LAW_SECTION">
Section 10123.78 is added to the
<ns0:DocName>Insurance Code</ns0:DocName>
, to read:
</ns0:ActionLine>
<ns0:Fragment>
<ns0:LawSection id="id_72CC523C-AC74-4807-B861-32722293FA80">
<ns0:Num>10123.78.</ns0:Num>
<ns0:LawSectionVersion id="id_434B860E-6FB9-4BAB-B0F9-B050052D1921">
<ns0:Content>
<html:p>
(a)
<html:span class="EnSpace"/>
A health insurance policy issued, amended, or renewed on or after January 1, 2027, that provides coverage for hospital, medical, or surgical expenses shall provide coverage for followup screening or diagnostic services for lung cancer recommended by a health care provider acting within the scope of their practice.
</html:p>
<html:p>
(b)
<html:span class="EnSpace"/>
Coverage required pursuant to this section shall not be subject to copayment, coinsurance, deductible, or any other form of cost sharing.
</html:p>
<html:p>
(c)
<html:span class="EnSpace"/>
For purposes of this section, “followup screening or diagnostic services for lung cancer” means a service provided after an initial abnormal or indeterminate test result, including a diagnostic computed tomography scan, positron emission tomography/computed
tomography scan, tissue sampling, biopsy, bronchoscopy, pathology, and surgical consultation.
</html:p>
</ns0:Content>
</ns0:LawSectionVersion>
</ns0:LawSection>
</ns0:Fragment>
</ns0:BillSection>
<ns0:BillSection id="id_86053138-78F6-4724-8BC1-F1A0529707E4">
<ns0:Num>SEC. 3.</ns0:Num>
<ns0:Content>
<html:p>
No reimbursement is required by this act pursuant to Section 6 of Article XIII
<html:span class="ThinSpace"/>
B of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIII
<html:span class="ThinSpace"/>
B of the California Constitution.
</html:p>
</ns0:Content>
</ns0:BillSection>
</ns0:Bill>
</ns0:MeasureDoc>