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Updated:   2026-04-07

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                <ns0:Id>20250SB__137798AMD</ns0:Id>
                <ns0:VersionNum>98</ns0:VersionNum>
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                        <ns0:Action>
                                <ns0:ActionText>INTRODUCED</ns0:ActionText>
                                <ns0:ActionDate>2026-02-20</ns0:ActionDate>
                        </ns0:Action>
                        <ns0:Action>
                                <ns0:ActionText>AMENDED_SENATE</ns0:ActionText>
                                <ns0:ActionDate>2026-03-25</ns0:ActionDate>
                        </ns0:Action>
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                <ns0:LegislativeInfo>
                        <ns0:SessionYear>2025</ns0:SessionYear>
                        <ns0:SessionNum>0</ns0:SessionNum>
                        <ns0:MeasureType>SB</ns0:MeasureType>
                        <ns0:MeasureNum>1377</ns0:MeasureNum>
                        <ns0:MeasureState>AMD</ns0:MeasureState>
                </ns0:LegislativeInfo>
                <ns0:AuthorText authorType="LEAD_AUTHOR">Introduced by Senator Jones</ns0:AuthorText>
                <ns0:Authors>
                        <ns0:Legislator>
                                <ns0:Contribution>LEAD_AUTHOR</ns0:Contribution>
                                <ns0:House>SENATE</ns0:House>
                                <ns0:Name>Jones</ns0:Name>
                        </ns0:Legislator>
                </ns0:Authors>
                <ns0:Title> An act to add Article 16 (commencing with Section 2380) to Chapter 5 of Division 2 of the Business and Professions Code, to amend Sections 120325 and 120375 of, to add Sections 1272.5 and 1374.199 to, to repeal Section 120372.05 of, and to repeal and add Sections 120370 and 120372 of, the Health and Safety Code, and to add Section 10127.22 to the Insurance Code, relating to immunizations.</ns0:Title>
                <ns0:RelatingClause>immunizations</ns0:RelatingClause>
                <ns0:GeneralSubject>
                        <ns0:Subject>Immunizations: medical exemptions.</ns0:Subject>
                </ns0:GeneralSubject>
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                        <html:p>
                                (1)
                                <html:span class="EnSpace"/>
                                Existing law prohibits the governing authority of a school or other institution from unconditionally admitting any person as a pupil unless, before the person’s admission to that institution, the person has been fully immunized against various diseases, including any disease deemed appropriate by the State Department of Public Health. Existing law provides for medical exemptions from immunization requirements.
                        </html:p>
                        <html:p>Existing law requires the department to develop and make available for use by licensed physicians and surgeons an electronic, standardized, statewide medical exemption certification form to be transmitted directly to the
                         department’s California Immunization Registry (CAIR) and submitted directly to the school or institution at which the child will attend, submitted directly to the governing authority of the school or institution, or submitted to that governing authority through the CAIR where applicable. Existing law requires the form to be the only documentation of a medical exemption that the governing authority may accept. Existing law requires the department to identify medical exemption forms that do not meet specified criteria for appropriate medical exemptions. Existing law requires inappropriate or otherwise invalid exemptions to be reviewed by the State Public Health Officer or a physician and surgeon, and authorizes the revocation of the medical exemption. Existing law requires the department to notify the Medical Board of California or the Osteopathic Medical Board of California, as appropriate, of any physician and surgeon who has 5 or more medical exemption forms in a calendar year that are revoked. Existing law
                         authorizes the appeal of a revoked medical exemption by a parent or guardian, as specified.</html:p>
                        <html:p>This bill would repeal these provisions. </html:p>
                        <html:p>Existing law, prior to January 1, 2021, exempts a child from immunization requirements if the parent or guardian files with the governing authority a written statement by a licensed physician and surgeon to the effect that the physical condition of the child is such, or medical circumstances relating to the child are such, that immunization is not considered safe, indicating the specific nature and probable duration of the medical condition or circumstances for which the physician and surgeon does not recommend immunization.</html:p>
                        <html:p>This bill
                         would exempt a child from immunization requirements if the parent or guardian files with the governing authority a written statement, as described above. The bill would prohibit the department, a local health department, or a third-party review panel from revoking, invalidating, or conditioning a medical exemption duly issued by a licensed physician and surgeon, except by final order of a court upon clear and convincing evidence of fraud. The bill would prohibit the department and local health departments from auditing, disciplining, or referring a physician and surgeon to the Medical Board of California or Osteopathic Medical Board of California based solely on the number of medical exemptions issued.</html:p>
                        <html:p>
                                (2)
                                <html:span class="EnSpace"/>
                                Existing law establishes the Medical Board of California and the Osteopathic Medical Board of California for the licensure and regulation of physicians and surgeons and osteopathic physicians and surgeons. Existing law authorizes the boards
                         to, among other things, investigate and discipline licensees for misconduct.
                        </html:p>
                        <html:p>This bill would prohibit a physician and surgeon from being investigated, disciplined, or otherwise acted against by any state department or board based on their issuance of medical exemptions unless the medical exemption is found to be fraudulent or otherwise invalid. The bill would prohibit a medical exemption from being considered in any investigation or action against a physician and surgeon that is otherwise unrelated to medical exemptions.</html:p>
                        <html:p>
                                (3)
                                <html:span class="EnSpace"/>
                                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.
                        </html:p>
                        <html:p>This bill would
                         prohibit a health care service plan or health insurer from denying coverage, imposing higher premiums, canceling a policy, or otherwise penalizing an enrollee or insured because a covered minor holds a medical exemption. Because a violation of this requirement by a health care service plan would be a crime, this bill would impose a state-mandated local program. </html:p>
                        <html:p>
                                (4)
                                <html:span class="EnSpace"/>
                                Existing law provides for the licensure and regulation of health facilities, as defined, by the State Department of Public Health. Existing law makes a violation of those provisions a misdemeanor.
                        </html:p>
                        <html:p>This bill would prohibit a health facility from denying medically necessary care on the basis of a medical exemption. Because a violation of this provision would be a crime, this bill would impose a state-mandated local program. </html:p>
                        <html:p>
                                (5)
                                <html:span class="EnSpace"/>
                                The bill would require the State Department of
                         Public Health to repeal or amend any regulation inconsistent with this bill on or before July 1, 2027.
                        </html:p>
                        <html:p>
                                (6)
                                <html:span class="EnSpace"/>
                                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>
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                        <ns0:VoteRequired>MAJORITY</ns0:VoteRequired>
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                <ns0:Preamble>The people of the State of California do enact as follows:</ns0:Preamble>
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                        <ns0:Num>SECTION 1.</ns0:Num>
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                                Article 16 (commencing with Section 2380) is added to Chapter 5 of Division 2 of the
                                <ns0:DocName>Business and Professions Code</ns0:DocName>
                                , to read:
                        </ns0:ActionLine>
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                                        <ns0:Num>16.</ns0:Num>
                                        <ns0:LawHeadingVersion id="id_02696769-9802-44D8-9F99-0F45B859D48E">
                                                <ns0:LawHeadingText>Immunization Medical Exemptions</ns0:LawHeadingText>
                                        </ns0:LawHeadingVersion>
                                        <ns0:LawSection id="id_CA23DC5A-1BF0-48A0-9CB9-D664F3DA3D68">
                                                <ns0:Num>2380.</ns0:Num>
                                                <ns0:LawSectionVersion id="id_AE47DC10-15BB-4F03-AFAC-9FD55AB8355D">
                                                        <ns0:Content>
                                                                <html:p>For purposes of this article, “medical exemption” has the same meaning as described in Section 120370 of the Health and Safety Code.</html:p>
                                                        </ns0:Content>
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                                        </ns0:LawSection>
                                        <ns0:LawSection id="id_D1825B76-745E-446F-A95A-F3CF43968D53">
                                                <ns0:Num>2381.</ns0:Num>
                                                <ns0:LawSectionVersion id="id_069B2189-364E-4F24-A451-04A0753BF888">
                                                        <ns0:Content>
                                                                <html:p>A physician and surgeon shall not be investigated, disciplined, or otherwise acted against by any state department or board based on their issuance of a medical exemption unless the medical exemption is found to be fraudulent or otherwise invalid.</html:p>
                                                        </ns0:Content>
                                                </ns0:LawSectionVersion>
                                        </ns0:LawSection>
                                        <ns0:LawSection id="id_54A03D93-1075-4E5D-B769-F5AA930A4B16">
                                                <ns0:Num>2382.</ns0:Num>
                                                <ns0:LawSectionVersion id="id_C2AB3350-C1EE-4C59-BED2-957FDD6074AC">
                                                        <ns0:Content>
                                                                <html:p>A medical exemption shall not be considered in any investigation or action against a physician and surgeon that is otherwise unrelated to medical exemptions.</html:p>
                                                        </ns0:Content>
                                                </ns0:LawSectionVersion>
                                        </ns0:LawSection>
                                        <ns0:LawSection id="id_D0E9505F-7F09-4DB1-A778-DA7489A8F541">
                                                <ns0:Num>2383.</ns0:Num>
                                                <ns0:LawSectionVersion id="id_8D4C932F-7AD8-4F87-B9FE-AE337FE61BED">
                                                        <ns0:Content>
                                                                <html:p>A medical exemption shall not be revoked or invalidated based on any investigation or action against a physician if that investigation does not relate to medical exemptions.</html:p>
                                                        </ns0:Content>
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                                        </ns0:LawSection>
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                        <ns0:Num>SEC. 2.</ns0:Num>
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                                Section 1272.5 is added to the
                                <ns0:DocName>Health and Safety Code</ns0:DocName>
                                , to read:
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                        <ns0:Fragment>
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                                        <ns0:Num>1272.5.</ns0:Num>
                                        <ns0:LawSectionVersion id="id_B3779EF5-7D9B-4DE8-84C4-4E35A4FB52AB">
                                                <ns0:Content>
                                                        <html:p>A health facility shall not deny medically necessary care on the basis of a medical exemption, as described in Section 120370.</html:p>
                                                </ns0:Content>
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                                </ns0:LawSection>
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                        <ns0:Num>SEC. 3.</ns0:Num>
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                                Section 1374.199 is added to the
                                <ns0:DocName>Health and Safety Code</ns0:DocName>
                                , to read:
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                        <ns0:Fragment>
                                <ns0:LawSection id="id_F5E3E07B-185B-47B7-8123-74E478868700">
                                        <ns0:Num>1374.199.</ns0:Num>
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                                                <ns0:Content>
                                                        <html:p>A health care service plan shall not deny coverage, impose higher premiums, cancel a policy, or otherwise penalize an enrollee because a covered minor holds a medical exemption, as described in Section 120370.</html:p>
                                                </ns0:Content>
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                        <ns0:Num>SEC. 4.</ns0:Num>
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                                Section 120325 of the
                                <ns0:DocName>Health and Safety Code</ns0:DocName>
                                 is amended to read:
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                                        <ns0:Num>120325.</ns0:Num>
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                                                <ns0:Content>
                                                        <html:p>In enacting this chapter, but excluding Section 120380, and in enacting Sections 120400, 120405, 120410, and 120415, it is the intent of the Legislature to provide:</html:p>
                                                        <html:p>
                                                                (a)
                                                                <html:span class="EnSpace"/>
                                                                For the prevention and control of communicable diseases.
                                                        </html:p>
                                                        <html:p>
                                                                (b)
                                                                <html:span class="EnSpace"/>
                                                                That the persons required to be immunized be allowed to obtain immunizations from whatever medical source they so desire, subject only to the condition that the immunization be performed in accordance with the regulations of the department and that a record of the immunization is made in accordance with the regulations.
                                                        </html:p>
                                                        <html:p>
                                                                (c)
                                                                <html:span class="EnSpace"/>
                                                                Exemptions from immunization for medical reasons.
                                                        </html:p>
                                                        <html:p>
                                                                (d)
                                                                <html:span class="EnSpace"/>
                                                                For the keeping of adequate records of immunization so that health departments, schools, and other institutions, parents or guardians, and the persons immunized will be able to ascertain that a child is fully or only partially immunized, and so that appropriate public agencies will be able to ascertain the immunization needs of groups of children in schools or other institutions.
                                                        </html:p>
                                                        <html:p>
                                                                (e)
                                                                <html:span class="EnSpace"/>
                                                                Incentives to public health authorities to design innovative and creative programs that will promote and achieve full and timely immunization of children.
                                                        </html:p>
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                        <ns0:Num>SEC. 5.</ns0:Num>
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                                Section 120370 of the
                                <ns0:DocName>Health and Safety Code</ns0:DocName>
                                 is repealed.
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                        <ns0:Num>SEC. 6.</ns0:Num>
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                                Section 120370 is added to the
                                <ns0:DocName>Health and Safety Code</ns0:DocName>
                                , to read:
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                        <ns0:Fragment>
                                <ns0:LawSection id="id_C057B506-DA3E-4102-AA29-FBDFBADD1725">
                                        <ns0:Num>120370.</ns0:Num>
                                        <ns0:LawSectionVersion id="id_38F43906-3E64-4391-8C9D-E19851BA74FE">
                                                <ns0:Content>
                                                        <html:p>
                                                                (a)
                                                                <html:span class="EnSpace"/>
                                                                If the parent or guardian files with the governing authority a written statement by a licensed physician and surgeon to the effect that the physical condition of the child is such, or medical circumstances relating to the child are such, that immunization is not considered safe, indicating the specific nature and probable duration of the medical condition or circumstances, including, but not limited to, family medical history, for which the physician and surgeon does not recommend immunization, that child shall be exempt from the requirements of this chapter, except for Section 120380, and exempt from Sections 120400, 120405, 120410, and 120415 to the extent indicated by the physician and surgeon’s statement.
                                                        </html:p>
                                                        <html:p>
                                                                (b)
                                                                <html:span class="EnSpace"/>
                                                                When determining whether
                                                a medical exemption is appropriate pursuant to subdivision (a), a physician and surgeon shall use accepted standards of care and shall not be required to use criteria established by the department.
                                                        </html:p>
                                                        <html:p>
                                                                (c)
                                                                <html:span class="EnSpace"/>
                                                                A medical exemption, as described in Section 120370, shall not be grounds for the denial of education or access to education or admission to any education or childcare facility nor for the participation in any school programs, extracurricular activities, scholarships, housing, or anything else related to schooling and education in the state at any level. A pupil with a medical exemption shall not be excluded, segregated, or otherwise treated differently from similarly situated pupils.
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                        <ns0:Num>SEC. 7.</ns0:Num>
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                                Section 120372 of the
                                <ns0:DocName>Health and Safety Code</ns0:DocName>
                                 is repealed.
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                <ns0:BillSection id="id_556D93F7-5432-411E-B604-6FEF4F5E1CE1">
                        <ns0:Num>SEC. 8.</ns0:Num>
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                                Section 120372 is added to the
                                <ns0:DocName>Health and Safety Code</ns0:DocName>
                                , to read:
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                                <ns0:LawSection id="id_746517EA-AD25-435F-B5A2-A5576E950EE3">
                                        <ns0:Num>120372.</ns0:Num>
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                                                <ns0:Content>
                                                        <html:p>
                                                                (a)
                                                                <html:span class="EnSpace"/>
                                                                Notwithstanding any other law, the department, a local health department, or a third-party review panel shall not revoke, invalidate, or condition a medical exemption duly issued by a licensed physician and surgeon, except by final order of a court upon clear and convincing evidence of fraud.
                                                        </html:p>
                                                        <html:p>
                                                                (b)
                                                                <html:span class="EnSpace"/>
                                                                The State Department of Public Health and local health departments shall not audit, discipline, or refer a physician and surgeon to the Medical Board of California or Osteopathic Medical Board of California based solely on the number of medical exemptions issued.
                                                        </html:p>
                                                </ns0:Content>
                                        </ns0:LawSectionVersion>
                                </ns0:LawSection>
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                <ns0:BillSection id="id_A399447E-E5F7-4FD8-896D-F4AB8F806936">
                        <ns0:Num>SEC. 9.</ns0:Num>
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                                Section 120372.05 of the
                                <ns0:DocName>Health and Safety Code</ns0:DocName>
                                 is repealed.
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                        <ns0:Fragment/>
                </ns0:BillSection>
                <ns0:BillSection id="id_A3022E11-EEE0-46B5-87A9-BD4BD66BC05E">
                        <ns0:Num>SEC. 10.</ns0:Num>
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                                Section 120375 of the
                                <ns0:DocName>Health and Safety Code</ns0:DocName>
                                 is amended to read:
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                        <ns0:Fragment>
                                <ns0:LawSection id="id_27EE6C65-6325-4852-A883-6A3896562587">
                                        <ns0:Num>120375.</ns0:Num>
                                        <ns0:LawSectionVersion id="id_E4275217-58B8-4F8C-9BEA-4FFC8EED8686">
                                                <ns0:Content>
                                                        <html:p>
                                                                (a)
                                                                <html:span class="EnSpace"/>
                                                                (1)
                                                                <html:span class="EnSpace"/>
                                                                The governing authority of each school or institution included in Section 120335 shall require documentary proof of each entrant’s immunization status. The governing authority shall record the immunizations of each new entrant in the entrant’s permanent enrollment and scholarship record on a form provided by the department. The immunization record of each new entrant admitted conditionally shall be reviewed periodically by the governing authority to ensure that within the time periods designated by regulation of the department the entrant has been fully immunized against all of the diseases listed in Section 120335, and immunizations received after entry shall be added to the pupil’s
                                                immunization record.
                                                        </html:p>
                                                        <html:p>
                                                                (2)
                                                                <html:span class="EnSpace"/>
                                                                (A)
                                                                <html:span class="EnSpace"/>
                                                                The governing authority of each school or institution included in Section 120335 shall not require disclosure of diagnosis or disability in support of a medical exemption issued pursuant to Section 120370. The governing authority shall accept any valid medical exemption provided in accordance with Section 120370.
                                                        </html:p>
                                                        <html:p>
                                                                (B)
                                                                <html:span class="EnSpace"/>
                                                                (i)
                                                                <html:span class="EnSpace"/>
                                                                Notwithstanding any other law, documentation for medical exemptions, as described in Section 120370, constitutes confidential medical information. Documentation for medical exemptions shall not be disclosed without written consent except to verify the existence of the exemption or pursuant to a court
                                                order.
                                                        </html:p>
                                                        <html:p>
                                                                (ii)
                                                                <html:span class="EnSpace"/>
                                                                Notwithstanding any other law, medical exemption status shall not be shared without written consent of the exempted person if that person is 18 years of age or older, or their legal guardian if the exempted person is under 18 years of age.
                                                        </html:p>
                                                        <html:p>
                                                                (b)
                                                                <html:span class="EnSpace"/>
                                                                The governing authority of each school or institution included in Section 120335 shall prohibit from further attendance any pupil admitted conditionally who failed to obtain the required immunizations within the time limits allowed in the regulations of the department until that pupil has been fully immunized against all of the diseases listed in Section 120335, unless the pupil is exempted under Section 120370.
                                                        </html:p>
                                                        <html:p>
                                                                (c)
                                                                <html:span class="EnSpace"/>
                                                                The governing authority shall file a written report, on at least an annual basis, on the immunization status of new entrants to the school or institution under their jurisdiction with the department and the local health department on forms prescribed by the department. As provided in paragraph (4) of subdivision (a) of Section 49076 of the Education Code, the local health department shall have access to the complete health information as it relates to immunization of each student in the schools or other institutions listed in Section 120335 in order to determine immunization deficiencies.
                                                        </html:p>
                                                        <html:p>
                                                                (d)
                                                                <html:span class="EnSpace"/>
                                                                The governing authority shall cooperate with the county health officer in carrying out programs for the immunization of persons applying for admission to any school or institution under its jurisdiction. The governing board of any school district may use funds, property, and personnel of the
                                                district for that purpose. The governing authority of any school or other institution may permit any licensed physician or any qualified registered nurse to administer immunizing agents to any person seeking admission to any school or institution under its jurisdiction.
                                                        </html:p>
                                                </ns0:Content>
                                        </ns0:LawSectionVersion>
                                </ns0:LawSection>
                        </ns0:Fragment>
                </ns0:BillSection>
                <ns0:BillSection id="id_60E78D2B-34F9-43E6-86BF-2D05A15A92F7">
                        <ns0:Num>SEC. 11.</ns0:Num>
                        <ns0:ActionLine action="IS_ADDED" ns3:href="urn:caml:codes:INS:caml#xpointer(%2Fcaml%3ALawDoc%2Fcaml%3ACode%2F%2Fcaml%3ALawSection%5Bcaml%3ANum%3D'10127.22'%5D)" ns3:label="fractionType: LAW_SECTION" ns3:type="locator">
                                Section 10127.22 is added to the
                                <ns0:DocName>Insurance Code</ns0:DocName>
                                , to read:
                        </ns0:ActionLine>
                        <ns0:Fragment>
                                <ns0:LawSection id="id_A97B9A1B-5C67-423B-A153-7C1BBB3E7D7B">
                                        <ns0:Num>10127.22.</ns0:Num>
                                        <ns0:LawSectionVersion id="id_278A8816-E5D5-4335-BFFB-93FD5F1B5D7F">
                                                <ns0:Content>
                                                        <html:p>A health insurer shall not deny coverage, impose higher premiums, cancel a policy, or otherwise penalize an insured because a covered minor holds a medical exemption, as described in Section 120370 of the Health and Safety Code.</html:p>
                                                </ns0:Content>
                                        </ns0:LawSectionVersion>
                                </ns0:LawSection>
                        </ns0:Fragment>
                </ns0:BillSection>
                <ns0:BillSection id="id_615CA5D4-FFEC-4131-94C0-297652A23267">
                        <ns0:Num>SEC. 12.</ns0:Num>
                        <ns0:Content>
                                <html:p>The State Department of Public Health shall repeal or amend any regulation inconsistent with this act on or before July 1, 2027.</html:p>
                        </ns0:Content>
                </ns0:BillSection>
                <ns0:BillSection id="id_8FFC007B-D5B2-488D-8B1E-3F325177AFF6">
                        <ns0:Num>SEC. 13.</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>