Health care coverage: essential health benefits.
- Expands health insurance coverage to include fertility treatments and medical equipment starting January 2027.
- Requires health plans to cover comprehensive fertility services including artificial insemination and surrogacy.
- Mandates coverage of mobility devices, communication aids, and other durable medical equipment.
- Provides coverage for annual hearing exams and hearing aids every three years.
Senator Menjivar's proposal to revise California's essential health benefits benchmark plan would expand required health insurance coverage starting in 2027, pending federal approval. The legislation modifies the existing Kaiser Foundation Health Plan Small Group HMO 30 benchmark by adding comprehensive fertility services, including artificial insemination, gamete retrieval, embryo creation, cryopreservation, and surrogacy-related care.
The bill mandates coverage for specific durable medical equipment, including mobility devices, communication aids, respiratory support equipment, and hospital beds. It also requires health plans to cover annual hearing exams and hearing aids every three years. These additions would apply to individual and small group health care service plans, with exemptions for specialized plans, Medicare supplements, and grandfathered coverage.
The Department of Managed Health Care would oversee implementation through guidance and regulations developed in consultation with the Department of Insurance. The legislation maintains existing prohibitions on benefit substitutions and treatment limitations while preserving the relationship between state requirements and federal health care law.
 Joaquin ArambulaD Assemblymember | Committee Member |  Not Contacted | |
 Buffy WicksD Assemblymember | Committee Member | Not Contacted | |
 Lisa CalderonD Assemblymember | Committee Member | Not Contacted | |
 Mia BontaD Assemblymember | Bill Author | Not Contacted | |
 Mike FongD Assemblymember | Committee Member | Not Contacted |
| Bill Number | Title | Introduced Date | Status | Link to Bill |
|---|---|---|---|---|
AB-224 | Health care coverage: essential health benefits. | January 2025 | Engrossed | |
AB-2914 | Health care coverage: essential health benefits. | February 2024 | Failed | |
SB-1290 | Health care coverage: essential health benefits. | February 2024 | Failed |
Email the authors or create an email template to send to all relevant legislators.
Introduced By
Latest Voting History
| Ayes | Noes | NVR | Total | Result |
|---|---|---|---|---|
| 16 | 0 | 0 | 16 | PASS |
- Expands health insurance coverage to include fertility treatments and medical equipment starting January 2027.
- Requires health plans to cover comprehensive fertility services including artificial insemination and surrogacy.
- Mandates coverage of mobility devices, communication aids, and other durable medical equipment.
- Provides coverage for annual hearing exams and hearing aids every three years.
Email the authors or create an email template to send to all relevant legislators.
Introduced By
Senator Menjivar's proposal to revise California's essential health benefits benchmark plan would expand required health insurance coverage starting in 2027, pending federal approval. The legislation modifies the existing Kaiser Foundation Health Plan Small Group HMO 30 benchmark by adding comprehensive fertility services, including artificial insemination, gamete retrieval, embryo creation, cryopreservation, and surrogacy-related care.
The bill mandates coverage for specific durable medical equipment, including mobility devices, communication aids, respiratory support equipment, and hospital beds. It also requires health plans to cover annual hearing exams and hearing aids every three years. These additions would apply to individual and small group health care service plans, with exemptions for specialized plans, Medicare supplements, and grandfathered coverage.
The Department of Managed Health Care would oversee implementation through guidance and regulations developed in consultation with the Department of Insurance. The legislation maintains existing prohibitions on benefit substitutions and treatment limitations while preserving the relationship between state requirements and federal health care law.
Latest Voting History
| Ayes | Noes | NVR | Total | Result |
|---|---|---|---|---|
| 16 | 0 | 0 | 16 | PASS |
Joaquin ArambulaD Assemblymember | Committee Member | Not Contacted | |
Buffy WicksD Assemblymember | Committee Member | Not Contacted | |
Lisa CalderonD Assemblymember | Committee Member | Not Contacted | |
Mia BontaD Assemblymember | Bill Author | Not Contacted | |
Mike FongD Assemblymember | Committee Member | Not Contacted |
| Bill Number | Title | Introduced Date | Status | Link to Bill |
|---|---|---|---|---|
AB-224 | Health care coverage: essential health benefits. | January 2025 | Engrossed | |
AB-2914 | Health care coverage: essential health benefits. | February 2024 | Failed | |
SB-1290 | Health care coverage: essential health benefits. | February 2024 | Failed |