§ 10123.22
86 words·~1 min read·
/ca/insurance-code/10123-22A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
(a)A health insurer shall not deny coverage that is otherwise available under the health insurance policy for the costs of solid organ or other tissue transplantation services based upon the insured or policyholder being infected with the human immunodeficiency virus.
(b)Notwithstanding any other provision of law, in the provision of benefits required by this section, a health insurer may utilize case management, managed care, or utilization review, subject to the terms and conditions of the policy and consistent with sound clinical processes and guidelines.