Section 1374.17 - Denial of costs of transplantation services based on HIV infection prohibited(a) A health care service plan shall not deny coverage that is otherwise available under the plan contract for the costs of solid organ or other tissue transplantation services based upon the enrollee or subscriber 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 care service plan may utilize case management, network providers, utilization review techniques, prior authorization, copayments, or other cost sharing, subject to the terms and conditions of the plan contract and consistent with sound clinical processes and guidelines.Ca. Health and Saf. Code § 1374.17
Added by Stats 2005 ch 419 (AB 228),s 1, eff. 1/1/2006.