Health & Saf. Code, § 1374.194 · Article 5. Standards
Health & Saf. Code, § 1374.194
Text — As published in the Legislative Counsel's database, tables dated October 18, 2026 (pubinfo_2025.zip)
(a) The following definitions shall apply for purposes of this section:
(1) “Dental waiting period provision” means a plan contract provision that limits coverage for a specified period of time following an enrollee’s effective date of coverage.
(2) “Plan” means a health care service plan that issues, sells, renews, or offers a plan contract covering dental services, including a specialized health care service plan covering dental services.
(3) “Preexisting condition provision” means a contract provision that excludes or limits coverage for services, charges, or expenses incurred following an enrollee’s effective date of coverage for a condition for which dental services, diagnosis, care, or treatment was recommended or received preceding the effective date of coverage.
(b) On and after January 1, 2025, a plan shall not issue, amend, renew, or offer a plan contract that imposes a dental waiting period provision in a large group plan or preexisting condition provision for any plan.
(c) This section does not apply to Medi-Cal dental managed care contracts authorized under Chapter 7 (commencing with Section 14000) and Chapter 8 (commencing with Section 14200) of Part 3 of Division 9 of the Welfare and Institutions Code.
Notes and commentary — not statutory text
History
Added by Stats. 2023, Ch. 557, Sec. 1. (AB 1048) Effective January 1, 2024.
Source of truth
- Edition
- As published in the Legislative Counsel's database, tables dated October 18, 2026 (pubinfo_2025.zip)
- Official file
- https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=HSC§ionNum=1374.194.
- Text hash
- sha256 25d2021692fab36d689f30e0ced8f3f21dbd1ddf1b70d5cbff95e1fe767be646
- Composed by
- compose_ca.py 2026-10-22: the Legislative Counsel's CAML content files read by a tokenizer (caml_readers.reader_a); an independent xml.etree reading (caml_readers.reader_b) agrees on every section
This section cites
Provisions in this library that the text above cites, as it prints each citation. A range cited as “ss. 61.13-61.16” links its first and last provisions.
Welfare and Institutions Code
- Welf. & Inst. Code, div. 9, pt. 3, ch. 7Basic Health CarePrinted as Chapter 7 (commencing with Section 14000) … of the Welfare and Institutions Code
- Welf. & Inst. Code, div. 9, pt. 3, ch. 8Prepaid PlansPrinted as Chapter 8 (commencing with Section 14200) of Part 3 of Division 9 of the Welfare and Institutions Code
Cited by 2 provisions
Provisions in this library whose text cites Health & Saf. Code, § 1374.194. Each shows the citation as that text prints it.
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