Ins. Code, § 10123.55 · Article 1. General Provisions
Ins. Code, § 10123.55
Text — As published in the Legislative Counsel's database, tables dated October 18, 2026 (pubinfo_2025.zip)
(a) On or after January 1, 1993, every insurer issuing group disability insurance that covers hospital, medical, or surgical expenses shall offer benefits for the comprehensive preventive care of children 17 and 18 years of age under those terms and conditions as may be agreed upon between the group policyholder and the insurer. Every insurer shall communicate the availability of these benefits to all group policyholders and to all prospective group policyholders with whom they are negotiating.
(b) For purposes of this section, benefits for the comprehensive preventive care of children shall comply with both of the following:
(1) Be consistent with both of the following:
(A) The most recent Recommendations for Preventive Pediatric Health Care, as adopted by the American Academy of Pediatrics.
(B) The Recommended Childhood Immunization Schedule/United States, jointly adopted as of January 1, 2025, by the American Academy of Pediatrics, the Advisory Committee on Immunization Practices, and the American Academy of Family Physicians. Immunizations subject to this subparagraph may be modified or supplemented by the State Department of Public Health pursuant to Section 120164.
(2) Provide for the following:
(A) Periodic health evaluations.
(B) Immunizations.
(C) Laboratory services in connection with periodic health evaluations.
(D) Screening for blood lead levels in children who are at risk for lead poisoning, as determined by a health care provider in accordance with the applicable California regulations.
(c) For purposes of this section, a health care provider is any of the following:
(1) A person licensed to practice medicine pursuant to Article 3 (commencing with Section 2050) of Chapter 5 of Division 2 of the Business and Professions Code.
(2) A nurse practitioner licensed to practice pursuant to Article 8 (commencing with Section 2834) of Chapter 6 of Division 2 of the Business and Professions Code.
(3) A physician assistant licensed to practice pursuant to Article 3 (commencing with Section 3513) of Chapter 7.7 of Division 2 of the Business and Professions Code.
Notes and commentary — not statutory text
History
Amended by Stats. 2025, Ch. 105, Sec. 47. (AB 144) Effective September 17, 2025.
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=INS§ionNum=10123.55.
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- sha256 e22ae4a3fc4e335a01b238e21e478e41cfc6a351debf4f031b7c46f8459a76d1
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- 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.
Business and Professions Code
- Bus. & Prof. Code, div. 2, ch. 5, art. 3License Required and ExemptionsPrinted as Article 3 (commencing with Section 2050) of Chapter 5 of Division 2 of the Business and Professions Code
- Bus. & Prof. Code, div. 2, ch. 6, art. 8Nurse PractitionersPrinted as Article 8 (commencing with Section 2834) of Chapter 6 of Division 2 of the Business and Professions Code
- Bus. & Prof. Code, div. 2, ch. 7.7, art. 3Certification and ApprovalPrinted as Article 3 (commencing with Section 3513) of Chapter 7.7 of Division 2 of the Business and Professions Code
Cited by 2 provisions
Provisions in this library whose text cites Ins. Code, § 10123.55. Each shows the citation as that text prints it.
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