Bill > AB2233

This bill, concerning behavioral health treatment plans for pervasive developmental disorder or autism, aims to ensure that health care service plans and health insurers cannot restrict the use of authorized treatment hours within a six-month authorization period, meaning these hours must remain available throughout that period. This change, which applies to contracts and policies issued, amended, or renewed on or after January 1, 2026, prevents the forfeiture of unused hours and ensures enrollees can fully access their approved treatment. The bill also clarifies that a rediagnosis is not required to maintain coverage for individuals previously diagnosed with these conditions, though providers can still reevaluate patients for appropriate treatment, and insurers cannot delay existing treatment while awaiting a rediagnosis. These provisions are being added to existing laws regulating health care service plans under the Knox-Keene Health Care Service Plan Act of 1975 and health insurers under the Insurance Code.

https://leginfo.legislature.ca.gov/faces/billStatusClient.xhtml?bill_id=202520260AB2233