Plain English Breakdown
Checked against official source text during the last sync.
Reviewing Health Care Benefits for 2027
This law states that lawmakers want to review California's health insurance benefit list and set a new plan starting in 2027 if the federal government approves it.
What This Bill Does
- States that lawmakers intend to review the current benchmark plan for essential health benefits.
- Plans to establish a new benchmark plan for the 2027 plan year.
- Requires insurers to add coverage for specific fertility services and durable medical equipment starting January 1, 2027, if federal approval is received.
Who It Names or Affects
- Health insurance companies in California
- People with individual or small group health insurance policies
Terms To Know
- Benchmark plan
- The specific list of medical services that all health insurance plans must cover.
- Essential health benefits
- A minimum set of healthcare coverage required by federal law for individual and small group policies.
Limits and Unknowns
- The new rules only start if the U.S. Department of Health and Human Services approves a plan change.
- The exact list of fertility services and medical equipment is not detailed in this summary text.