{"code":"GOV","codeName":"Government Code","section":"22859","citation":"Gov. Code, § 22859","status":"in-force","lawOn":"2026-09-28","headings":[{"name":"TITLE 2. GOVERNMENT OF THE STATE OF CALIFORNIA [8000. - 22980.]","url":"https://blackletter.si/government-code/title-2"},{"name":"DIVISION 5. PERSONNEL [18000. - 22980.]","url":"https://blackletter.si/government-code/title-2/division-5"},{"name":"PART 5. THE PUBLIC EMPLOYEES' MEDICAL AND HOSPITAL CARE ACT [22750. - 22948.]","url":"https://blackletter.si/government-code/title-2/division-5/part-5"},{"name":"CHAPTER 1. Public Employees’ Health Benefits [22750. - 22944.6.]","url":"https://blackletter.si/government-code/title-2/division-5/part-5/chapter-1"},{"name":"ARTICLE 6. Health Benefit Plans and Contracts [22850. - 22869.]","url":"https://blackletter.si/government-code/title-2/division-5/part-5/chapter-1/article-6"}],"history":"Added by Stats. 2004, Ch. 69, Sec. 22.   Effective June 24, 2004.","effective":"2004-06-24","html":"<p>(a) A health benefit plan or contract may not provide any of the following:</p><p>(1) An exception for other coverage where the other coverage is entitlement to Medi-Cal or medicaid benefits.</p><p>(2) An exception for Medi-Cal or medicaid benefits.</p><p>(3) A benefits reduction if the person has entitlement to Medi-Cal or medicaid benefits.</p><p>(4) An exception for enrollment because of an applicant’s entitlement to Medi-Cal or medicaid benefits.</p><p>(b) Each health benefit plan shall be considered in determining the third-party liability for medical expenses incurred by a Medi-Cal or a medicaid recipient.</p>","text":"(a) A health benefit plan or contract may not provide any of the following: (1) An exception for other coverage where the other coverage is entitlement to Medi-Cal or medicaid benefits. (2) An exception for Medi-Cal or medicaid benefits. (3) A benefits reduction if the person has entitlement to Medi-Cal or medicaid benefits. (4) An exception for enrollment because of an applicant’s entitlement to Medi-Cal or medicaid benefits. (b) Each health benefit plan shall be considered in determining the third-party liability for medical expenses incurred by a Medi-Cal or a medicaid recipient.","otherVersions":[],"url":"https://blackletter.si/government-code/health-benefit-plans-and-contracts-22859","source":"California Legislative Information bulk export (pubinfo)"}