BlackletterCalifornia law

Government Code § 22859

ARTICLE 6. Health Benefit Plans and Contracts

Current as of September 28, 2026Gov. Code, § 22859Official source ↗

Added by Stats. 2004, Ch. 69, Sec. 22. Effective June 24, 2004.

(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.