Section 1367.3 Of Article 5. Standards From California Health And Safety Code >> Division 2. >> Chapter 2.2. >> Article 5.
1367.3
. (a) On and after January 1, 1993, every health care service
plan that covers hospital, medical, or surgical expenses on a group
basis shall offer benefits for the comprehensive preventive care of
children. This section shall apply to children 17 and 18 years of
age, except as provided in paragraph (4) of subdivision (b). Every
plan shall communicate the availability of these benefits to all
group contractholders and to all prospective group contractholders
with whom they are negotiating. This section shall apply to a plan
which, by rule or order of the director, has been exempted from
subdivision (i) of Section 1367, insofar as that section and the
rules thereunder relate to the provision of the preventive health
care services described herein.
(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 Recommendations for Preventive Pediatric Health Care, as
adopted by the American Academy of Pediatrics in September of 1987.
(B) The most current version of the Recommended Childhood
Immunization Schedule/United States, jointly adopted by the American
Academy of Pediatrics, the Advisory Committee on Immunization
Practices, and the American Academy of Family Physicians, unless the
State Department of Health Services determines, within 45 days of the
published date of the schedule, that the schedule is not consistent
with the purposes of this section.
(2) Provide for the following:
(A) Periodic health evaluations.
(B) Immunizations.
(C) Laboratory services in connection with periodic health
evaluations.
(D) For health care service plan contracts within the scope of
this section that are issued, amended, or renewed on and after
January 1, 1993, screening for blood lead levels in children at risk
for lead poisoning, as determined by a physician and surgeon
affiliated with the plan, when the screening is prescribed by a
physician and surgeon affiliated with the plan. This subparagraph
shall be applicable to all children and shall not be limited to
children 17 and 18 years of age.