Section 1373.14 Of Article 5. Standards From California Health And Safety Code >> Division 2. >> Chapter 2.2. >> Article 5.
1373.14
. Except for a preexisting condition, any health care
service plan, except a specialized health care service plan, which
provides coverage on a group or individual basis for long-term care
facility services or home-based care shall not exclude persons
covered by the plan from receiving these benefits, if they are
diagnosed as having any significant destruction of brain tissue with
resultant loss of brain function, including, but not limited to,
progressive, degenerative, and dementing illnesses, including, but
not limited to, Alzheimer's disease, from the coverage offered for
long-term care facility services or home-based care.
For purposes of this section, where a particular disease can be
determined only with an autopsy, "diagnosed" means clinical diagnosis
not dependent on pathological confirmation, but employing nationally
accepted criteria.