Section 1373.8 Of Article 5. Standards From California Health And Safety Code >> Division 2. >> Chapter 2.2. >> Article 5.
1373.8
. A health care service plan contract where the plan is
licensed to do business in this state and the plan provides coverage
that includes California residents, but that may be written or issued
for delivery outside of California, and where benefits are provided
within the scope of practice of a licensed clinical social worker, a
registered nurse licensed pursuant to Chapter 6 (commencing with
Section 2700) of Division 2 of the Business and Professions Code who
possesses a master's degree in psychiatric-mental health nursing and
is listed as a psychiatric-mental health nurse by the Board of
Registered Nursing, an advanced practice registered nurse who is
certified as a clinical nurse specialist pursuant to Article 9
(commencing with Section 2838) of Chapter 6 of Division 2 of the
Business and Professions Code who participates in expert clinical
practice in the specialty of psychiatric-mental health nursing, a
marriage and family therapist who is the holder of a license under
Section 4980.50 of the Business and Professions Code, or a
professional clinical counselor who is the holder of a license under
Chapter 16 (commencing with Section 4999.10) of Division 2 of the
Business and Professions Code shall not be deemed to prohibit persons
covered under the contract from selecting those licensed persons in
California to perform the services in California that are within the
terms of the contract even though the licensees are not licensed in
the state where the contract is written or issued for delivery.
It is the intent of the Legislature in amending this section in
the 1984 portion of the 1983-84 Legislative Session that persons
covered by the contract and those providers of health care specified
in this section who are licensed in California should be entitled to
the benefits provided by the plan for services of those providers
rendered to those persons.