Section 1374.17 Of Article 5. Standards From California Health And Safety Code >> Division 2. >> Chapter 2.2. >> Article 5.
1374.17
. (a) A health care service plan shall not deny coverage
that is otherwise available under the plan contract for the costs of
solid organ or other tissue transplantation services based upon the
enrollee or subscriber being infected with the human immunodeficiency
virus.
(b) Notwithstanding any other provision of law, in the provision
of benefits required by this section, a health care service plan may
utilize case management, network providers, utilization review
techniques, prior authorization, copayments, or other cost sharing,
subject to the terms and conditions of the plan contract and
consistent with sound clinical processes and guidelines.