Government Code section 22859

(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.

Source: Section 22859, https://leginfo.­legislature.­ca.­gov/faces/codes_displaySection.­xhtml?lawCode=GOV§ionNum=22859.­ (accessed Jun. 2, 2025).

Last Updated

May 12, 2025

§ 22859’s source at ca​.gov