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 Bill Text - AB-1682 Health care coverage: scalp cooling.

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 |Add To My Favorites |Track Bill | Version: 02/02/26 - Introduced

 AB-1682 Health care coverage: scalp cooling.(2025-2026)

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 Date Published: 02/02/2026 09:00 PM

AB1682:v99#DOCUMENTBill Start

 CALIFORNIA LEGISLATURE—
 2025–2026 REGULAR SESSION

 Assembly Bill

No. 1682

Introduced by Assembly Member Hart

February 02, 2026

 An act to add Section 1367.651 to the Health and Safety Code, to add Section 10123.811 to the Insurance Code, and to add Section 14132.65 to the Welfare and Institutions Code, relating to health care coverage. 

LEGISLATIVE COUNSEL'S DIGEST

AB 1682, as introduced, Hart.
 Health care coverage: scalp cooling.

Existing law, the Knox-Keene Health Care Service Plan Act of 1975, provides for the licensure and regulation of health care service plans by the Department of Managed Health Care, and makes a willful violation of the act a crime. Existing law provides for the regulation of health insurers by the Department of Insurance. Existing law requires coverage by health care service plans and health insurers for various screening and treatment services with respect to cancer.

This bill would require a health care service plan contract or health insurance policy, except as specified, that is issued, amended, delivered, or renewed on or after January 1, 2027, to provide coverage for scalp cooling, as defined, as prescribed by a health care provider in connection with chemotherapy for persons with cancer. Because a violation of these provisions with respect to
 a health care service plan would be a crime, this bill would impose a state-mandated local program.

Existing law also provides for the Medi-Cal program, which is administered by the State Department of Health Care Services, under which qualified low-income individuals receive health care services pursuant to a schedule of benefits, including various cancer screenings and benefits relating to cancer treatment.

Subject to the extent that federal financial participation is available and not otherwise jeopardized, and any necessary federal approvals have been obtained, this bill would expand the Medi-Cal schedule of benefits to include scalp cooling, as prescribed by a health care provider in connection with chemotherapy for persons with cancer. 

The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by
 the state. Statutory provisions establish procedures for making that reimbursement.

This bill would provide that no reimbursement is required by this act for a specified reason.

Digest Key

 Vote:
 MAJORITY 
 Appropriation:
 NO 
 Fiscal Committee:
 YES 
 Local Program:
 YES 

Bill Text

The people of the State of California do enact as follows:

SECTION 1.

 Section 1367.651 is added to the Health and Safety Code, to read:

1367.651.

 (a) A health care service plan contract issued, amended, or renewed on and after January 1, 2027, shall provide coverage for scalp cooling, as prescribed by a health care provider in connection with chemotherapy for persons with cancer.

(b) Coverage required by this section may be subject to copayments, coinsurance, or deductibles, provided that the copayments, coinsurance, or deductibles applicable to scalp cooling are no less favorable to an enrollee than the copayments, coinsurance, or deductibles that apply to coverage for oncology supportive care services under the same contract.

(c) For purposes of this section, “scalp cooling’’ is defined as the use of a medical device or
 system cleared by the federal Food and Drug Administration (FDA) applied to the scalp before, during, or after the administration of chemotherapy to reduce the incidence or severity of chemotherapy-induced alopecia (hair loss). “Scalp cooling” does not include non-FDA-cleared cold caps or any non-FDA-cleared scalp cooling products, regardless of whether those products are described as “cold cap therapy” or similar terminology.

(d) This section shall not apply to specialized health care service plans.

SEC. 2.

 Section 10123.811 is added to the Insurance Code, to read:

10123.811.

 (a) A health insurance policy issued, amended, or renewed on and after January 1, 2027, shall provide coverage for scalp cooling, as prescribed by a health care provider in connection with chemotherapy for persons with cancer.

(b) Coverage require