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 Bill Text - AB-1032 Coverage for behavioral health visits. 

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 |Add To My Favorites |Track Bill | Version: 09/16/25 - Enrolled
 08/29/25 - Amended Senate
 07/15/25 - Amended Senate
 05/05/25 - Amended Assembly
 02/20/25 - Introduced

 AB-1032 Coverage for behavioral health visits. (2025-2026)

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 Date Published: 09/16/2025 09:00 PM

AB1032:v95#DOCUMENTBill Start

 Enrolled
 September 16, 2025

 Passed
 IN 
 Senate
 September 11, 2025

 Passed
 IN 
 Assembly
 September 12, 2025

 Amended
 IN 
 Senate
 August 29, 2025

 Amended
 IN 
 Senate
 July 15, 2025

 Amended
 IN 
 Assembly
 May 05, 2025

 CALIFORNIA LEGISLATURE—
 2025–2026 REGULAR SESSION

 Assembly Bill

No. 1032

Introduced by Assembly Members Harabedian and Rivas
(Coauthor: Senator Rubio)

February 20, 2025

 An act to add Section 1368.9 to the Health and Safety Code, and to add Section 10112.97 to the Insurance Code, relating to health care coverage, and declaring the urgency thereof, to take effect immediately.

LEGISLATIVE COUNSEL'S DIGEST

AB 1032, Harabedian.
 Coverage for behavioral health visits. 

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 a health care service plan contract or health insurance policy issued, amended, or renewed on or after January 1, 2021, to provide coverage for medically necessary treatment of mental health and substance use disorders, as defined, under the same terms and conditions applied to other medical conditions.

This bill would generally require a large group health care service plan contract or health insurance policy issued, amended, or renewed on or after January 1, 2026, to reimburse an eligible enrollee or
 insured for up to 12 visits with a behavioral health provider if the enrollee or insured lives in a county where a local or state emergency has been declared due to wildfires and the enrollee or insured has experienced a loss, trauma, or displacement because of the fire. The bill would prohibit these benefits from being subject to utilization review. The bill would require a health care service plan contract or health insurer to provide notice to all affected enrollees of these provisions, as specified. Because a willful violation of these provisions by a health care service plan would be a crime, the bill would impose a state-mandated local program.

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.

This bill would declare that it is to take effect immediately as an urgency statute.

Digest Key

 Vote:
 2/3 
 Appropriation:
 NO 
 Fiscal Committee:
 YES 
 Local Program:
 YES 

Bill Text

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

SECTION 1.

 Section 1368.9 is added to the Health and Safety Code, to read:

1368.9.

 (a) (1) (A) In addition to covering all medically necessary treatment of mental health and substance use disorders, as required by Section 1374.72, a large group health care service plan contract issued, amended, or renewed on or after January 1, 2026, shall cover or reimburse an eligible enrollee for up to 12 visits with a behavioral health provider if the enrollee lives in a county or counties where a local or state emergency has been declared due to wildfires, and the enrollee has experienced a loss, trauma, or
 displacement because of the fire.
 These 12 visits shall not be subject to utilization review, as defined in Section 1374.721, and shall apply regardless of the network status of the behavioral health provider.

(B) For the purposes of subparagraph (A), “state of emergency” means a declaration by the Governor pursuant to Section 8625 of the Government Code and “local emergency” means an emergency declared pursuant to Article 14 (commencing with Section 8630) of Chapter 7 of Division 1 of Title 2 of the Government Code.

(2) A health care service plan shall assure continuity of care of the benefits required by this section consistent with Section 1373