CA AB 350

introduced

Health care coverage: fluoride treatments.

California · 2025-2026 Regular Session · lower

Description

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's requirements a crime. Existing law provides for the regulation of health insurers by the Department of Insurance. Existing law sets forth specified coverage requirements for health care service plan contracts and health insurance policies. Existing law requires an individual or small group health care service plan contract or health insurance policy issued, amended, or renewed on or after January 1, 2017, to include, at a minimum, coverage for essential health benefits pursuant to the federal Patient Protection and Affordable Care Act. Existing law requires an essential health benefit to be provided only to the extent that federal law does not require the state to defray the costs of the benefit. This bill would require a health care service plan contract or health insurance policy issued, amended, or renewed on or after January 1, 2027, that provides coverage for the application of fluoride varnish as a pediatric oral care benefit to provide coverage without cost sharing for the application of fluoride varnish as medically necessary regardless of whether the service is billed as a dental benefit or as a medical benefit, except as specified. If this coverage requirement creates an obligation for the state to defray costs for an individual, the bill would not require coverage unless there is an appropriation for this purpose, as specified. Because a willful violation of this provision by a health care service plan would be a crime, the bill would impose a state-mandated local program. Existing law provides for the Medi-Cal program, administered by the State Department of Health Care Services and under which health care services are provided to low-income individuals. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Existing law establishes a schedule of benefits under the Medi-Cal program and provides for various services, including certain dental services, that are rendered by Medi-Cal enrolled providers. Under existing law, silver diamine fluoride treatments are a covered benefit for eligible children 0 to 6 years of age, inclusive, as specified, and application of fluoride or other appropriate fluoride treatment is covered for children 17 years of age and under. This bill would make the application of fluoride or other appropriate fluoride treatment, as defined by the department, a covered benefit under the Medi-Cal program for children under 21 years of age. The bill would require the State Department of Health Care Services, no later than July 1, 2027, to issue billing guidance and make any necessary updates to ensure the coverage policy for Medi-Cal beneficiaries under 21 years of age is consistent with certain federal benefits and would require that policy to allow the application of fluoride varnish, as specified. 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.

Introduced: 2025-04-23
Status date: —
Latest action: 2026-05-14 — Read second time. Ordered to third reading.
Bill type: bill
Last updated: —

Subjects

Committees

Not provided by source.

Action timeline

2025-01-29
Read first time. To print.
reading-1
2025-01-30
From printer. May be heard in committee March 1.
2025-02-18
Referred to Com. on HEALTH.
referral-committee
2025-04-23
From committee: Amend, and do pass as amended and re-refer to Com. on APPR. (Ayes 14. Noes 0.) (April 22).
amendment-introduction,amendment-passage,committee-passage,referral-committee
2025-04-24
Read second time and amended.
amendment-passage,reading-1,reading-2
2025-04-28
Re-referred to Com. on APPR.
referral-committee
2025-05-07
In committee: Set, first hearing. Referred to APPR. suspense file.
referral-committee
2025-05-23
Assembly Rule 63 suspended. (Ayes 51. Noes 16. Page 1644.)
2025-05-23
From committee: Amend, and do pass as amended. (Ayes 13. Noes 0.) (May 23).
amendment-introduction,amendment-passage,committee-passage
2025-05-23
Read second time and amended. Ordered returned to second reading.
amendment-passage,reading-1,reading-2
2025-05-27
Read second time. Ordered to third reading.
reading-1,reading-2,reading-3
2025-06-02
Read third time. Passed. Ordered to the Senate. (Ayes 75. Noes 1. Page 1927.)
passage,reading-1,reading-3
2025-06-03
In Senate. Read first time. To Com. on RLS. for assignment.
reading-1,referral-committee
2025-06-11
Referred to Com. on HEALTH.
referral-committee
2025-07-03
From committee: Amend, and do pass as amended and re-refer to Com. on APPR. (Ayes 11. Noes 0.) (July 2).
amendment-introduction,amendment-passage,committee-passage,referral-committee
2025-07-07
Read second time and amended. Re-referred to Com. on APPR.
amendment-passage,reading-1,reading-2,referral-committee
2025-08-18
In committee: Referred to suspense file.
referral-committee
2025-08-29
From committee: Do pass. (Ayes 7. Noes 0.) (August 29).
committee-passage,committee-passage-favorable
2025-08-29
Read second time. Ordered to third reading.
reading-1,reading-2,reading-3
2025-09-05
Read third time and amended. Ordered to second reading.
amendment-passage,reading-1,reading-2,reading-3
2025-09-08
Read second time. Ordered to third reading.
reading-1,reading-2,reading-3
2025-09-10
Ordered to inactive file at the request of Senator Rubio.
2026-05-13
From inactive file.
2026-05-13
Ordered to second reading.
reading-1,reading-2
2026-05-13
Read second time and amended. Ordered returned to second reading.
amendment-passage,reading-1,reading-2
2026-05-14
Read second time. Ordered to third reading.
reading-1,reading-2,reading-3

Versions

01/29/25 - Introduced — 2025-01-29Compare
04/24/25 - Amended Assembly — 2025-04-24Compare
05/23/25 - Amended Assembly — 2025-05-23Compare
07/07/25 - Amended Senate — 2025-07-07Compare
09/05/25 - Amended Senate — 2025-09-05Compare
05/13/26 - Amended Senate — 2026-05-13Compare
AB350Compare
(document, no version)Compare

Documents

Votes

Do pass as amended and be re-referred to the Committee on [Appropriations]
2025-04-22 · pass · 14-0
Member-level votes (16)
- Chen: yes
- Patel: yes
- Rogers: yes
- Sharp-Collins: yes
- Krell: yes
- Carrillo: yes
- Celeste Rodriguez: yes
- Bonta: yes
- Flora: yes
- Mark González: yes
- Aguiar-Curry: yes
- Stefani: yes
- Patterson: yes
- Addis: yes
- Sanchez: other
- Schiavo: other
Do pass as amended.
2025-05-23 · pass · 13-0
Member-level votes (15)
- Calderon: yes
- Elhawary: yes
- Dixon: yes
- Hart: yes
- Mark González: yes
- Arambula: yes
- Pacheco: yes
- Solache: yes
- Ta: yes
- Caloza: yes
- Wicks: yes
- Pellerin: yes
- Fong: yes
- Sanchez: other
- Tangipa: other
AB 350 Bonta Assembly Third Reading
2025-06-03 · pass · 75-1
Member-level votes (79)
- Addis: yes
- Garcia: yes
- Lee: yes
- Rivas: yes
- Petrie-Norris: yes
- Bryan: yes
- Michelle Rodriguez: yes
- Rogers: yes
- Gallagher: yes
- Irwin: yes
- Wicks: yes
- Arambula: yes
- Caloza: yes
- Ahrens: yes
- Krell: yes
- Stefani: yes
- Harabedian: yes
- Mark González: yes
- Calderon: yes
- Nguyen: yes
- Patterson: yes
- Ward: yes
- Carrillo: yes
- Blanca Rubio: yes
- Muratsuchi: yes
- Patel: yes
- Solache: yes
- Chen: yes
- Bonta: yes
- Lowenthal: yes
- McKinnor: yes
- Ellis: yes
- Papan: yes
- Jeff Gonzalez: yes
- Schiavo: yes
- Gabriel: yes
- Dixon: yes
- Pacheco: yes
- Ávila Farías: yes
- Aguiar-Curry: yes
- Ransom: yes
- Connolly: yes
- Celeste Rodriguez: yes
- Fong: yes
- Quirk-Silva: yes
- Ramos: yes
- Soria: yes
- Wallis: yes
- Pellerin: yes
- Elhawary: yes
- Davies: yes
- Kalra: yes
- Alanis: yes
- Haney: yes
- Gipson: yes
- Macedo: yes
- Castillo: yes
- Hart: yes
- Boerner: yes
- Alvarez: yes
- Bauer-Kahan: yes
- Schultz: yes
- Sharp-Collins: yes
- Berman: yes
- Jackson: yes
- Wilson: yes
- Hoover: yes
- Lackey: yes
- Ta: yes
- Zbur: yes
- Flora: yes
- Hadwick: yes
- Ortega: yes
- Bains: yes
- Valencia: yes
- DeMaio: no
- Bennett: other
- Sanchez: other
- Tangipa: other
Do pass as amended, but first amend, and re-refer to the Committee on [Appropriations]
2025-07-02 · pass · 11-0
Member-level votes (11)
- Gonzalez: yes
- Durazo: yes
- Valladares: yes
- Grove: yes
- Limón: yes
- Weber Pierson: yes
- Rubio: yes
- Richardson: yes
- Wiener: yes
- Padilla: yes
- Menjivar: yes
Placed on suspense file
2025-08-18 · pass · 7-0
Member-level votes (7)
- Richardson: yes
- Seyarto: yes
- Caballero: yes
- Cabaldon: yes
- Dahle: yes
- Wahab: yes
- Grayson: yes
Do pass
2025-08-29 · pass · 7-0
Member-level votes (7)
- Richardson: yes
- Grayson: yes
- Wahab: yes
- Dahle: yes
- Seyarto: yes
- Caballero: yes
- Cabaldon: yes

Related bills

No related bills recorded for this bill.

Official source

http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202520260AB350

Attribution

Data from openstates_bulk_csv, retrieved 2026-07-24T01:34:27.960412Z

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