Medi-Cal Access Program
Cal. WIC § 15840
California Statutes
(a)
(1) At a minimum, coverage provided pursuant to this
chapter shall be provided to subscribers during one pregnancy, and until the end of the month in which the 60th day after pregnancy occurs, and to eligible children less than two years of age who were born of a pregnancy covered under this program or the Access for Infants and Mothers program under former
Part 6.3 (commencing with
Section 12695) of Division of the Insurance Code to a woman enrolled in the Access for Infants and Mothers program. (2) (
A) Upon the effective date reflected in any necessary federal approvals obtained by the department pursuant to subdivision (
c) of
Section 14005.185, a subscriber described in paragraph (1) shall be eligible for an additional 10-month period following the 60-day postpartum period, for a total of months of continuous eligibility after the end of pregnancy. (
B) This paragraph shall be implemented only if, and to the extent that, any necessary federal approvals are obtained pursuant to
Section 14005.185 and federal financial participation is available, and subject to an annual appropriation by the Legislature for this purpose. (
b) Coverage provided pursuant to this
chapter shall include, at a minimum, those services required to be provided by health care service plans approved by the Secretary of Health and Human Services as a federally qualified health care service plan pursuant to
Section 417.101 of Title of the Code of Federal Regulations. (
c) Medically necessary prescription drugs shall be a required benefit in the coverage provided pursuant to this chapter. (
d) To the extent required pursuant to
Section to comply with paragraph (1) of subdivision (
b) of
Section of the Revenue and Taxation Code, health education services related to tobacco use shall be a benefit in the coverage provided under this chapter. (e)
(1) If the voters approve the addition of
Chapter 7.5 (commencing with
Section 14199.100) to Part of this division at the November 5, 2024, statewide general election, and the conditions described in paragraph (1) of subdivision (
b) of
Section 15832, as added by
Section of the act that added this subdivision, have been met, this
section shall become inoperative on January 1, 2025, or the date certified by the department pursuant to paragraph (2) of subdivision (
b) of
Section 15832, as added by
Section of the act that added this subdivision, whichever is later, and shall be repealed on January directly following that date.
(2) If the voters do not approve the addition of
Chapter 7.5 (commencing with
Section 14199.100) to Part of this division at the November 5, 2024, statewide general election, and the conditions described in paragraph (1) of subdivision (
b) of
Section 15832, as added by
Section of the act that added this subdivision, have been met, this
section shall become inoperative on January 1, 2026, or the date certified by the department pursuant to paragraph (2) of subdivision (
b) of