{"data":{"id":"us-ca/hsc-1374.194","jurisdiction":"us-ca","citation":"HSC § 1374.194","heading":"","body":"(a) The following definitions shall apply for purposes of this section:\n(1) “Dental waiting period provision” means a plan contract provision that limits coverage for a specified period of time following an enrollee’s effective date of coverage.\n(2) “Plan” means a health care service plan that issues, sells, renews, or offers a plan contract covering dental services, including a specialized health care service plan covering dental services.\n(3) “Preexisting condition provision” means a contract provision that excludes or limits coverage for services, charges, or expenses incurred following an enrollee’s effective date of coverage for a condition for which dental services, diagnosis, care, or treatment was recommended or received preceding the effective date of coverage.\n(b) On and after January 1, 2025, a plan shall not issue, amend, renew, or offer a plan contract that imposes a dental waiting period provision in a large group plan or preexisting condition provision for any plan.\n(c) This section does not apply to Medi-Cal dental managed care contracts authorized under Chapter 7 (commencing with Section 14000) and Chapter 8 (commencing with Section 14200) of Part 3 of Division 9 of the Welfare and Institutions Code.","path":["Health and Safety Code - HSC","DIVISION 2. LICENSING PROVISIONS [1200. - 1796.88.]","CHAPTER 2.2. Health Care Service Plans [1340. - 1399.874.]","ARTICLE 5. Standards [1367. - 1374.198.]"],"source_url":"https://downloads.leginfo.legislature.ca.gov/pubinfo_2025.zip","current_through":"2026-09-13","vintage":"","retrieved_at":"2026-09-14T05:56:33Z","sha256":"25d2021692fab36d689f30e0ced8f3f21dbd1ddf1b70d5cbff95e1fe767be646","source_id":"us-ca","stale":false,"prev":"us-ca/hsc-1374.193","next":"us-ca/hsc-1374.195"},"notice":"GroundRules: Original legal text. Not legal advice."}