Effective July 1, 2025, California will roll out two major healthcare mandates affecting fully insured plans: AB 2843 and SB 729. Below is an updated summary along with how carriers are responding.
AB 2843: Emergency & Sexual Assault Coverage
What it requires:
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Applies to fully insured individual, small, and large group plans issued, renewed, amended, or delivered on or after July 1, 2025.
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Requires no-cost coverage for:
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Emergency room medical care
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Follow-up treatment for survivors of rape or sexual assault, for up to 9 months after treatment begins
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Carriers cannot require:
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Filing a police report
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Pressing charges
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Convicting the assailant
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Carrier implementation
| Carrier | Status Update |
|---|---|
| Aetna | Automatic via claims |
| Anthem | Pending |
| Blue Shield | Updating EOCs & SOBs |
| Health Net | Diagnosis code–driven; no SOB changes |
| Kaiser | On track for July 1 |
| MediExcel | EOC & docs under DMHC review |
| Sharp Health Plan | Compliance via claims; updating EOC |
| Sutter | EOC language added |
| UHC, WHA | Pending carrier responses |