MedicaidCoverageMedium impact
25-367 New Law Expands Protections for Survivors of Rape and Sexual Assault
Health Net·CA · Emergency Medicine, OB-GYN, Psychiatry +2 more·Prior Authorization
Effective date
Jul 1, 2025
We identified it
Jun 20, 2026
Summary
Effective July 1, 2025, Health Net will cover emergency room care, follow-up medical treatment, and mental health services for rape and sexual assault survivors with no member cost sharing. Billing teams must use specific diagnosis codes when billing for these services to ensure proper coverage.
Action Required
Before July 1, 2025: Billing team must update coding procedures to include appropriate rape/sexual assault diagnosis codes on all claims for related services. Update encounter forms and EMR templates with the specific ICD-10 codes provided. Train providers to include relevant diagnosis codes on prescriptions for member care. Claims without proper diagnosis codes may not receive the mandated cost-sharing elimination.