CommercialCoverageMedium impact
25-368 New Law Expands Protections for Survivors of Rape and Sexual Assault
Health Net·CA · Emergency Medicine, OB-GYN, Family Medicine +3 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. Claims must be billed with specific diagnosis codes to ensure proper coverage.
Action Required
By July 1, 2025: Billing team must update system to recognize rape and sexual assault diagnosis codes for zero cost-sharing billing. Add all specified ICD-10 codes to system for automatic member cost-share waiver. Update encounter forms and EMR templates to include diagnosis code options for rape/sexual assault cases. Ensure prescriptions include relevant diagnosis codes when treating these patients.