California Implements New Health Care Laws to Address Medical Debt, AI Care Decisions, and Detention Centers
California, the nation’s most populous state and largest health care market, is gearing up for significant changes as new laws take effect this year. With Democrats holding supermajorities in both houses of the California Legislature and Democratic Gov. Gavin Newsom signing off on these laws, the state is making strides in key areas of health care policy.
Medical Debt Erased from Credit Reports
One crucial change is the implementation of SB 1061, making California the eighth state where medical debt will no longer impact patients’ credit reports or scores. This law prohibits health care providers and debt collectors from reporting unpaid medical bills to credit bureaus. Supporters of the law argue that this practice penalizes individuals seeking critical care and can hinder their ability to secure employment, buy a car, or obtain a mortgage. Although the California Association of Collectors opposed the measure, amendments were made to limit the bill’s scope.
Extended Psychiatric Hospital Stays for Violent Offenders
Another significant development is the extension of the timeframe for holding violent offenders with severe mental illness after being released from a state mental hospital. In response to a high-profile case in San Francisco, legislators unanimously supported giving state officials and law enforcement 30 days to coordinate housing, medication, and treatment for parolees, a substantial increase from the previous five-day deadline.
Ban on Forever Chemicals in Cosmetics
California has taken a pioneering step by becoming the first state to ban PFAS chemicals, or “forever chemicals,” from all cosmetics manufactured and sold within its borders. These synthetic compounds, often found in everyday products, have been linked to serious health issues and are a growing concern in consumer goods.
Inspection of Immigration Detention Facilities
In response to health and safety concerns raised by detainees in privately run immigrant detention centers, California has granted local county health officials the authority to inspect these facilities. The law, SB 1132, gives public health officials the power to evaluate compliance with state and local health regulations, ensuring proper ventilation, mental and physical health care, and food safety.
Concerns Over AI in Health Care Decisions
As insurance companies increasingly rely on artificial intelligence to analyze patient claims and authorize treatments, there are growing concerns about the impact of AI algorithms on medical care decisions. Legislators unanimously passed SB 1120, stipulating that only licensed health care providers should determine the medical necessity of treatments after reviewing patients’ medical history and records.
Expanded Protections for California Workers
Two new laws in California provide additional protections for workers. SB 1105 allows farmworkers to take paid sick leave during emergencies like extreme heat, smoke, or flooding declared by local or state officials. AB 2499 expands the reasons for taking paid sick leave or protected unpaid leave to include assisting family members experiencing domestic violence or violent crimes.
Enhanced Support for Maternal Mental Health
Health insurers in California will now be required to conduct additional screenings for perinatal depression to better detect and address mental health issues among pregnant individuals. This initiative aims to provide critical support for those experiencing maternal mental health challenges, with screenings conducted during pregnancy and postpartum.
These new laws reflect California’s commitment to advancing health care policies that prioritize patient well-being and access to essential services. As the state navigates the changing landscape of health care, stakeholders are focused on upholding progressive policies and addressing emerging challenges.
As we look ahead to the future of health care in California, it is essential to consider the implications of these new laws on individuals and communities across the state. From protecting patients from medical debt to ensuring proper oversight of detention facilities and promoting mental health screenings, these legislative changes strive to enhance the quality of care and support available to Californians.