CDI tells insurance companies to immediately stop unlawful STI screening limits – California Medical Association

The California Department of Insurance (CDI) is warning health insurers that refusing to cover necessary treatments and limiting coverage for sexually transmitted infection (STI) screening to one per year is unlawful.
At a pivotal time when the Centers for Disease Control and Prevention (CDC) reports an alarming increase in STIs nationwide, the CDI is finding that several insurers are shifting the cost of preventative screenings, diagnoses and treatments to patients and creating unnecessary and unlawful obstacles to preventing the spread of HIV, syphilis, chlamydia, hepatitis, and other STIs. .
The Affordable Care Act (ACA) and California law both prohibit limiting STI screenings of persons who are at increased risk of infection.
Additionally, California law requires most health insurers to cover screening, diagnostic testing and treatment for any health condition according to current, generally accepted standards of care. Consequently, insurers must cover clinically recommended periodic STI screening, even when it is not required preventive care under the ACA.
The CDI bulletin explains that existing federal and state law requires insurance companies to:
CDI informed insurers that they must immediately eliminate any impermissible limits that they have arbitrarily imposed on coverage of clinically recommended STI screening, testing or treatment.
The growing STI crisis in California and across the county has been exacerbated by the COVID-19 pandemic, disproportionately affecting youth, people of color, and gay, bisexual, and transgender people .
 

 
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