California Health and Safety Code

§ 1383.15

HSC § 1383.15 Effective Jan 1, 2002Div. 2 · Ch. 2.2 · Art. 6

Statute text

(a)When requested by an enrollee or participating health professional who is treating an enrollee, a health care service plan shall provide or authorize a second opinion by an appropriately qualified health care professional. Reasons for a second opinion to be provided or authorized shall include, but are not limited to, the following:

(1)If the enrollee questions the reasonableness or necessity of recommended surgical procedures.

(2)If the enrollee questions a diagnosis or plan of care for a condition that threatens loss of life, loss of limb, loss of bodily function, or substantial impairment, including, but not limited to, a serious chronic condition.

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Legislative history

Amended by Stats. 2001, Ch. 328, Sec. 3. Effective January 1, 2002.