MedicaidCoverageMedium impact
Provider Bulletin 03-18-2025 Implementation of Assembly Bill 2843 - Eliminating Cost Sharing for Survivors of Rape and Sexual Assault IM IE LA OC SAC SD
Molina Healthcare·CA · Emergency Medicine, OB-GYN, Family Medicine +1 more·Provider Bulletin
Effective date
Jul 1, 2025
We identified it
Jun 19, 2026
Summary
Assembly Bill 2843 eliminates all cost sharing (copays, deductibles, coinsurance) for emergency room care and follow-up treatment related to rape or sexual assault for 9 months after initial treatment. Billing teams must use accurate rape/sexual assault diagnosis codes to trigger automatic cost-sharing waiver.
Action Required
Before July 1, 2025: Billing team must update system to automatically waive all cost sharing (copays, deductibles, coinsurance) for emergency room visits and follow-up care when rape/sexual assault diagnosis codes are used. Train staff on proper diagnosis coding requirements for these cases. Update billing software rules to recognize these codes and suppress patient billing for 9 months from initial treatment date. Educate clinical staff on coverage benefits to properly inform patients.