This resource identifies potential overlap between the federal benefit mandate requiring health insurance coverage of some preventive services and California state benefit mandates.
Resource
State and Federal Law
Federal Recommendations and the California and Federal Preventive Services Benefit Mandates
There are many tools used by health plans, health insurers, and pharmacy benefit managers to help ensure patient safety, increase efficiency, and manage costs in the healthcare system. These are generally referred to as utilization management techniques. Learn more about some common tools in this overview.
Learn more about what California's Office of Health Care Affordability is, its governance structure, and the spending targets set by its Health Care Affordability Board for 2026 and beyond.
A brief introduction to Medi-Cal Rx, the state program responsible for pharmacy benefits for Medi-Cal recipients. Learn about the history of the program, who it serves, and how it differs from commercial insurance.
There are many tools used by health plans, health insurers, and pharmacy benefit managers to help ensure patient safety, increase efficiency, and manage costs in the healthcare system. These are generally referred to as utilization management techniques. Learn more about some common tools in this overview.
