California § 10123.197 - A request for an exception to a health insurer
Full text of California Public Contract Code - PCC § 10123.197 — A request for an exception to a health insurer, with citation guidance and answers to common questions.
§ 10123.197. A request for an exception to a health insurer
(a) A request for an exception to a health insurerâs step therapy process for prescription drugs may be submitted in the same manner as a request for prior authorization for prescription drugs pursuant to Section 10123.191, and shall be treated in the same manner, and shall be responded to by the health insurer in the same manner, as a request for prior authorization for prescription drugs. (b) The department and the Department of Managed Health Care shall include a provision for step therapy exception requests in the uniform prior authorization form developed pursuant to subdivision (c) of Section 10123.191. (c) âStep therapy exceptionâ means a decision to override a generally applicable step therapy protocol in favor of coverage of the prescription drug prescribed by a health care provider for an individual insured.
Source: official California text · Last verified 2026-08-27
Frequently Asked Questions About California § 10123.197
What does Public Contract Code - PCC § 10123.197 cover?
Section 10123.197 ("A request for an exception to a health insurer") is part of the Public Contract Code - PCC, the codified statutory law of California. It sets out the legal rule or procedure described in the text above. Statutes are amended regularly, so always verify against the official source.
How do I cite California § 10123.197?
A common citation format is "Public Contract Code - PCC § 10123.197" (California). Legal writing may require the code abbreviation, section number, and year or edition. Match the style required by your court, professor, or publisher.
Is this the official text of California law?
No. This page is for research and education and may not include the most recent amendments. For official current law, check the California official source linked on this page or consult a licensed California attorney.
How does California § 10123.197 apply to my situation?
Statutes are interpreted in context, and application depends on your specific facts. Only a licensed attorney in California can advise on how this section applies to you. Contact your state or local bar association for a referral.
Sources & Verification
Not legal advice. Verify against the official source and consult a licensed attorney in California.