AB 980: Health care: medically necessary treatment.

This bill aims to clarify the definition of "medically necessary health care service" for health care service plans and managed care entities. It seeks to ensure that these entities provide reasonable and medically accepted medical care to their subscribers or enrollees. The bill would hold these entities liable for harm caused by their failure to exercise ordinary care, resulting in the denial, delay, or modification of medically necessary services, and resulting in substantial harm to the subscriber or enrollee.