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Bill

Bill

SB 646

Prenatal multivitamins.

2025-2026 Regular Session Introduced by Akilah Weber Pierson

California law requires health insurers and Medi-Cal to cover prenatal multivitamins at no cost to reduce birth defects and improve pregnancy outcomes.

Chaptered by Secretary of State. Chapter 602, Statutes of 2025.
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Bill Summary · SB 646

Legislative bill overview

SB 646 requires California health insurance plans and Medi-Cal to cover prenatal multivitamins without cost-sharing (copays, coinsurance, or deductibles). The bill applies to vitamins containing folic acid and other nutrients recommended for pregnancy by the American College of Obstetricians and Gynecologists.

Why is this important

Prenatal vitamins, particularly those containing folic acid, significantly reduce the risk of serious birth defects like neural tube defects. By removing financial barriers to access, the bill aims to increase prenatal vitamin use among pregnant individuals, especially low-income populations who may delay or skip purchases due to cost.

Potential points of contention

  • Insurance premium costs: Expanding coverage mandates may increase premiums for all policyholders, even those not using prenatal vitamins, raising questions about cost distribution
  • Scope of "recommended" vitamins: Determining which specific formulations qualify could create disputes between insurers, providers, and manufacturers over coverage standards
  • Access gaps for uninsured: The bill doesn't address uninsured pregnant individuals, potentially leaving the most vulnerable populations without improved access

Compiled from official sources — confirm details with the bill’s official record.

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