Relating to: prior authorization for treatment of severe misalignment or malocclusion of teeth under health insurance policies and plans.

This bill prohibits disability insurance policies and self-insured health plans from using the Salzmann Evaluation Index alone to deny coverage for treating severe misalignment or malocclusion of teeth. It directly affects dental coverage under various health insurance plans, including limited service organizations, preferred provider plans, and defined network plans. The legislation requires these plans to consider additional clinical factors beyond the Salzmann Index when making prior authorization decisions for orthodontic treatment. The bill applies to policies and plans starting with the 2026-2027 plan year, with additional provisions for collective bargaining agreements.