25-1396 SB 464 Compliance: Strengthen Maternal Health Equity in Your Practice
Date: 12/23/25
Act now to meet critical deadlines—Access no cost online courses and resources to stay compliant and advance maternal health equity.
Health Net is committed to helping providers deliver equitable, culturally sensitive care to all patients. This update details the critical requirements under the Dignity in Pregnancy and Childbirth Act (SB 464), including mandatory implicit bias training for perinatal care providers, key compliance deadlines and ongoing refresher courses. It explains how implicit bias contributes to maternal health disparities and offers practical steps, tip sheets, and resources to support compliance and improve patient outcomes. By completing the required training and implementing best practices, you can help reduce health disparities and make a meaningful difference in maternal health across our communities.
Why addressing implicit bias matters
Implicit bias can influence attitudes, patient interactions, diagnoses, and treatment decisions—contributing to health disparities. Addressing these biases is essential for improving maternal health outcomes and ensuring equitable care. SB 464 requires perinatal care providers to complete implicit bias training.
Maternal health disparities: key facts
- Pregnancy-related deaths and complications are higher in the U.S. than in other high-income countries.1
- Black women are three times more likely to experience severe maternal morbidity and twice as likely to suffer complications compared to other racial and ethnic groups.2
Critical deadlines
Dates | Details |
|---|---|
June 1, 2025 | Current perinatal providers were required to complete initial implicit bias training by June 1, 2025. |
Within six months | New providers must complete training within six months of their start date. |
Every 2 years | Refresher courses are required every two years after initial training. |
February 1, 2026 | Effective February 1, 2026, facilities must submit annual proof of compliance to the California Attorney General. |
Missed the June 1, 2025 deadline?
Complete the training as soon as possible. While late completion does not currently disqualify providers, delays may increase risk for your facility.
Take action now: Complete required training
- Implicit Bias Training
- No-cost training focuses on cultural humility, sensitivity, and awareness of unconscious assumptions.
- Equips providers with tools for respectful, empathetic patient engagement.
Access the course Strengthening Cultural Humility, Dismantling Implicit Bias in the Healthcare Setting online.
Helpful tip sheets for perinatal care
Improve Healthcare Effectiveness Data and Information Set (HEDIS®) Prenatal and Postpartum Care (PPC) rates and reduce medical records request. Find tip sheets at HEDIS Measures & Billing Codes under Reproductive Health.
Search for:
- Prenatal Care
- Prenatal Depression Screening and Follow-Up (PND-E)
- Prenatal Immunization status
- Postpartum Care
- Postpartum Depression Screening and Follow-Up (PDS-E)
Additional resources
- Centers for Disease Control and Prevention HEAR HER Campaign.
- California Department of Public Health, Centering Black Mothers in California.
- California Department of Public Health resources: Perinatal Equity Initiative.
- California Maternal Quality Care Collaborative, Perinatal Equity: Health Equity.
- National Institutes of Health, Maternal Morbidity & Mortality Web Portal.
- Health Net’s Provider Quality Improvement resources.
- Health Net’s Quality Improvement HEDIS measures and billing codes provider tip sheets.
Need help? Contact us
If you have questions regarding the information contained in this update, contact the Health Net Provider Services Center by email, by phone or through the Health Net provider portal.
Provider Services
Line of business | Phone number | |
|---|---|---|
Ambetter from Health Net IFP Ambetter PPO | ||
Ambetter HMO | ||
Health Net Employer Group HMO, POS, & PPO | ||
Medi-Cal (including CS and ECM providers) | N/A |
1Centers for Disease Control and Prevention. (2023). Retrieved from Maternal Mortality Rates in the United States, 2021.
2Centers for Disease Control and Prevention. (2024). Retrieved from Working Together to Reduce Black Maternal Mortality.
This information applies to Physicians.
For Medi-Cal, this information applies to Amador, Calaveras, Inyo, Los Angeles, Molina, Mono, Sacramento, San Joaquin, Stanislaus, Tulare and Tuolumne counties.