California Prenatal Screening Program is offered by prenatal care providers to all pregnant individuals to check on fetus during pregnancy for genetic conditions and birth defects. The individual decides if they want prenatal screening. Medi-Cal and private insurance must cover all program fees, with only a few exceptions. The exceptions are for self-insured employers and out-of-state health plans. There is no co-payment, co-insurance, deductible, or any other form of cost sharing, required of covered families.