A proposed California ballot initiative, named after alleged UnitedHealthcare CEO killer Luigi Mangione, has been recently submitted to the California Attorney General’s Office.

The initiative would make it illegal for an insurance company to “delay, deny or modify any medical procedure or medication” suggested by a licensed physician in the Golden State, which could have serious consequences such as “disability, death, amputation, permanent disfigurement, loss or reduction of any bodily function,” the document stated.

If the initiative is enacted, any decision by an insurer to delay, deny or modify can only be made by a physician on behalf of any insurer. The initiative would also make it a felony to employ someone who is not a physician to review a decision made by a physician.