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 Bill Text - SB-528 Health care: maintenance and expansion.

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 |Add To My Favorites |Track Bill | Version: 05/05/25 - Amended Senate
 03/25/25 - Amended Senate
 02/20/25 - Introduced

 SB-528 Health care: maintenance and expansion.(2025-2026)

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 Date Published: 05/05/2025 02:00 PM

SB528:v97#DOCUMENTBill Start

 Amended
 IN 
 Senate
 May 05, 2025

 Amended
 IN 
 Senate
 March 25, 2025

 CALIFORNIA LEGISLATURE—
 2025–2026 REGULAR SESSION

 Senate Bill

No. 528

Introduced by Senator Weber Pierson

February 20, 2025

 An act to add Division 123 (commencing with Section 152500) to the Health and Safety Code, and to add Sections 14042.5 and 24028 to the Welfare and Institutions Code, relating to health care.

LEGISLATIVE COUNSEL'S DIGEST

SB 528, as amended, Weber Pierson.
 Health care: maintenance and expansion.

(1) Existing law establishes the Medi-Cal program, which is administered by the State Department of Health Care Services, under which qualified low-income individuals receive health care services. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions.

Existing law establishes, under the Medi-Cal program, the Family Planning, Access, Care, and Treatment (Family PACT) Program. If Family PACT becomes inoperative, existing law requires all persons who have received, or are eligible to receive, comprehensive clinical family planning services pursuant to Family PACT to receive family planning services under other specified provisions of the Medi-Cal program or under the State-Only Family Planning Program, which is also established within the department for purposes of family planning
 services.

This bill would require the department, subject to an appropriation, to develop a new program or to expand any existing state-only-funded health programs, including, but not limited to, the State-Only Family Planning Program, in order to provide to Medi-Cal beneficiaries certain services or benefits that are otherwise covered under the Medi-Cal program but for any lack of, elimination of, reduction in, or limitation on, federal financial participation.

For purposes of the expansion above, the bill would require the department to determine the services or benefits, which may include, but are not limited to, abortion and
 gender-affirming care, based on the levels of federal financial participation, as specified.

(2) This bill would, subject to an appropriation, require the California Health and Human Services Agency to develop a new program, or to expand an existing state program, as applicable, to provide certain services or benefits that are otherwise covered under the Medi-Cal program but for any lack of, elimination of, reduction in, or limitation on, federal financial participation. Under the bill, these services or benefits would not be limited to the population of Medi-Cal beneficiaries.

The bill would require the agency to determine the services or benefits, which may include, but are not limited to, abortion, family planning, and gender-affirming care, based on the needs of target populations and the levels of federal financial participation, as specified.

The bill
 would create the Health Care Maintenance and Expansion Fund for purposes of distributing funding, if appropriated, for these services or benefits. The bill would authorize the agency to receive private donations, for deposit into the fund, to support implementation.

(3) The bill would authorize modification and expansion of the State-Only Family Planning Program, subject to an appropriation, to facilitate implementation of the provisions described in paragraphs (1) and (2), as specified.

Digest Key

 Vote:
 MAJORITY 
 Appropriation:
 NO 
 Fiscal Committee:
 YES 
 Local Program:
 NO 

Bill Text

The people of the State of California do enact as follows:

SECTION 1.

 (a) The Legislature finds and declares all of the following:

(1) In 2022, over 15 million Californians – roughly 40 percent of the state’s population – were enrolled in Medi-Cal, the state’s federal Medicaid program.

(2) The state administers Medi-Cal, subject to federal regulations, and financing for the program is shared between California and the federal government through federal matching dollars.

(3) The federal medical assistance percentage (FMAP) is the percentage of costs paid by the federal
 government to state Medicaid programs, which varies by service type