California AB 1328: Common interest developments: contracts.

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 Bill Text - AB-1328 Medi-Cal reimbursements: nonemergency ambulance and other transportation.

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 |Add To My Favorites |Track Bill | Version: 07/17/25 - Amended Senate
 07/09/25 - Amended Senate
 05/23/25 - Amended Assembly
 04/28/25 - Amended Assembly
 04/10/25 - Amended Assembly
 03/24/25 - Amended Assembly
 02/21/25 - Introduced

 AB-1328 Medi-Cal reimbursements: nonemergency ambulance and other transportation.(2025-2026)

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 Date Published: 07/17/2025 09:00 PM

AB1328:v93#DOCUMENTBill Start

 Amended
 IN 
 Senate
 July 17, 2025

 Amended
 IN 
 Senate
 July 09, 2025

 Amended
 IN 
 Assembly
 May 23, 2025

 Amended
 IN 
 Assembly
 April 28, 2025

 Amended
 IN 
 Assembly
 April 10, 2025

 Amended
 IN 
 Assembly
 March 24, 2025

 CALIFORNIA LEGISLATURE—
 2025–2026 REGULAR SESSION

 Assembly Bill

No. 1328

Introduced by Assembly Member Michelle Rodriguez

February 21, 2025

 An act to add Sections 14124.151, 14124.152, and 14124.153 to the Welfare and Institutions Code, relating to Medi-Cal.

LEGISLATIVE COUNSEL'S DIGEST

AB 1328, as amended, Michelle Rodriguez.
 Medi-Cal reimbursements: nonemergency ambulance and other transportation.

Existing law establishes the Medi-Cal program, which is administered by the State Department of Health Care Services and under which qualified low-income individuals receive health care services, including emergency or nonemergency medical or nonmedical transportation services. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions.

Under this bill, commencing on July 1, 2026, 2027, and subject to an appropriation, Medi-Cal fee-for-service reimbursement for nonemergency ambulance transportation services, as defined, would be in an amount equal to 80% of the amount set forth in the federal Medicare ambulance fee
 schedule for the corresponding level of service, adjusted by the Geographic Practice Cost Index, as specified. The bill would require the department to establish a Medi-Cal managed care directed payment program for nonemergency ambulance transportation services, with the reimbursement rates set in an amount equal to at least the amount set forth under fee-for-service reimbursement.

The bill would require the department to maximize federal financial participation in implementing the above-described provisions to the extent allowable. To the extent that federal financial participation is unavailable, the bill would require the department to implement the provisions using state funds, as specified.

Under the bill, whenever the medical necessity of nonemergency ambulance transportation services needs to be certified for purposes of Medi-Cal coverage, either a physician or a nonphysician authorized under certain federal
 regulations would be permitted to complete that certification, as specified. The bill would require the department to revise and update the Medi-Cal provider manual or any guidance, as applicable, to implement this provision.

Existing Medi-Cal regulations require that records of medical transportation providers include, among other information, odometer readings at each pickup and delivery location.

Under this bill, for purposes of documenting mileage in their records under the Medi-Cal program, medical transportation providers would be authorized to utilize vehicle Global Positioning System (GPS) tracking, digital mapping software or applications, or another reasonable mechanism identified by the department, as specified, in addition to the above-described odometer readings. The bill would require the department to revise and update any corresponding regulations, including the above-described
 provision.

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.

 Section 14124.151 is added to the Welfare and Institutions Code, immediately following Section 14124.15, to read:

14124.151.

 (a) (1) Commencing on July 1, 2026, 2027, subject to an appropriation made by the Legislature to fund, in whole or in part, the reimbursement rates described in this subdivision, Medi-Cal fee-for-service reimbursement for nonemergency ambulance transportation services shall be in an amount equal to 80 percent of the amount set forth in the federal Medicare ambulance fee schedule established pursuant to Section 1395m of Title 42 of the Uni