Medi-Cal would cover up to 24 acupuncture visits with federal funding
The vetoed bill would require Medi-Cal to cover up to 24 acupuncture visits per patient each year when federal funding is available.
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What it does
With federal funding, Medi-Cal would cover up to 24 acupuncture visits yearly and could approve more for medical need, without limiting eligible patients under 21. Coverage without federal funds would require state funding and SB 944 becoming law and taking effect on or before January 1, 2027.
Argument forWith federal funding, covering up to 24 visits could help Medi-Cal patients afford a course of acupuncture treatment.
Argument againstRequired coverage could increase Medi-Cal spending on acupuncture when federal funding is available, including approved visits beyond 24.
More detail
Medi-Cal would cover up to 24 acupuncture visits per patient when federal funding is available. These rules would cover people enrolled in Medi-Cal. Visits beyond 24 may be approved for medical need through the state's advance approval process. The limit would not restrict patients under 21 entitled to Medi-Cal's screening, diagnosis, and treatment services. Coverage without federal funding would depend on the Legislature setting aside money and SB 944 becoming law and taking effect on or before January 1, 2027. The 24-visit requirement would apply only in years with federal funding. The 24-visit requirement would apply per calendar year. The alternative coverage provision would depend on SB 944 taking effect on or before January 1, 2027.
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