CaliforniaMedi-Cal: special commissions.
What it does
Existing law establishes the Medi-Cal program, administered by the State Department of Health Care Services, under which health care services are provided to qualified, low-income persons. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Existing law authorizes a county board of supervisors to establish a commission to negotiate an exclusive contract with the department to provide, or arrange for the provision of, health care services under the Medi-Cal program.
More detail
Pursuant to the authority described above, the County of Orange established a commission and existing law established the governance of that commission, known as the Orange County Health Authority or CalOptima, to provide health care services under the Medi-Cal program. Existing law prescribes who can serve on the 10-member governing body of the commission and requires each member to serve a 4-year term, except as described.
This bill, for terms commencing after January 1, 2027, would impose one-, 2-, and 4-year terms of office, as specified. The bill would also prohibit specified voting members from serving more than two consecutive terms and from serving in that capacity for more than 10 consecutive years. The bill would require the governing body of the Orange County Health Authority to authorize and pay for an independent external audit of its governance procedures and practices, including the roles and responsibilities of the governing body, executive leadership, and staff, among others. The bill would require the audit to be completed by July 1, 2027, and would require that a copy of the report be provided to the Legislature and made public. Because this bill would impose a unique requirement on how services are provided on a local government and would require additional duties of county authorities, the bill would impose a state-mandated local program.
This bill would make legislative findings and declarations as to the necessity of a special statute for County of Orange.
Existing constitutional provisions require that a statute that limits the right of access to the meetings of public bodies or the writings of public officials and agencies be adopted with findings demonstrating the interest protected by the limitation and the need for protecting that interest.
This bill would make legislative findings to that effect.
The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.
This bill would provide that no reimbursement is required by this act for a specified reason.
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Where it stands
- Introduced
- Passed Assembly
- Passed Senate
- To Governor
- Became Law
Looking ahead
No hearings or votes scheduled.
History
- 2026
- Sep 27Chaptered by Secretary of State - Chapter 588, Statutes of 2026.Latest
- Sep 27Approved by the Governor Gavin Newsom.Became Law
- Sep 9Enrolled and presented to the Governor at 1 p.m.To Governor
- Aug 26Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 79. Noes 0. Page 6557.).Major
- Vote recorded AB 2194 Valencia Concurrence in Senate Amendments. Result: pass.Lower
- Aug 24In Assembly. Concurrence in Senate amendments pending.
- Vote recorded 3rd Reading AB2194 Valencia By Umberg. Result: pass.Upper
- Aug 24Read third time. Passed. Ordered to the Assembly. (Ayes 40. Noes 0.).Passed Senate
- Aug 20Read second time. Ordered to third reading.Minor
- Aug 19Read third time and amended. Ordered to second reading.Major
- Aug 4Read second time. Ordered to third reading.Minor
- Aug 3From committee: Be ordered to second reading pursuant to Senate Rule 28.8.Minor
- Jul 2Read second time and amended. Re-referred to Com. on APPR.Major
- Jul 2From committee: Amend, and do pass as amended and re-refer to Com. on APPR. (Ayes 6. Noes 0.) (July 1).Major
- Jul 1
- Vote recorded Do pass as amended, but first amend, and re-refer to the Committee on [Appropriations]. Result: pass.Upper
- Jun 25From committee: Do pass and re-refer to Com. on L. GOV. (Ayes 11. Noes 0.) (June 24). Re-referred to Com. on L. GOV.Minor
- Jun 24
- Vote recorded Do pass, but first be re-referred to the Committee on [Local Government]. Result: pass.Upper
- Jun 15From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on HEALTH.Major
- Jun 10In committee: Set, second hearing. Hearing canceled at the request of author.
- Jun 3In committee: Set, first hearing. Hearing canceled at the request of author.
- May 6Referred to Coms. on HEALTH and L. GOV.Minor
- Apr 16In Senate. Read first time. To Com. on RLS. for assignment.Minor
- Vote recorded AB 2194 Valencia Consent Calendar Second Day. Result: pass.Lower
- Apr 16Read third time. Passed. Ordered to the Senate. (Ayes 68. Noes 0. Page 4682.)Passed Assembly
- Apr 9Read second time. Ordered to Consent Calendar.Minor
- Apr 8From committee: Do pass. To Consent Calendar. (Ayes 14. Noes 0.) (April 8).Minor
- Vote recorded Do pass. To Consent Calendar. Result: pass.Lower
- Apr 6Re-referred to Com. on APPR.Minor
- Mar 26Read second time and amended.Major
- Mar 25From committee: Amend, and do pass as amended and re-refer to Com. on APPR. with recommendation: To Consent Calendar. (Ayes 16. Noes 0.) (March 24).Major
- Mar 24
- Vote recorded Do pass as amended, and be re-referred to the Committee on [Appropriations] with recommendation: To Consent Calendar. Result: pass.Lower
- Mar 2Referred to Com. on HEALTH.Minor
- Feb 20From printer. May be heard in committee March 22.
- Feb 19Read first time. To print.Introduced