CaliforniaSkilled nursing facilities: reimbursement rates.
What it does
Existing law provides for 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, the Medi-Cal Long-Term Care Reimbursement Act, requires the department to implement a facility-specific reimbursement ratesetting system for certain skilled nursing facilities.
More detail
Reimbursement rates for freestanding skilled nursing facilities are funded by a combination of federal funds and moneys collected pursuant to the skilled nursing uniform quality assurance fee. Existing law prohibits the quality assurance fee from being assessed after December 31, 2026, and repeals these provisions on January 1, 2028. Existing law establishes the maximum annual aggregate rate increases for the 2023 to 2026, inclusive, calendar years, as prescribed, and sets forth the annual rate methodologies. Under existing law, the Medi-Cal Long-Term Care Reimbursement Act is operative until December 31, 2026, and the department is authorized to conduct necessary closeout activities after that date. Existing law repeals these provisions on January 1, 2028.
This bill would extend the application of the quality assurance fee until December 31, 2027, and would repeal the quality assurance fee provisions on January 1, 2029. The bill would extend the operative date of the Medi-Cal Long-Term Care Reimbursement Act to December 31, 2027, and repeals these provisions on January 1, 2029, or the date when the director certifies that all necessary closeout activities have been completed, whichever is later. The bill would also make conforming changes.
This bill would declare that it is to take effect immediately as an urgency statute.
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Where it stands
- Introduced
- Passed Senate
- Passed Assembly
- To Governor
- Became Law
Looking ahead
No hearings or votes scheduled.
History
- 2026
- Jul 6Chaptered by Secretary of State. Chapter 61, Statutes of 2026.Latest
- Jul 6Approved by the Governor Gavin Newsom.Became Law
- Jun 30Enrolled and presented to the Governor at 3 p.m.To Governor
- Jun 29Assembly amendments concurred in. (Ayes 31. Noes 0. Page 5073.) Ordered to engrossing and enrolling.Major
- Vote recorded SB 165 B. & F. R. Third Reading Urgency By GABRIEL. Result: pass.Lower
- Vote recorded W/O REF. TO FILE SB165 B. & F.R. Result: pass.Upper
- Jun 29Urgency clause adopted.Major
- Jun 29Unanimous consent granted to take up without reference to file.
- Jun 29In Senate. Concurrence in Assembly amendments pending.
- Jun 29Read third time. Urgency clause adopted. Passed. (Ayes 60. Noes 4. Page 5902.) Ordered to the Senate.Passed Assembly
- Jun 29Assembly Rule 63 suspended. (Ayes 53. Noes 14. Page 5891.)
- Jun 29Withdrawn from committee pursuant to Asssembly Rule 96.Major
- Jun 26From committee with author's amendments. Read second time and amended. Re-referred to Com. on BUDGET.Major
- 2025
- Mar 24Referred to Com. on BUDGET.Minor
- Mar 20In Assembly. Read first time. Held at Desk.Minor
- Vote recorded 3rd Reading SB165 B. & F.R. Result: pass.Upper
- Mar 20Read third time. Passed. (Ayes 28. Noes 10. Page 452.) Ordered to the Assembly.Passed Senate
- Mar 18Read second time. Ordered to third reading.Minor
- Mar 17Ordered to second reading.Minor
- Mar 17Withdrawn from committee. (Ayes 27. Noes 10. Page 384.)Major
- Feb 5Referred to Com. on B. & F. R.Minor
- Jan 24From printer. May be acted upon on or after February 23.
- Jan 23Introduced. Read first time. To Com. on RLS. for assignment. To print.Introduced