CaliforniaMedi-Cal plans would accept state forms and skip repeat requests
Medi-Cal managed care plans would have to accept a state subacute-care form if one is developed, and could not demand certain extra criteria or repeat requests.
What it does
If the department develops a standard form for pediatric or adult subacute care, plans would have to accept it and could not require a separate form.
For a child moving from acute care to subacute care, a plan could not add eligibility tests when a provider shows the child meets a listed medical-need criterion.
When a patient returns from a bed hold for an acute hospital stay, the plan could not require another treatment authorization request for subacute care.
The department could sanction plans that break the new rules on subacute care forms or repeat authorization requests after a hospital stay.
Argument forPatients and providers could face fewer repeat paperwork demands, especially when a patient returns from a hospital stay.
Argument againstPlans could have less room to request extra information, which might make it harder to review whether a patient still needs subacute care.
More detail
A Medi-Cal managed care plan would have to accept the department’s standard form for authorizing or reauthorizing subacute care. The rule covers forms for authorization and reauthorization of pediatric or adult subacute care services. This applies only if the department develops a standard form.
A Medi-Cal managed care plan could not require a patient to meet extra criteria for pediatric subacute care. This applies to pediatric subacute care when a provider shows that the patient meets at least one statutory medical-need criterion. The listed medical-need criteria are for patients potentially eligible to move from acute care to subacute care.
A Medi-Cal managed care plan could not require a new treatment authorization request when a patient returns from an acute hospital stay. This applies to a patient's return from a bed hold for acute hospitalization under the cited regulation.
The department could sanction a Medi-Cal managed care plan for violating the form or hospital-return rules. This applies to violations of the standard-form and hospital-return rules. Sanctions would be under the cited state law.
Where do you stand?
Choose your position
Tell your reps
Take a position to see your representatives and ways to contact them.
Where it stands
- Introduced
- Passed Assembly
- Passed Senate
- To Governor
- Became Law
Looking ahead
No hearings or votes scheduled.
History
- 2026
- Sep 27Vetoed by Governor Gavin Newsom.Latest
- Sep 9Enrolled and presented to the Governor at 1 p.m.To Governor
- Aug 31
- Vote recorded AB 220 Jackson Concurrence in Senate Amendments. Result: pass.Lower
- Aug 30Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 78. Noes 0. Page 6911.).Major
- Vote recorded 3rd Reading AB220 Jackson et al. By Weber Pierson. Result: pass.Upper
- Aug 30In Assembly. Concurrence in Senate amendments pending.
- Aug 30Read third time. Passed. Ordered to the Assembly. (Ayes 39. Noes 0.).Major
- Aug 26Read second time. Ordered to third reading.Minor
- Aug 25Read third time and amended. Ordered to second reading.Major
- Aug 25Ordered to third reading.Minor
- Aug 25(Ayes 29. Noes 7.)
- Aug 25Action rescinded whereby the bill was read third time, passed, and to Assembly.Major
- 2025
- Sep 4In Senate. Held at Desk.
- Vote recorded Special Consent AB220 Jackson et al. Result: pass.Upper
- Sep 4Ordered to the Senate.
- Sep 4In Assembly. Concurrence in Senate amendments pending.
- Sep 4Read third time. Passed. Ordered to the Assembly. (Ayes 39. Noes 0. Page 2520.).Passed Senate
- Sep 2Ordered to special consent calendar.
- Aug 29Read second time. Ordered to third reading.Minor
- Vote recorded Do pass. Result: pass.Upper
- Aug 29From committee: Do pass. (Ayes 7. Noes 0.) (August 29).Minor
- Jul 14In committee: Referred to APPR. suspense file.Minor
- Vote recorded Placed on suspense file. Result: pass.Upper
- Jul 8From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on APPR.Major
- Jun 26From committee: Do pass and re-refer to Com. on APPR. (Ayes 11. Noes 0.) (June 25). Re-referred to Com. on APPR.Minor
- Jun 25
- Vote recorded Do pass, but first be re-referred to the Committee on [Appropriations]. Result: pass.Upper
- Jun 16From 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 11Referred to Com. on HEALTH.Minor
- May 29In Senate. Read first time. To Com. on RLS. for assignment.Minor
- Vote recorded AB 220 Jackson Assembly Third Reading. Result: pass.Lower
- May 29Read third time. Passed. Ordered to the Senate. (Ayes 70. Noes 0. Page 1781.)Passed Assembly
- May 27Read second time. Ordered to third reading.Minor
- May 23From committee: Do pass. (Ayes 14. Noes 0.) (May 23).Minor
- Vote recorded Do pass. Result: pass.Lower
- May 7In committee: Set, first hearing. Referred to APPR. suspense file.Minor
- Apr 23From committee: Do pass and re-refer to Com. on APPR. (Ayes 16. Noes 0.) (April 22). Re-referred to Com. on APPR.Minor
- Apr 22
- Vote recorded Do pass and be re-referred to the Committee on [Appropriations]. Result: pass.Lower
- Feb 3Referred to Com. on HEALTH.Minor
- Jan 9From printer. May be heard in committee February 8.
- Jan 8Read first time. To print.Introduced
- Sep 4In Senate. Held at Desk.
HealthcareGovernment & EthicsTechnology