Medi-Cal managed care plans: enrollees with other health care coverage.

Summary

The bill adds new rules so that Medi‑Cal managed‑care plans cannot impose extra administrative hurdles on providers who are not in‑network when a member also has other health coverage and Medi‑Cal is the payer of last resort. It also lets fee‑for‑service providers bill the plan without being in‑network and creates an exemption from mandatory managed‑care enrollment for dual‑eligible and non‑dual‑eligible regional‑center clients who use fee‑for‑service as secondary coverage. The measure aims to simplify coordination of benefits and protect vulnerable beneficiaries.

AI-generated summary — may be incomplete or inaccurate. Verify against the official bill text.

Vote

From committee: Do pass and re-refer to Com. on APPR. (Ayes 15. Noes 0.) (April 22). Re-referred to Com. on APPR. · Apr 23, 2025

Hearings

• Appropriations Committee Hearing
  Appropriations · May 23, 2025
• Appropriations Committee Hearing
  Appropriations · Apr 30, 2025
• Health Committee Hearing
  Health · Apr 22, 2025

History

1. Feb 2, 2026From committee: Filed with the Chief Clerk pursuant to Joint Rule 56.
2. Jan 31, 2026Died pursuant to Art. IV, Sec. 10(c) of the Constitution.
3. May 23, 2025In committee: Held under submission.
4. Apr 30, 2025In committee: Set, first hearing. Referred to suspense file.
5. Apr 23, 2025From committee: Do pass and re-refer to Com. on APPR. (Ayes 15. Noes 0.) (April 22). Re-referred to Com. on APPR.
6. Mar 25, 2025Re-referred to Com. on HEALTH.
7. Mar 24, 2025Referred to Com. on HEALTH.
8. Mar 24, 2025From committee chair, with author's amendments: Amend, and re-refer to Com. on HEALTH. Read second time and amended.
9. Feb 21, 2025From printer. May be heard in committee March 23.
10. Feb 20, 2025Read first time. To print.

Sponsors

• Patterson · sponsor

Bill text

Opens the legislature’s own copy.

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