California 2025-2026 Regular Session

California Senate Bill SB528

Introduced
2/20/25  
Refer
3/5/25  
Refer
3/25/25  
Refer
4/2/25  
Report Pass
5/1/25  
Refer
5/5/25  
Report Pass
5/1/25  

Caption

Health care: maintenance and expansion.

Impact

If enacted, SB 528 would significantly enhance the state's ability to provide comprehensive healthcare services to underserved populations. By establishing the Health Care Maintenance and Expansion Fund, the bill allows the California Health and Human Services Agency to receive private donations to support these healthcare initiatives. This fund will enable the state to offer services that are otherwise curtailed due to a lack of federal funding, thereby bridging the gap and ensuring that essential healthcare services remain accessible to those in need.

Summary

Senate Bill 528, introduced by Senator Weber Pierson, focuses on the maintenance and expansion of healthcare services specifically under the Medi-Cal program in California. The bill aims to create new programs and expand existing state-only funded health programs to cover essential services that might be impacted by fluctuations in federal financial participation. This is particularly pivotal in light of recent federal directives that limit funding for certain types of care, including abortion and gender-affirming services. SB 528 would ensure ongoing access to these critical services for Californian beneficiaries, regardless of changes at the federal level.

Sentiment

The sentiment surrounding SB 528 is mostly supportive, particularly among healthcare advocates who view it as a necessary step to safeguard vulnerable populations from losing access to crucial healthcare services. Proponents emphasize the importance of a state safety net in the face of potential reductions in federal support. Conversely, opponents may express concerns regarding the implications of expanded state-funded healthcare services and the associated costs that such expansions could entail for taxpayers.

Contention

Notable points of contention include the specific services that will be prioritized in the funding allocation, as well as the potential for increased state expenditures without a corresponding guarantee of federal support. Additionally, discussions may arise around the inclusion of abortion and gender-affirming care in the list of services to be funded, particularly given the contentious political landscape surrounding these issues. Overall, SB 528 seeks to ensure that California can maintain its commitment to comprehensive healthcare access amid changing federal policies.

Companion Bills

No companion bills found.

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