Amended IN Senate March 25, 2025 CALIFORNIA LEGISLATURE 20252026 REGULAR SESSION Senate Bill No. 528Introduced by Senator Weber PiersonFebruary 20, 2025 An act to amend Section 124300 of the Health and Safety Code, add Division 123 (commencing with Section 152500) to the Health and Safety Code, and to add Sections 14042.5 and 24028 to the Welfare and Institutions Code, relating to health care.LEGISLATIVE COUNSEL'S DIGESTSB 528, as amended, Weber Pierson. Health care: family planning. maintenance and expansion.(1) Existing law establishes 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 establishes, under the Medi-Cal program, the Family Planning, Access, Care, and Treatment (Family PACT) Program. If Family PACT becomes inoperative, existing law requires all persons who have received, or are eligible to receive, comprehensive clinical family planning services pursuant to Family PACT to receive family planning services under other specified provisions of the Medi-Cal program or under the State-Only Family Planning Program, which is also established within the department for purposes of family planning services.This bill would require the department, subject to an appropriation, to expand any existing state-only-funded health programs, including, but not limited to, the State-Only Family Planning Program, to provide to Medi-Cal beneficiaries certain services or benefits that are otherwise covered under the Medi-Cal program but for any lack of, elimination of, reduction in, or limitation on, federal financial participation.For purposes of the expansion above, the bill would require the department to determine the services or benefits, which may include, but are not limited to, abortion and gender-affirming care, based on the levels of federal financial participation, as specified.(2) This bill would, subject to an appropriation, require the California Health and Human Services Agency to develop a new program, or to expand an existing state program, as applicable, to provide certain services or benefits that are otherwise covered under the Medi-Cal program but for any lack of, elimination of, reduction in, or limitation on, federal financial participation. Under the bill, these services or benefits would not be limited to the population of Medi-Cal beneficiaries.The bill would require the agency to determine the services or benefits, which may include, but are not limited to, abortion, family planning, and gender-affirming care, based on the needs of target populations and the levels of federal financial participation, as specified.The bill would create the Health Care Maintenance and Expansion Fund for purposes of distributing funding, if appropriated, for these services or benefits. The bill would authorize the agency to receive private donations, for deposit into the fund, to support implementation.(3) The bill would authorize expansion of the State-Only Family Planning Program, subject to an appropriation, to facilitate implementation of the provisions described in paragraphs (1) and (2), as specified.Existing law requires local health departments to make copies of circulars and pamphlets relating to family planning available in a certain language if 10% or more of the population in a county, as specified, speaks a language other than English as its native language. Existing law requires the State Department of Health Care Services to make a translation of the family planning information materials available upon request.This bill would make technical, nonsubstantive changes to those provisions.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: NOYES Local Program: NO Bill TextThe people of the State of California do enact as follows:SECTION 1. (a) The Legislature finds and declares all of the following:(1) In 2022, over 15 million Californians roughly 40 percent of the states population were enrolled in Medi-Cal, the states federal Medicaid program.(2) The state administers Medi-Cal, subject to federal regulations, and financing for the program is shared between California and the federal government through federal matching dollars.(3) The federal medical assistance percentage (FMAP) is the percentage of costs paid by the federal government to state Medicaid programs, which varies by service type or the beneficiary receiving the service. Californias FMAP is 50 percent for most services and beneficiaries, and certain services are eligible for an FMAP of up to 90 percent.(4) The Medi-Cal program was projected to cost $161 billion in the 202425 fiscal year, with $98.5 billion of that amount coming from federal matching funds.(5) In addition to covering all health care services required by federal law, along with many federal optional benefits that are eligible for federal matching funds, the Medi-Cal program provides coverage using state-only funds for certain health care services that are ineligible for federal matching funds and for certain populations whose care is ineligible for federal matching funds.(6) Certain executive orders issued by United States President Trump in January 2025 direct federal agencies, including the United States Department of Health and Human Services, to ensure that federal funds are not spent on specified abortion care and gender-affirming services.(7) The United States Congress is considering several proposals that might further drastically reduce federal financial participation in the Medi-Cal program, including through limiting eligible services and reducing FMAP rates.(b) It is the intent of the Legislature to maximize federal financial participation in the Medi-Cal program in order to ensure that Californians have ongoing access to all covered services, or for the state to otherwise maintain those Medi-Cal services or other health care services through state-only programs based on any lack of, elimination of, reduction in, or limitation on, federal financial participation.SEC. 2. Division 123 (commencing with Section 152500) is added to the Health and Safety Code, to read:DIVISION 123. Health Care Maintenance and Expansion152500. (a) In accordance with this section, the California Health and Human Services Agency shall develop a new program, or shall expand an existing state program, as applicable, to provide certain services or benefits that are otherwise covered under the Medi-Cal program but for any lack of, elimination of, reduction in, or limitation on, federal financial participation. The services or benefits provided under this division shall not be limited to the population of Medi-Cal beneficiaries.(b) (1) The agency shall determine the services or benefits described in subdivision (a) based on the needs of target populations, on the levels of eliminated or reduced federal financial participation under the Medi-Cal program or lack thereof, and on the extent of limitations on that federal financial participation.(2) The services or benefits may include, but are not limited to, abortion, family planning, and gender-affirming care, based on the factors described in paragraph (1).(3) The target populations may include, but are not limited to, individuals eligible for the Medi-Cal program pursuant to Section 14007.8 of the Welfare and Institutions Code, and other individuals whether or not Medi-Cal beneficiaries, based on the factors described in paragraph (1).(c) The agency may enter into contracts with service providers, third-party administrators, or other vendors, as necessary to implement this division.152501. (a) This division shall be implemented subject to an appropriation made by the Legislature for the purpose of this division.(b) The Health Care Maintenance and Expansion Fund shall be created, to be administered by the California Health and Human Services Agency, to distribute funding, if appropriated pursuant to subdivision (a), for purposes of the services or benefits described in Section 152500.(c) The agency may receive private donations, for deposit into the fund described in subdivision (b), to support implementation of this division.SEC. 3. Section 14042.5 is added to the Welfare and Institutions Code, to read:14042.5. (a) Subject to an appropriation made by the Legislature for this purpose, the department shall expand any existing state-only-funded health programs, including, but not limited to, the State-Only Family Planning Program described in Division 24 (commencing with Section 24000), to provide to Medi-Cal beneficiaries certain services or benefits that are otherwise covered under the Medi-Cal program but for any lack of, elimination of, reduction in, or limitation on, federal financial participation.(b) The department shall determine the services or benefits described in subdivision (a), which may include, but are not limited to, abortion and gender-affirming care, based on the levels of eliminated or reduced federal financial participation under the Medi-Cal program or lack thereof, and on the extent of limitations on that federal financial participation.SEC. 4. Section 24028 is added to the Welfare and Institutions Code, to read:24028. Subject to an appropriation made by the Legislature for this purpose, the State-Only Family Planning Program may be expanded to facilitate implementation of Section 14042.5 of this code or Division 123 (commencing with Section 152500) of the Health and Safety Code, depending on the determinations made by the State Department of Health Care Services or the California Health and Human Services Agency under those respective provisions.SECTION 1.Section 124300 of the Health and Safety Code is amended to read:124300.(a)Within any county where 10 percent or more of the population, as determined by the Demographic Research Unit of the Department of Finance, speaks a language other than English as its native language, every local health department shall make copies of circulars and pamphlets relating to family planning that are made available to the public also available in the other language.(b)The State Department of Health Care Services, upon request, shall make a translation available in other than English those family planning informational materials normally distributed to the general public.
Amended IN Senate March 25, 2025 CALIFORNIA LEGISLATURE 20252026 REGULAR SESSION Senate Bill No. 528Introduced by Senator Weber PiersonFebruary 20, 2025 An act to amend Section 124300 of the Health and Safety Code, add Division 123 (commencing with Section 152500) to the Health and Safety Code, and to add Sections 14042.5 and 24028 to the Welfare and Institutions Code, relating to health care.LEGISLATIVE COUNSEL'S DIGESTSB 528, as amended, Weber Pierson. Health care: family planning. maintenance and expansion.(1) Existing law establishes 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 establishes, under the Medi-Cal program, the Family Planning, Access, Care, and Treatment (Family PACT) Program. If Family PACT becomes inoperative, existing law requires all persons who have received, or are eligible to receive, comprehensive clinical family planning services pursuant to Family PACT to receive family planning services under other specified provisions of the Medi-Cal program or under the State-Only Family Planning Program, which is also established within the department for purposes of family planning services.This bill would require the department, subject to an appropriation, to expand any existing state-only-funded health programs, including, but not limited to, the State-Only Family Planning Program, to provide to Medi-Cal beneficiaries certain services or benefits that are otherwise covered under the Medi-Cal program but for any lack of, elimination of, reduction in, or limitation on, federal financial participation.For purposes of the expansion above, the bill would require the department to determine the services or benefits, which may include, but are not limited to, abortion and gender-affirming care, based on the levels of federal financial participation, as specified.(2) This bill would, subject to an appropriation, require the California Health and Human Services Agency to develop a new program, or to expand an existing state program, as applicable, to provide certain services or benefits that are otherwise covered under the Medi-Cal program but for any lack of, elimination of, reduction in, or limitation on, federal financial participation. Under the bill, these services or benefits would not be limited to the population of Medi-Cal beneficiaries.The bill would require the agency to determine the services or benefits, which may include, but are not limited to, abortion, family planning, and gender-affirming care, based on the needs of target populations and the levels of federal financial participation, as specified.The bill would create the Health Care Maintenance and Expansion Fund for purposes of distributing funding, if appropriated, for these services or benefits. The bill would authorize the agency to receive private donations, for deposit into the fund, to support implementation.(3) The bill would authorize expansion of the State-Only Family Planning Program, subject to an appropriation, to facilitate implementation of the provisions described in paragraphs (1) and (2), as specified.Existing law requires local health departments to make copies of circulars and pamphlets relating to family planning available in a certain language if 10% or more of the population in a county, as specified, speaks a language other than English as its native language. Existing law requires the State Department of Health Care Services to make a translation of the family planning information materials available upon request.This bill would make technical, nonsubstantive changes to those provisions.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: NOYES Local Program: NO
Amended IN Senate March 25, 2025
Amended IN Senate March 25, 2025
CALIFORNIA LEGISLATURE 20252026 REGULAR SESSION
Senate Bill
No. 528
Introduced by Senator Weber PiersonFebruary 20, 2025
Introduced by Senator Weber Pierson
February 20, 2025
An act to amend Section 124300 of the Health and Safety Code, add Division 123 (commencing with Section 152500) to the Health and Safety Code, and to add Sections 14042.5 and 24028 to the Welfare and Institutions Code, relating to health care.
LEGISLATIVE COUNSEL'S DIGEST
## LEGISLATIVE COUNSEL'S DIGEST
SB 528, as amended, Weber Pierson. Health care: family planning. maintenance and expansion.
(1) Existing law establishes 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 establishes, under the Medi-Cal program, the Family Planning, Access, Care, and Treatment (Family PACT) Program. If Family PACT becomes inoperative, existing law requires all persons who have received, or are eligible to receive, comprehensive clinical family planning services pursuant to Family PACT to receive family planning services under other specified provisions of the Medi-Cal program or under the State-Only Family Planning Program, which is also established within the department for purposes of family planning services.This bill would require the department, subject to an appropriation, to expand any existing state-only-funded health programs, including, but not limited to, the State-Only Family Planning Program, to provide to Medi-Cal beneficiaries certain services or benefits that are otherwise covered under the Medi-Cal program but for any lack of, elimination of, reduction in, or limitation on, federal financial participation.For purposes of the expansion above, the bill would require the department to determine the services or benefits, which may include, but are not limited to, abortion and gender-affirming care, based on the levels of federal financial participation, as specified.(2) This bill would, subject to an appropriation, require the California Health and Human Services Agency to develop a new program, or to expand an existing state program, as applicable, to provide certain services or benefits that are otherwise covered under the Medi-Cal program but for any lack of, elimination of, reduction in, or limitation on, federal financial participation. Under the bill, these services or benefits would not be limited to the population of Medi-Cal beneficiaries.The bill would require the agency to determine the services or benefits, which may include, but are not limited to, abortion, family planning, and gender-affirming care, based on the needs of target populations and the levels of federal financial participation, as specified.The bill would create the Health Care Maintenance and Expansion Fund for purposes of distributing funding, if appropriated, for these services or benefits. The bill would authorize the agency to receive private donations, for deposit into the fund, to support implementation.(3) The bill would authorize expansion of the State-Only Family Planning Program, subject to an appropriation, to facilitate implementation of the provisions described in paragraphs (1) and (2), as specified.Existing law requires local health departments to make copies of circulars and pamphlets relating to family planning available in a certain language if 10% or more of the population in a county, as specified, speaks a language other than English as its native language. Existing law requires the State Department of Health Care Services to make a translation of the family planning information materials available upon request.This bill would make technical, nonsubstantive changes to those provisions.
(1) Existing law establishes 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 establishes, under the Medi-Cal program, the Family Planning, Access, Care, and Treatment (Family PACT) Program. If Family PACT becomes inoperative, existing law requires all persons who have received, or are eligible to receive, comprehensive clinical family planning services pursuant to Family PACT to receive family planning services under other specified provisions of the Medi-Cal program or under the State-Only Family Planning Program, which is also established within the department for purposes of family planning services.
This bill would require the department, subject to an appropriation, to expand any existing state-only-funded health programs, including, but not limited to, the State-Only Family Planning Program, to provide to Medi-Cal beneficiaries certain services or benefits that are otherwise covered under the Medi-Cal program but for any lack of, elimination of, reduction in, or limitation on, federal financial participation.
For purposes of the expansion above, the bill would require the department to determine the services or benefits, which may include, but are not limited to, abortion and gender-affirming care, based on the levels of federal financial participation, as specified.
(2) This bill would, subject to an appropriation, require the California Health and Human Services Agency to develop a new program, or to expand an existing state program, as applicable, to provide certain services or benefits that are otherwise covered under the Medi-Cal program but for any lack of, elimination of, reduction in, or limitation on, federal financial participation. Under the bill, these services or benefits would not be limited to the population of Medi-Cal beneficiaries.
The bill would require the agency to determine the services or benefits, which may include, but are not limited to, abortion, family planning, and gender-affirming care, based on the needs of target populations and the levels of federal financial participation, as specified.
The bill would create the Health Care Maintenance and Expansion Fund for purposes of distributing funding, if appropriated, for these services or benefits. The bill would authorize the agency to receive private donations, for deposit into the fund, to support implementation.
(3) The bill would authorize expansion of the State-Only Family Planning Program, subject to an appropriation, to facilitate implementation of the provisions described in paragraphs (1) and (2), as specified.
Existing law requires local health departments to make copies of circulars and pamphlets relating to family planning available in a certain language if 10% or more of the population in a county, as specified, speaks a language other than English as its native language. Existing law requires the State Department of Health Care Services to make a translation of the family planning information materials available upon request.
This bill would make technical, nonsubstantive changes to those provisions.
## Digest Key
## Bill Text
The people of the State of California do enact as follows:SECTION 1. (a) The Legislature finds and declares all of the following:(1) In 2022, over 15 million Californians roughly 40 percent of the states population were enrolled in Medi-Cal, the states federal Medicaid program.(2) The state administers Medi-Cal, subject to federal regulations, and financing for the program is shared between California and the federal government through federal matching dollars.(3) The federal medical assistance percentage (FMAP) is the percentage of costs paid by the federal government to state Medicaid programs, which varies by service type or the beneficiary receiving the service. Californias FMAP is 50 percent for most services and beneficiaries, and certain services are eligible for an FMAP of up to 90 percent.(4) The Medi-Cal program was projected to cost $161 billion in the 202425 fiscal year, with $98.5 billion of that amount coming from federal matching funds.(5) In addition to covering all health care services required by federal law, along with many federal optional benefits that are eligible for federal matching funds, the Medi-Cal program provides coverage using state-only funds for certain health care services that are ineligible for federal matching funds and for certain populations whose care is ineligible for federal matching funds.(6) Certain executive orders issued by United States President Trump in January 2025 direct federal agencies, including the United States Department of Health and Human Services, to ensure that federal funds are not spent on specified abortion care and gender-affirming services.(7) The United States Congress is considering several proposals that might further drastically reduce federal financial participation in the Medi-Cal program, including through limiting eligible services and reducing FMAP rates.(b) It is the intent of the Legislature to maximize federal financial participation in the Medi-Cal program in order to ensure that Californians have ongoing access to all covered services, or for the state to otherwise maintain those Medi-Cal services or other health care services through state-only programs based on any lack of, elimination of, reduction in, or limitation on, federal financial participation.SEC. 2. Division 123 (commencing with Section 152500) is added to the Health and Safety Code, to read:DIVISION 123. Health Care Maintenance and Expansion152500. (a) In accordance with this section, the California Health and Human Services Agency shall develop a new program, or shall expand an existing state program, as applicable, to provide certain services or benefits that are otherwise covered under the Medi-Cal program but for any lack of, elimination of, reduction in, or limitation on, federal financial participation. The services or benefits provided under this division shall not be limited to the population of Medi-Cal beneficiaries.(b) (1) The agency shall determine the services or benefits described in subdivision (a) based on the needs of target populations, on the levels of eliminated or reduced federal financial participation under the Medi-Cal program or lack thereof, and on the extent of limitations on that federal financial participation.(2) The services or benefits may include, but are not limited to, abortion, family planning, and gender-affirming care, based on the factors described in paragraph (1).(3) The target populations may include, but are not limited to, individuals eligible for the Medi-Cal program pursuant to Section 14007.8 of the Welfare and Institutions Code, and other individuals whether or not Medi-Cal beneficiaries, based on the factors described in paragraph (1).(c) The agency may enter into contracts with service providers, third-party administrators, or other vendors, as necessary to implement this division.152501. (a) This division shall be implemented subject to an appropriation made by the Legislature for the purpose of this division.(b) The Health Care Maintenance and Expansion Fund shall be created, to be administered by the California Health and Human Services Agency, to distribute funding, if appropriated pursuant to subdivision (a), for purposes of the services or benefits described in Section 152500.(c) The agency may receive private donations, for deposit into the fund described in subdivision (b), to support implementation of this division.SEC. 3. Section 14042.5 is added to the Welfare and Institutions Code, to read:14042.5. (a) Subject to an appropriation made by the Legislature for this purpose, the department shall expand any existing state-only-funded health programs, including, but not limited to, the State-Only Family Planning Program described in Division 24 (commencing with Section 24000), to provide to Medi-Cal beneficiaries certain services or benefits that are otherwise covered under the Medi-Cal program but for any lack of, elimination of, reduction in, or limitation on, federal financial participation.(b) The department shall determine the services or benefits described in subdivision (a), which may include, but are not limited to, abortion and gender-affirming care, based on the levels of eliminated or reduced federal financial participation under the Medi-Cal program or lack thereof, and on the extent of limitations on that federal financial participation.SEC. 4. Section 24028 is added to the Welfare and Institutions Code, to read:24028. Subject to an appropriation made by the Legislature for this purpose, the State-Only Family Planning Program may be expanded to facilitate implementation of Section 14042.5 of this code or Division 123 (commencing with Section 152500) of the Health and Safety Code, depending on the determinations made by the State Department of Health Care Services or the California Health and Human Services Agency under those respective provisions.SECTION 1.Section 124300 of the Health and Safety Code is amended to read:124300.(a)Within any county where 10 percent or more of the population, as determined by the Demographic Research Unit of the Department of Finance, speaks a language other than English as its native language, every local health department shall make copies of circulars and pamphlets relating to family planning that are made available to the public also available in the other language.(b)The State Department of Health Care Services, upon request, shall make a translation available in other than English those family planning informational materials normally distributed to the general public.
The people of the State of California do enact as follows:
## The people of the State of California do enact as follows:
SECTION 1. (a) The Legislature finds and declares all of the following:(1) In 2022, over 15 million Californians roughly 40 percent of the states population were enrolled in Medi-Cal, the states federal Medicaid program.(2) The state administers Medi-Cal, subject to federal regulations, and financing for the program is shared between California and the federal government through federal matching dollars.(3) The federal medical assistance percentage (FMAP) is the percentage of costs paid by the federal government to state Medicaid programs, which varies by service type or the beneficiary receiving the service. Californias FMAP is 50 percent for most services and beneficiaries, and certain services are eligible for an FMAP of up to 90 percent.(4) The Medi-Cal program was projected to cost $161 billion in the 202425 fiscal year, with $98.5 billion of that amount coming from federal matching funds.(5) In addition to covering all health care services required by federal law, along with many federal optional benefits that are eligible for federal matching funds, the Medi-Cal program provides coverage using state-only funds for certain health care services that are ineligible for federal matching funds and for certain populations whose care is ineligible for federal matching funds.(6) Certain executive orders issued by United States President Trump in January 2025 direct federal agencies, including the United States Department of Health and Human Services, to ensure that federal funds are not spent on specified abortion care and gender-affirming services.(7) The United States Congress is considering several proposals that might further drastically reduce federal financial participation in the Medi-Cal program, including through limiting eligible services and reducing FMAP rates.(b) It is the intent of the Legislature to maximize federal financial participation in the Medi-Cal program in order to ensure that Californians have ongoing access to all covered services, or for the state to otherwise maintain those Medi-Cal services or other health care services through state-only programs based on any lack of, elimination of, reduction in, or limitation on, federal financial participation.
SECTION 1. (a) The Legislature finds and declares all of the following:(1) In 2022, over 15 million Californians roughly 40 percent of the states population were enrolled in Medi-Cal, the states federal Medicaid program.(2) The state administers Medi-Cal, subject to federal regulations, and financing for the program is shared between California and the federal government through federal matching dollars.(3) The federal medical assistance percentage (FMAP) is the percentage of costs paid by the federal government to state Medicaid programs, which varies by service type or the beneficiary receiving the service. Californias FMAP is 50 percent for most services and beneficiaries, and certain services are eligible for an FMAP of up to 90 percent.(4) The Medi-Cal program was projected to cost $161 billion in the 202425 fiscal year, with $98.5 billion of that amount coming from federal matching funds.(5) In addition to covering all health care services required by federal law, along with many federal optional benefits that are eligible for federal matching funds, the Medi-Cal program provides coverage using state-only funds for certain health care services that are ineligible for federal matching funds and for certain populations whose care is ineligible for federal matching funds.(6) Certain executive orders issued by United States President Trump in January 2025 direct federal agencies, including the United States Department of Health and Human Services, to ensure that federal funds are not spent on specified abortion care and gender-affirming services.(7) The United States Congress is considering several proposals that might further drastically reduce federal financial participation in the Medi-Cal program, including through limiting eligible services and reducing FMAP rates.(b) It is the intent of the Legislature to maximize federal financial participation in the Medi-Cal program in order to ensure that Californians have ongoing access to all covered services, or for the state to otherwise maintain those Medi-Cal services or other health care services through state-only programs based on any lack of, elimination of, reduction in, or limitation on, federal financial participation.
SECTION 1. (a) The Legislature finds and declares all of the following:
### SECTION 1.
(1) In 2022, over 15 million Californians roughly 40 percent of the states population were enrolled in Medi-Cal, the states federal Medicaid program.
(2) The state administers Medi-Cal, subject to federal regulations, and financing for the program is shared between California and the federal government through federal matching dollars.
(3) The federal medical assistance percentage (FMAP) is the percentage of costs paid by the federal government to state Medicaid programs, which varies by service type or the beneficiary receiving the service. Californias FMAP is 50 percent for most services and beneficiaries, and certain services are eligible for an FMAP of up to 90 percent.
(4) The Medi-Cal program was projected to cost $161 billion in the 202425 fiscal year, with $98.5 billion of that amount coming from federal matching funds.
(5) In addition to covering all health care services required by federal law, along with many federal optional benefits that are eligible for federal matching funds, the Medi-Cal program provides coverage using state-only funds for certain health care services that are ineligible for federal matching funds and for certain populations whose care is ineligible for federal matching funds.
(6) Certain executive orders issued by United States President Trump in January 2025 direct federal agencies, including the United States Department of Health and Human Services, to ensure that federal funds are not spent on specified abortion care and gender-affirming services.
(7) The United States Congress is considering several proposals that might further drastically reduce federal financial participation in the Medi-Cal program, including through limiting eligible services and reducing FMAP rates.
(b) It is the intent of the Legislature to maximize federal financial participation in the Medi-Cal program in order to ensure that Californians have ongoing access to all covered services, or for the state to otherwise maintain those Medi-Cal services or other health care services through state-only programs based on any lack of, elimination of, reduction in, or limitation on, federal financial participation.
SEC. 2. Division 123 (commencing with Section 152500) is added to the Health and Safety Code, to read:DIVISION 123. Health Care Maintenance and Expansion152500. (a) In accordance with this section, the California Health and Human Services Agency shall develop a new program, or shall expand an existing state program, as applicable, to provide certain services or benefits that are otherwise covered under the Medi-Cal program but for any lack of, elimination of, reduction in, or limitation on, federal financial participation. The services or benefits provided under this division shall not be limited to the population of Medi-Cal beneficiaries.(b) (1) The agency shall determine the services or benefits described in subdivision (a) based on the needs of target populations, on the levels of eliminated or reduced federal financial participation under the Medi-Cal program or lack thereof, and on the extent of limitations on that federal financial participation.(2) The services or benefits may include, but are not limited to, abortion, family planning, and gender-affirming care, based on the factors described in paragraph (1).(3) The target populations may include, but are not limited to, individuals eligible for the Medi-Cal program pursuant to Section 14007.8 of the Welfare and Institutions Code, and other individuals whether or not Medi-Cal beneficiaries, based on the factors described in paragraph (1).(c) The agency may enter into contracts with service providers, third-party administrators, or other vendors, as necessary to implement this division.152501. (a) This division shall be implemented subject to an appropriation made by the Legislature for the purpose of this division.(b) The Health Care Maintenance and Expansion Fund shall be created, to be administered by the California Health and Human Services Agency, to distribute funding, if appropriated pursuant to subdivision (a), for purposes of the services or benefits described in Section 152500.(c) The agency may receive private donations, for deposit into the fund described in subdivision (b), to support implementation of this division.
SEC. 2. Division 123 (commencing with Section 152500) is added to the Health and Safety Code, to read:
### SEC. 2.
DIVISION 123. Health Care Maintenance and Expansion152500. (a) In accordance with this section, the California Health and Human Services Agency shall develop a new program, or shall expand an existing state program, as applicable, to provide certain services or benefits that are otherwise covered under the Medi-Cal program but for any lack of, elimination of, reduction in, or limitation on, federal financial participation. The services or benefits provided under this division shall not be limited to the population of Medi-Cal beneficiaries.(b) (1) The agency shall determine the services or benefits described in subdivision (a) based on the needs of target populations, on the levels of eliminated or reduced federal financial participation under the Medi-Cal program or lack thereof, and on the extent of limitations on that federal financial participation.(2) The services or benefits may include, but are not limited to, abortion, family planning, and gender-affirming care, based on the factors described in paragraph (1).(3) The target populations may include, but are not limited to, individuals eligible for the Medi-Cal program pursuant to Section 14007.8 of the Welfare and Institutions Code, and other individuals whether or not Medi-Cal beneficiaries, based on the factors described in paragraph (1).(c) The agency may enter into contracts with service providers, third-party administrators, or other vendors, as necessary to implement this division.152501. (a) This division shall be implemented subject to an appropriation made by the Legislature for the purpose of this division.(b) The Health Care Maintenance and Expansion Fund shall be created, to be administered by the California Health and Human Services Agency, to distribute funding, if appropriated pursuant to subdivision (a), for purposes of the services or benefits described in Section 152500.(c) The agency may receive private donations, for deposit into the fund described in subdivision (b), to support implementation of this division.
DIVISION 123. Health Care Maintenance and Expansion152500. (a) In accordance with this section, the California Health and Human Services Agency shall develop a new program, or shall expand an existing state program, as applicable, to provide certain services or benefits that are otherwise covered under the Medi-Cal program but for any lack of, elimination of, reduction in, or limitation on, federal financial participation. The services or benefits provided under this division shall not be limited to the population of Medi-Cal beneficiaries.(b) (1) The agency shall determine the services or benefits described in subdivision (a) based on the needs of target populations, on the levels of eliminated or reduced federal financial participation under the Medi-Cal program or lack thereof, and on the extent of limitations on that federal financial participation.(2) The services or benefits may include, but are not limited to, abortion, family planning, and gender-affirming care, based on the factors described in paragraph (1).(3) The target populations may include, but are not limited to, individuals eligible for the Medi-Cal program pursuant to Section 14007.8 of the Welfare and Institutions Code, and other individuals whether or not Medi-Cal beneficiaries, based on the factors described in paragraph (1).(c) The agency may enter into contracts with service providers, third-party administrators, or other vendors, as necessary to implement this division.152501. (a) This division shall be implemented subject to an appropriation made by the Legislature for the purpose of this division.(b) The Health Care Maintenance and Expansion Fund shall be created, to be administered by the California Health and Human Services Agency, to distribute funding, if appropriated pursuant to subdivision (a), for purposes of the services or benefits described in Section 152500.(c) The agency may receive private donations, for deposit into the fund described in subdivision (b), to support implementation of this division.
DIVISION 123. Health Care Maintenance and Expansion
DIVISION 123. Health Care Maintenance and Expansion
152500. (a) In accordance with this section, the California Health and Human Services Agency shall develop a new program, or shall expand an existing state program, as applicable, to provide certain services or benefits that are otherwise covered under the Medi-Cal program but for any lack of, elimination of, reduction in, or limitation on, federal financial participation. The services or benefits provided under this division shall not be limited to the population of Medi-Cal beneficiaries.(b) (1) The agency shall determine the services or benefits described in subdivision (a) based on the needs of target populations, on the levels of eliminated or reduced federal financial participation under the Medi-Cal program or lack thereof, and on the extent of limitations on that federal financial participation.(2) The services or benefits may include, but are not limited to, abortion, family planning, and gender-affirming care, based on the factors described in paragraph (1).(3) The target populations may include, but are not limited to, individuals eligible for the Medi-Cal program pursuant to Section 14007.8 of the Welfare and Institutions Code, and other individuals whether or not Medi-Cal beneficiaries, based on the factors described in paragraph (1).(c) The agency may enter into contracts with service providers, third-party administrators, or other vendors, as necessary to implement this division.
152500. (a) In accordance with this section, the California Health and Human Services Agency shall develop a new program, or shall expand an existing state program, as applicable, to provide certain services or benefits that are otherwise covered under the Medi-Cal program but for any lack of, elimination of, reduction in, or limitation on, federal financial participation. The services or benefits provided under this division shall not be limited to the population of Medi-Cal beneficiaries.
(b) (1) The agency shall determine the services or benefits described in subdivision (a) based on the needs of target populations, on the levels of eliminated or reduced federal financial participation under the Medi-Cal program or lack thereof, and on the extent of limitations on that federal financial participation.
(2) The services or benefits may include, but are not limited to, abortion, family planning, and gender-affirming care, based on the factors described in paragraph (1).
(3) The target populations may include, but are not limited to, individuals eligible for the Medi-Cal program pursuant to Section 14007.8 of the Welfare and Institutions Code, and other individuals whether or not Medi-Cal beneficiaries, based on the factors described in paragraph (1).
(c) The agency may enter into contracts with service providers, third-party administrators, or other vendors, as necessary to implement this division.
152501. (a) This division shall be implemented subject to an appropriation made by the Legislature for the purpose of this division.(b) The Health Care Maintenance and Expansion Fund shall be created, to be administered by the California Health and Human Services Agency, to distribute funding, if appropriated pursuant to subdivision (a), for purposes of the services or benefits described in Section 152500.(c) The agency may receive private donations, for deposit into the fund described in subdivision (b), to support implementation of this division.
152501. (a) This division shall be implemented subject to an appropriation made by the Legislature for the purpose of this division.
(b) The Health Care Maintenance and Expansion Fund shall be created, to be administered by the California Health and Human Services Agency, to distribute funding, if appropriated pursuant to subdivision (a), for purposes of the services or benefits described in Section 152500.
(c) The agency may receive private donations, for deposit into the fund described in subdivision (b), to support implementation of this division.
SEC. 3. Section 14042.5 is added to the Welfare and Institutions Code, to read:14042.5. (a) Subject to an appropriation made by the Legislature for this purpose, the department shall expand any existing state-only-funded health programs, including, but not limited to, the State-Only Family Planning Program described in Division 24 (commencing with Section 24000), to provide to Medi-Cal beneficiaries certain services or benefits that are otherwise covered under the Medi-Cal program but for any lack of, elimination of, reduction in, or limitation on, federal financial participation.(b) The department shall determine the services or benefits described in subdivision (a), which may include, but are not limited to, abortion and gender-affirming care, based on the levels of eliminated or reduced federal financial participation under the Medi-Cal program or lack thereof, and on the extent of limitations on that federal financial participation.
SEC. 3. Section 14042.5 is added to the Welfare and Institutions Code, to read:
### SEC. 3.
14042.5. (a) Subject to an appropriation made by the Legislature for this purpose, the department shall expand any existing state-only-funded health programs, including, but not limited to, the State-Only Family Planning Program described in Division 24 (commencing with Section 24000), to provide to Medi-Cal beneficiaries certain services or benefits that are otherwise covered under the Medi-Cal program but for any lack of, elimination of, reduction in, or limitation on, federal financial participation.(b) The department shall determine the services or benefits described in subdivision (a), which may include, but are not limited to, abortion and gender-affirming care, based on the levels of eliminated or reduced federal financial participation under the Medi-Cal program or lack thereof, and on the extent of limitations on that federal financial participation.
14042.5. (a) Subject to an appropriation made by the Legislature for this purpose, the department shall expand any existing state-only-funded health programs, including, but not limited to, the State-Only Family Planning Program described in Division 24 (commencing with Section 24000), to provide to Medi-Cal beneficiaries certain services or benefits that are otherwise covered under the Medi-Cal program but for any lack of, elimination of, reduction in, or limitation on, federal financial participation.(b) The department shall determine the services or benefits described in subdivision (a), which may include, but are not limited to, abortion and gender-affirming care, based on the levels of eliminated or reduced federal financial participation under the Medi-Cal program or lack thereof, and on the extent of limitations on that federal financial participation.
14042.5. (a) Subject to an appropriation made by the Legislature for this purpose, the department shall expand any existing state-only-funded health programs, including, but not limited to, the State-Only Family Planning Program described in Division 24 (commencing with Section 24000), to provide to Medi-Cal beneficiaries certain services or benefits that are otherwise covered under the Medi-Cal program but for any lack of, elimination of, reduction in, or limitation on, federal financial participation.(b) The department shall determine the services or benefits described in subdivision (a), which may include, but are not limited to, abortion and gender-affirming care, based on the levels of eliminated or reduced federal financial participation under the Medi-Cal program or lack thereof, and on the extent of limitations on that federal financial participation.
14042.5. (a) Subject to an appropriation made by the Legislature for this purpose, the department shall expand any existing state-only-funded health programs, including, but not limited to, the State-Only Family Planning Program described in Division 24 (commencing with Section 24000), to provide to Medi-Cal beneficiaries certain services or benefits that are otherwise covered under the Medi-Cal program but for any lack of, elimination of, reduction in, or limitation on, federal financial participation.
(b) The department shall determine the services or benefits described in subdivision (a), which may include, but are not limited to, abortion and gender-affirming care, based on the levels of eliminated or reduced federal financial participation under the Medi-Cal program or lack thereof, and on the extent of limitations on that federal financial participation.
SEC. 4. Section 24028 is added to the Welfare and Institutions Code, to read:24028. Subject to an appropriation made by the Legislature for this purpose, the State-Only Family Planning Program may be expanded to facilitate implementation of Section 14042.5 of this code or Division 123 (commencing with Section 152500) of the Health and Safety Code, depending on the determinations made by the State Department of Health Care Services or the California Health and Human Services Agency under those respective provisions.
SEC. 4. Section 24028 is added to the Welfare and Institutions Code, to read:
### SEC. 4.
24028. Subject to an appropriation made by the Legislature for this purpose, the State-Only Family Planning Program may be expanded to facilitate implementation of Section 14042.5 of this code or Division 123 (commencing with Section 152500) of the Health and Safety Code, depending on the determinations made by the State Department of Health Care Services or the California Health and Human Services Agency under those respective provisions.
24028. Subject to an appropriation made by the Legislature for this purpose, the State-Only Family Planning Program may be expanded to facilitate implementation of Section 14042.5 of this code or Division 123 (commencing with Section 152500) of the Health and Safety Code, depending on the determinations made by the State Department of Health Care Services or the California Health and Human Services Agency under those respective provisions.
24028. Subject to an appropriation made by the Legislature for this purpose, the State-Only Family Planning Program may be expanded to facilitate implementation of Section 14042.5 of this code or Division 123 (commencing with Section 152500) of the Health and Safety Code, depending on the determinations made by the State Department of Health Care Services or the California Health and Human Services Agency under those respective provisions.
24028. Subject to an appropriation made by the Legislature for this purpose, the State-Only Family Planning Program may be expanded to facilitate implementation of Section 14042.5 of this code or Division 123 (commencing with Section 152500) of the Health and Safety Code, depending on the determinations made by the State Department of Health Care Services or the California Health and Human Services Agency under those respective provisions.
(a)Within any county where 10 percent or more of the population, as determined by the Demographic Research Unit of the Department of Finance, speaks a language other than English as its native language, every local health department shall make copies of circulars and pamphlets relating to family planning that are made available to the public also available in the other language.
(b)The State Department of Health Care Services, upon request, shall make a translation available in other than English those family planning informational materials normally distributed to the general public.