AB 2266 Summary

• Authorizes the State Department of Health Care Services to create health home programs for Medi-Cal beneficiaries and Section 1115 waiver populations with chronic and complex conditions, subject to federal approval.

• Requires the department to design programs with public comment opportunities, contract with providers or managed care plans, and develop payment methodologies that may include tiered rates based on service intensity.

• Establishes eligibility criteria targeting adults with co-occurring physical health and mental health or substance use disorders, including those with frequent hospital admissions, emergency service use, or chronic homelessness.

• Mandates program evaluation and requires submission of a report to the Legislature within two years of implementation detailing program outcomes and effectiveness.

• Limits implementation to situations where federal financial participation is available and no additional state general funds are used for administration and service costs, except under specified circumstances where cost avoidance is demonstrated.