CA SB136

Raises the Medi-Cal per enrollee tax for Medi-Cal taxing tier II (enrollees from 1,250,001 to 4,000,000) from $182.50 to $205 for the 2024 calendar year

Increases the same tax tier rate to $205 for both the 2025 and 2026 calendar years (previously $187.50 for 2025 and $192.50 for 2026)

Modifies the "other" per enrollee tax for other taxing tier II to $2 for 2025 and $2.25 for 2026 (maintaining $1.75 for 2024 and April-December 2023)

Allows the Department of Health Care Services to modify tax amounts, tiers, and methodologies without regulatory action if necessary to comply with federal law or maintain federal approval

Takes effect immediately as an urgency statute to implement the tax increase at the earliest allowable date and maximize federal financial participation in the Medi-Cal program