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CA AB1126

Bill

Status

Engrossed

1/29/2026

Primary Sponsor

Joe Patterson

Click for details

Origin

State Assembly

2025-2026 Regular Session

AI Summary

  • Requires the Department of Health Care Services to ensure that providers billing Medi-Cal managed care plans for enrollees with dual coverage do not face administrative requirements significantly greater than those for billing the fee-for-service system

  • Allows Medi-Cal fee-for-service providers to bill managed care plans for enrollees with other health care coverage (excluding Medicare) without being required to contract as in-network providers with the plan

  • Permits managed care plans to require letters of agreement for services needing prior authorization or services not covered by the enrollee's other insurance but covered under Medi-Cal

  • Directs the department to provide annual updates to legislative health committees from 2027 through 2030 on implementation effectiveness

  • Replaces the original bill content, which would have established a workgroup on functional, hormonal, integrative, and metabolic health under CalHHS

Legislative Description

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

Last Action

In Senate. Read first time. To Com. on RLS. for assignment.

1/29/2026

Committee Referrals

Rules1/29/2026
Appropriations1/13/2026
Health3/10/2025

Full Bill Text

No bill text available