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CA AB1126
Bill
Status
1/29/2026
Primary Sponsor
Joe Patterson
Click for details
AI Summary
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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
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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
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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
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Directs the department to provide annual updates to legislative health committees from 2027 through 2030 on implementation effectiveness
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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