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CA AB1366
Bill
Status
2/2/2026
Primary Sponsor
Heath Flora
Click for details
AI Summary
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Increases Medi-Cal reimbursement rates for advanced practice pharmacist services from 85% to 100% of the physician fee schedule, including medication therapy management (MTM) services
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Requires health care service plans and disability insurers to pay or reimburse costs for services performed by advanced practice pharmacists enrolled as providers with the plan or insurer
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Limits MTM reimbursement to eligible advanced practice pharmacists or pharmacies providing services in conjunction with specialty drug therapy categories identified by the Department of Health Care Services
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Directs the department to seek federal approval of a state plan amendment to recognize pharmacists as health care providers at federally qualified health centers for Medi-Cal reimbursement purposes
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Maintains the 85% reimbursement rate for regular (non-advanced practice) pharmacist services while creating the higher reimbursement tier for advanced practice pharmacists
Legislative Description
Reimbursement for pharmacist services.
Last Action
From committee: Filed with the Chief Clerk pursuant to Joint Rule 56.
2/2/2026