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CA AB1366

Bill

Status

Failed

2/2/2026

Primary Sponsor

Heath Flora

Click for details

Origin

State Assembly

2025-2026 Regular Session

AI Summary

  • 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

  • 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

  • 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

  • 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

  • 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

Committee Referrals

Appropriations1/13/2026
Health3/28/2025

Full Bill Text

No bill text available