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CA SB324

Bill

Status

Engrossed

5/27/2025

Primary Sponsor

Caroline Menjivar

Click for details

Origin

Senate

2025-2026 Regular Session

AI Summary

  • Requires Medi-Cal managed care plans to contract with community providers for enhanced care management (ECM) benefits and community supports, with providers demonstrating capability to meet quality requirements and Medi-Cal guidelines

  • Mandates managed care plans set goals every other year, in consultation with the Department of Health Care Services, for contracting and utilization levels with community providers and local entities

  • Requires managed care plans to assign members to contracted community providers who submit referrals or authorization requests for ECM or community support services, if the provider can appropriately meet the member's needs

  • Changes the department's public reporting on ECM and community supports utilization data from annual to quarterly, with demographic data stratified by county, age, sex, race, ethnicity, languages spoken, and provider type

  • Directs the department to develop standardized templates for including community providers with limited contracting experience and guidance allowing community providers to act as primary subcontractors with third-tier subcontracting arrangements

Legislative Description

Medi-Cal: enhanced care management and community supports.

Last Action

August 29 hearing: Held in committee and under submission.

8/29/2025

Committee Referrals

Appropriations7/2/2025
Health6/5/2025
Appropriations4/3/2025
Health2/19/2025
Rules2/11/2025

Full Bill Text

No bill text available