CA AB 165
withdrawnSkilled nursing facilities: reimbursement rates.
California · 2025-2026 Regular Session · lower
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Quick answers
Did CA AB 165 pass?
No. CA AB 165 was withdrawn and is no longer under consideration. Latest recorded action (2026-08-06): Ordered to inactive file at the request of Senator Laird.
What is CA AB 165 about?
Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services, under which qualified low-income individuals receive health care services. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Existing law, the Medi-Cal Long-Term Care Reimbursement Act, requires the department to implement a facility-specific reimbursement ratesetting system for certain skilled nursing facilities. Reimbursement rates for freestanding skilled nursing facilities are funded by a combination of federal funds and moneys collected pursuant to the skilled nursing uniform quality assurance fee. Existing law prohibits the quality assurance fee from being assessed after December 31, 2026, and repeals these provisions on January 1, 2028. Existing law establishes the maximum annual aggregate rate increases for the 2023 to 2026, inclusive, calendar years, as prescribed, and sets forth the annual rate methodologies. Under existing law, the Medi-Cal Long-Term Care Reimbursement Act is operative until December 31, 2026, and the department is authorized to conduct necessary closeout activities after that date. Existing law repeals these provisions on January 1, 2028. This bill would extend the application of the quality assurance fee until December 31, 2027, and would repeal the quality assurance fee provisions on January 1, 2029. The bill would extend the operative date of the Medi-Cal Long-Term Care Reimbursement Act to December 31, 2027, and repeals these provisions on January 1, 2029, or the date when the director certifies that all necessary closeout activities have been completed, whichever is later. The bill would also make conforming changes. This bill would declare that it is to take effect immediately as an urgency statute.
Who sponsors CA AB 165?
Committee on Budget is the primary sponsor of CA AB 165.
Description
Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services, under which qualified low-income individuals receive health care services. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Existing law, the Medi-Cal Long-Term Care Reimbursement Act, requires the department to implement a facility-specific reimbursement ratesetting system for certain skilled nursing facilities. Reimbursement rates for freestanding skilled nursing facilities are funded by a combination of federal funds and moneys collected pursuant to the skilled nursing uniform quality assurance fee. Existing law prohibits the quality assurance fee from being assessed after December 31, 2026, and repeals these provisions on January 1, 2028. Existing law establishes the maximum annual aggregate rate increases for the 2023 to 2026, inclusive, calendar years, as prescribed, and sets forth the annual rate methodologies. Under existing law, the Medi-Cal Long-Term Care Reimbursement Act is operative until December 31, 2026, and the department is authorized to conduct necessary closeout activities after that date. Existing law repeals these provisions on January 1, 2028. This bill would extend the application of the quality assurance fee until December 31, 2027, and would repeal the quality assurance fee provisions on January 1, 2029. The bill would extend the operative date of the Medi-Cal Long-Term Care Reimbursement Act to December 31, 2027, and repeals these provisions on January 1, 2029, or the date when the director certifies that all necessary closeout activities have been completed, whichever is later. The bill would also make conforming changes. This bill would declare that it is to take effect immediately as an urgency statute.
- Introduced
- 2026-06-26
- Latest action
- 2026-08-06 — Ordered to inactive file at the request of Senator Laird.
- Bill type
- bill
- Last updated
- —
Subjects
Sponsors
- Committee on Budgetauthor
Committees
Not provided by source.
Action timeline
Newest first
2026-08-06
Ordered to inactive file at the request of Senator Laird.
2026-06-29
Read second time. Ordered to third reading.
reading-1,reading-2,reading-3
2026-06-29
From committee: Do pass. (Ayes 13. Noes 0.) (June 29).
committee-passage,committee-passage-favorable
2026-06-26
From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on B. & F. R.
amendment-introduction,amendment-passage,committee-passage,reading-1,reading-2,referral-committee
2025-04-02
Referred to Com. on B. & F. R.
referral-committee
2025-03-20
In Senate. Read first time. To Com. on RLS. for assignment.
reading-1,referral-committee
2025-03-20
Read third time. Passed. Ordered to the Senate. (Ayes 53. Noes 17. Page 745.)
passage,reading-1,reading-3
2025-03-18
Read second time. Ordered to third reading.
reading-1,reading-2,reading-3
2025-03-17
Withdrawn from committee.
withdrawal
2025-03-17
Ordered to second reading.
reading-1,reading-2
2025-03-17
(Ayes 53. Noes 17. Page 643.)
2025-02-03
Referred to Com. on BUDGET.
referral-committee
2025-01-09
From printer. May be heard in committee February 8.
2025-01-08
Read first time. To print.
reading-1
Versions
Documents
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Votes
AB 165 Gabriel Assembly Third Reading
2025-03-20 · pass · 53-17
Member-level votes (80)
- Gipson: yes
- Ward: yes
- Bryan: yes
- Lee: yes
- Patel: yes
- Garcia: yes
- Schiavo: yes
- Bonta: yes
- Sharp-Collins: yes
- Rogers: yes
- Haney: yes
- Stefani: yes
- Rivas: yes
- Arambula: yes
- Ransom: yes
- Bennett: yes
- Elhawary: yes
- Solache: yes
- Petrie-Norris: yes
- Blanca Rubio: yes
- Celeste Rodriguez: yes
- Harabedian: yes
- Mark González: yes
- Quirk-Silva: yes
- Wilson: yes
- Carrillo: yes
- Pellerin: yes
- Jackson: yes
- Fong: yes
- Nguyen: yes
- Valencia: yes
- Ortega: yes
- Addis: yes
- Wicks: yes
- Schultz: yes
- Ávila Farías: yes
- Bains: yes
- Connolly: yes
- Boerner: yes
- Gabriel: yes
- Michelle Rodriguez: yes
- Muratsuchi: yes
- McKinnor: yes
- Ramos: yes
- Zbur: yes
- Hart: yes
- Aguiar-Curry: yes
- Lowenthal: yes
- Caloza: yes
- Pacheco: yes
- Berman: yes
- Soria: yes
- Kalra: yes
- Hadwick: no
- Flora: no
- DeMaio: no
- Macedo: no
- Alanis: no
- Ellis: no
- Jeff Gonzalez: no
- Castillo: no
- Sanchez: no
- Ta: no
- Gallagher: no
- Chen: no
- Dixon: no
- Tangipa: no
- Lackey: no
- Davies: no
- Patterson: no
- Calderon: other
- Hoover: other
- Ahrens: other
- Bauer-Kahan: other
- Papan: other
- Wallis: other
- Essayli: other
- Irwin: other
- Alvarez: other
- Krell: other
Do pass
2026-06-29 · pass · 13-0
Member-level votes (18)
- Smallwood-Cuevas: yes
- Pérez: yes
- Cabaldon: yes
- Reyes: yes
- McNerney: yes
- Blakespear: yes
- Seyarto: other
- Grove: other
- Niello: other
- Choi: other
- Ochoa Bogh: other
- Durazo: yes
- Laird: yes
- Richardson: yes
- Hurtado: yes
- Archuleta: yes
- Menjivar: yes
- Weber Pierson: yes
Related bills
No related bills recorded for this bill.
Official source
Attribution
Data from openstates_bulk_csv, retrieved 2026-07-24T01:34:27.960412Z
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