CA AB 2194
enactedMedi-Cal: special commissions.
California · 2025-2026 Regular Session · lower
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Quick answers
Did CA AB 2194 pass?
Yes. CA AB 2194 has been enacted into law. Latest recorded action (2026-09-27): Chaptered by Secretary of State - Chapter 588, Statutes of 2026.
What is CA AB 2194 about?
Existing law establishes the Medi-Cal program, administered by the State Department of Health Care Services, under which health care services are provided to qualified, low-income persons. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Existing law authorizes a county board of supervisors to establish a commission to negotiate an exclusive contract with the department to provide, or arrange for the provision of, health care services under the Medi-Cal program. Pursuant to the authority described above, the County of Orange established a commission and existing law established the governance of that commission, known as the Orange County Health Authority or CalOptima, to provide health care services under the Medi-Cal program. Existing law prescribes who can serve on the 10-member governing body of the commission and requires each member to serve a 4-year term, except as described. This bill, for terms commencing after January 1, 2027, would impose one-, 2-, and 4-year terms of office, as specified. The bill would also prohibit specified voting members from serving more than two consecutive terms and from serving in that capacity for more than 10 consecutive years. The bill would require the governing body of the Orange County Health Authority to authorize and pay for an independent external audit of its governance procedures and practices, including the roles and responsibilities of the governing body, executive leadership, and staff, among others. The bill would require the audit to be completed by July 1, 2027, and would require that a copy of the report be provided to the Legislature and made public. Because this bill would impose a unique requirement on how services are provided on a local government and would require additional duties of county authorities, the bill would impose a state-mandated local program. This bill would make legislative findings and declarations as to the necessity of a special statute for County of Orange. Existing constitutional provisions require that a statute that limits the right of access to the meetings of public bodies or the writings of public officials and agencies be adopted with findings demonstrating the interest protected by the limitation and the need for protecting that interest. This bill would make legislative findings to that effect. The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement. This bill would provide that no reimbursement is required by this act for a specified reason.
Who sponsors CA AB 2194?
Valencia is the primary sponsor of CA AB 2194.
Description
Existing law establishes the Medi-Cal program, administered by the State Department of Health Care Services, under which health care services are provided to qualified, low-income persons. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Existing law authorizes a county board of supervisors to establish a commission to negotiate an exclusive contract with the department to provide, or arrange for the provision of, health care services under the Medi-Cal program. Pursuant to the authority described above, the County of Orange established a commission and existing law established the governance of that commission, known as the Orange County Health Authority or CalOptima, to provide health care services under the Medi-Cal program. Existing law prescribes who can serve on the 10-member governing body of the commission and requires each member to serve a 4-year term, except as described. This bill, for terms commencing after January 1, 2027, would impose one-, 2-, and 4-year terms of office, as specified. The bill would also prohibit specified voting members from serving more than two consecutive terms and from serving in that capacity for more than 10 consecutive years. The bill would require the governing body of the Orange County Health Authority to authorize and pay for an independent external audit of its governance procedures and practices, including the roles and responsibilities of the governing body, executive leadership, and staff, among others. The bill would require the audit to be completed by July 1, 2027, and would require that a copy of the report be provided to the Legislature and made public. Because this bill would impose a unique requirement on how services are provided on a local government and would require additional duties of county authorities, the bill would impose a state-mandated local program. This bill would make legislative findings and declarations as to the necessity of a special statute for County of Orange. Existing constitutional provisions require that a statute that limits the right of access to the meetings of public bodies or the writings of public officials and agencies be adopted with findings demonstrating the interest protected by the limitation and the need for protecting that interest. This bill would make legislative findings to that effect. The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement. This bill would provide that no reimbursement is required by this act for a specified reason.
- Introduced
- 2026-03-25
- Latest action
- 2026-09-27 — Chaptered by Secretary of State - Chapter 588, Statutes of 2026.
- Bill type
- bill
- Last updated
- —
Subjects
Sponsors
- Valenciaauthor
Committees
Not provided by source.
Action timeline
Newest first
2026-09-27
Chaptered by Secretary of State - Chapter 588, Statutes of 2026.
became-law
2026-09-27
Approved by the Governor.
executive-signature
2026-09-09
Enrolled and presented to the Governor at 1 p.m.
executive-receipt
2026-08-26
Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 79. Noes 0.).
amendment-passage,committee-passage,committee-passage-favorable
2026-08-26
Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 79. Noes 0. Page 6557.).
amendment-passage,committee-passage,committee-passage-favorable
2026-08-24
In Assembly. Concurrence in Senate amendments pending.
2026-08-24
Read third time. Passed. Ordered to the Assembly. (Ayes 40. Noes 0.).
passage,reading-1,reading-3
2026-08-20
Read second time. Ordered to third reading.
reading-1,reading-2,reading-3
2026-08-19
Read third time and amended. Ordered to second reading.
amendment-passage,reading-1,reading-2,reading-3
2026-08-04
Read second time. Ordered to third reading.
reading-1,reading-2,reading-3
2026-08-03
From committee: Be ordered to second reading pursuant to Senate Rule 28.8.
committee-passage,reading-1,reading-2
2026-07-02
From committee: Amend, and do pass as amended and re-refer to Com. on APPR. (Ayes 6. Noes 0.) (July 1).
amendment-introduction,amendment-passage,committee-passage,referral-committee
2026-07-02
Read second time and amended. Re-referred to Com. on APPR.
amendment-passage,reading-1,reading-2,referral-committee
2026-06-25
From committee: Do pass and re-refer to Com. on L. GOV. (Ayes 11. Noes 0.) (June 24). Re-referred to Com. on L. GOV.
committee-passage,committee-passage-favorable,referral-committee
2026-06-15
From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on HEALTH.
amendment-introduction,amendment-passage,committee-passage,reading-1,reading-2,referral-committee
2026-06-10
In committee: Set, second hearing. Hearing canceled at the request of author.
2026-06-03
In committee: Set, first hearing. Hearing canceled at the request of author.
2026-05-06
Referred to Coms. on HEALTH and L. GOV.
referral-committee
2026-04-16
In Senate. Read first time. To Com. on RLS. for assignment.
reading-1,referral-committee
2026-04-16
Read third time. Passed. Ordered to the Senate. (Ayes 68. Noes 0. Page 4682.)
passage,reading-1,reading-3
2026-04-09
Read second time. Ordered to Consent Calendar.
reading-1,reading-2
2026-04-08
From committee: Do pass. To Consent Calendar. (Ayes 14. Noes 0.) (April 8).
committee-passage,committee-passage-favorable
2026-04-06
Re-referred to Com. on APPR.
referral-committee
2026-03-26
Read second time and amended.
amendment-passage,reading-1,reading-2
2026-03-25
From committee: Amend, and do pass as amended and re-refer to Com. on APPR. with recommendation: To Consent Calendar. (Ayes 16. Noes 0.) (March 24).
amendment-introduction,amendment-passage,committee-passage,referral-committee
2026-03-02
Referred to Com. on HEALTH.
referral-committee
2026-02-20
From printer. May be heard in committee March 22.
2026-02-19
Read first time. To print.
reading-1
Versions
- 02/19/26 - Introduced — 2026-02-19Compare
- 03/26/26 - Amended Assembly — 2026-03-26Compare
- 06/15/26 - Amended Senate — 2026-06-15Compare
- 07/02/26 - Amended Senate — 2026-07-02Compare
- 08/19/26 - Amended Senate — 2026-08-19Compare
- 08/30/26 - Enrolled — 2026-08-30Compare
- 09/27/26 - Chaptered — 2026-09-27Compare
- (document, no version)Compare
- AB2194Compare
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Votes
Do pass as amended, and be re-referred to the Committee on [Appropriations] with recommendation: To Consent Calendar
2026-03-24 · pass · 16-0
Member-level votes (16)
- Caloza: yes
- Stefani: yes
- Pacheco: yes
- Patterson: yes
- Addis: yes
- Schiavo: yes
- Carrillo: yes
- Chen: yes
- Mark González: yes
- Patel: yes
- Sanchez: yes
- Aguiar-Curry: yes
- Johnson: yes
- Rogers: yes
- Sharp-Collins: yes
- Bonta: yes
Do pass. To Consent Calendar.
2026-04-08 · pass · 14-0
Member-level votes (15)
- Muratsuchi: yes
- Arambula: yes
- Krell: yes
- Caloza: yes
- Tangipa: yes
- Fong: yes
- Dixon: yes
- Pellerin: yes
- Hoover: yes
- Solache: yes
- Pacheco: yes
- Ta: yes
- Wicks: yes
- Mark González: yes
- Calderon: other
AB 2194 Valencia Consent Calendar Second Day
2026-04-16 · pass · 68-0
Member-level votes (80)
- Patel: yes
- Bryan: yes
- Kalra: yes
- Muratsuchi: yes
- Rivas: yes
- Ta: yes
- Lee: yes
- Elhawary: yes
- Ramos: yes
- Ávila Farías: yes
- Castillo: yes
- Macedo: yes
- Fong: yes
- Addis: yes
- Aguiar-Curry: yes
- Michelle Rodriguez: yes
- Nguyen: yes
- Petrie-Norris: yes
- Schultz: yes
- Wicks: yes
- Stefani: yes
- Hadwick: yes
- Haney: yes
- Wilson: yes
- McKinnor: yes
- Jeff Gonzalez: yes
- Chen: yes
- Valencia: yes
- Jackson: yes
- Lackey: yes
- Carrillo: yes
- Alanis: yes
- Gallagher: yes
- Pellerin: yes
- Solache: yes
- Johnson: yes
- Sharp-Collins: yes
- DeMaio: yes
- Alvarez: yes
- Caloza: yes
- Bauer-Kahan: yes
- Bennett: yes
- Patterson: yes
- Rogers: yes
- Mark González: yes
- Ortega: yes
- Ward: yes
- Ellis: yes
- Soria: yes
- Boerner: yes
- Krell: yes
- Garcia: yes
- Quirk-Silva: yes
- Ahrens: yes
- Wallis: yes
- Davies: yes
- Gipson: yes
- Ransom: yes
- Tangipa: yes
- Lowenthal: yes
- Gabriel: yes
- Bains: yes
- Connolly: yes
- Pacheco: yes
- Sanchez: yes
- Zbur: yes
- Blanca Rubio: yes
- Calderon: yes
- Flora: other
- Berman: other
- Hart: other
- Papan: other
- Arambula: other
- Dixon: other
- Bonta: other
- Schiavo: other
- Celeste Rodriguez: other
- Irwin: other
- Hoover: other
- Harabedian: other
Do pass, but first be re-referred to the Committee on [Local Government]
2026-06-24 · pass · 11-0
Member-level votes (11)
- Pérez: yes
- Gonzalez: yes
- Weber Pierson: yes
- Caballero: yes
- Smallwood-Cuevas: yes
- Valladares: yes
- Rubio: yes
- Durazo: yes
- Grove: yes
- Padilla: yes
- Menjivar: yes
Do pass as amended, but first amend, and re-refer to the Committee on [Appropriations]
2026-07-01 · pass · 6-0
Member-level votes (7)
- Laird: yes
- Cervantes: yes
- Ashby: yes
- Arreguín: yes
- Seyarto: yes
- Durazo: yes
- Choi: other
Related bills
No related bills recorded for this bill.
Official source
Attribution
Data from openstates_api_sync, retrieved 2026-09-30T03:29:16.539363Z
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