Bill Commons

CA SB 246

enacted

Medi-Cal: graduate medical education payments.

California · 2025-2026 Regular Session · upper

Quick answers

Did CA SB 246 pass?

Yes. CA SB 246 has been enacted into law as of 2025-10-03. Latest recorded action (2025-10-03): Chaptered by Secretary of State. Chapter 308, Statutes of 2025.

What is CA SB 246 about?

Existing law establishes the Medi-Cal program, which is administered by the State Department of Health Care Services and 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 requires the department, subject to any necessary federal approvals and the availability of federal financial participation, to make Medi-Cal payments to designated public hospitals (DPHs) and their affiliated government entities, as defined, in recognition of the Medi-Cal managed care share of graduate medical education (GME) costs. Existing law requires that the payments consist of direct and indirect GME payments made in recognition and support of the direct costs incurred in the operation of GME programs and the increased operating and patient care costs associated with teaching programs, respectively. Under existing law, the nonfederal share of these payments consists of voluntary intergovernmental transfers (IGTs) of funds provided by DPHs or their affiliated government entities, or other eligible public entities, as specified. Under existing law, the continuously appropriated DPH GME Special Fund is established for these purposes. This bill would require the department, subject to any necessary federal approvals and the availability of federal financial participation, to make additional Medi-Cal payments to district and municipal public hospitals (DMPHs) , defined as nondesignated public hospitals, and to their affiliated government entities, in recognition of the Medi-Cal managed care share of GME costs. Under the bill, these payments would be made in a manner consistent with the methodology for GME payments to DPHs and their affiliated government entities and would consist of the above-described direct and indirect GME payment components. The bill would authorize the department to seek federal approval for other forms of GME payments to DMPHs and their affiliated government entities, as specified. Under the bill, the nonfederal share of payments under these provisions would consist of voluntary IGTs of funds provided by DMPHs or their affiliated government entities, or other eligible public entities, to the extent permitted under certain federal regulations and other applicable federal Medicaid laws, and with no state General Fund moneys being used to fund the nonfederal share of payments. The bill would establish the DMPH GME Special Fund, with moneys deposited being continuously appropriated to the department for purposes of these provisions. The bill would require the department to seek any necessary federal approvals for GME payments, effective no sooner than January 1, 2026. The bill would authorize the Director of Health Care Services to modify the requirements set forth in these provisions to the extent necessary to meet federal requirements or to maximize federal financial participation, as specified.

Who sponsors CA SB 246?

Grove is the primary sponsor of CA SB 246, joined by 5 cosponsors.

Description

Existing law establishes the Medi-Cal program, which is administered by the State Department of Health Care Services and 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 requires the department, subject to any necessary federal approvals and the availability of federal financial participation, to make Medi-Cal payments to designated public hospitals (DPHs) and their affiliated government entities, as defined, in recognition of the Medi-Cal managed care share of graduate medical education (GME) costs. Existing law requires that the payments consist of direct and indirect GME payments made in recognition and support of the direct costs incurred in the operation of GME programs and the increased operating and patient care costs associated with teaching programs, respectively. Under existing law, the nonfederal share of these payments consists of voluntary intergovernmental transfers (IGTs) of funds provided by DPHs or their affiliated government entities, or other eligible public entities, as specified. Under existing law, the continuously appropriated DPH GME Special Fund is established for these purposes. This bill would require the department, subject to any necessary federal approvals and the availability of federal financial participation, to make additional Medi-Cal payments to district and municipal public hospitals (DMPHs) , defined as nondesignated public hospitals, and to their affiliated government entities, in recognition of the Medi-Cal managed care share of GME costs. Under the bill, these payments would be made in a manner consistent with the methodology for GME payments to DPHs and their affiliated government entities and would consist of the above-described direct and indirect GME payment components. The bill would authorize the department to seek federal approval for other forms of GME payments to DMPHs and their affiliated government entities, as specified. Under the bill, the nonfederal share of payments under these provisions would consist of voluntary IGTs of funds provided by DMPHs or their affiliated government entities, or other eligible public entities, to the extent permitted under certain federal regulations and other applicable federal Medicaid laws, and with no state General Fund moneys being used to fund the nonfederal share of payments. The bill would establish the DMPH GME Special Fund, with moneys deposited being continuously appropriated to the department for purposes of these provisions. The bill would require the department to seek any necessary federal approvals for GME payments, effective no sooner than January 1, 2026. The bill would authorize the Director of Health Care Services to modify the requirements set forth in these provisions to the extent necessary to meet federal requirements or to maximize federal financial participation, as specified.

Introduced
2025-01-30
Latest action
2025-10-03 — Chaptered by Secretary of State. Chapter 308, Statutes of 2025.
Bill type
bill,appropriation
Last updated
—

Subjects

Sponsors

  • Groveauthor
  • Caballeroauthor
  • Dahlecoauthor
  • Hurtadocoauthor
  • Ochoa Boghcoauthor
  • Macedocoauthor

Committees

Not provided by source.

Action timeline

  1. 2025-01-30

    Introduced. Read first time. To Com. on RLS. for assignment. To print.

    introduction,reading-1,referral-committee

  2. 2025-02-03

    From printer. May be acted upon on or after March 2.

  3. 2025-02-14

    Referred to Com. on HEALTH.

    referral-committee

  4. 2025-03-17

    Set for hearing April 2.

  5. 2025-04-03

    From committee: Do pass and re-refer to Com. on APPR. with recommendation: To consent calendar. (Ayes 11. Noes 0. Page 636.) (April 2). Re-referred to Com. on APPR.

    committee-passage,committee-passage-favorable,referral-committee

  6. 2025-04-04

    Set for hearing April 21.

  7. 2025-04-21

    April 21 hearing: Placed on APPR. suspense file.

  8. 2025-05-16

    Set for hearing May 23.

  9. 2025-05-23

    Read second time. Ordered to third reading.

    reading-1,reading-2,reading-3

  10. 2025-05-23

    From committee: Do pass. (Ayes 6. Noes 0. Page 1192.) (May 23).

    committee-passage,committee-passage-favorable

  11. 2025-05-27

    Ordered to special consent calendar.

  12. 2025-05-29

    Read third time. Passed. (Ayes 38. Noes 0. Page 1323.) Ordered to the Assembly.

    passage,reading-1,reading-3

  13. 2025-05-29

    In Assembly. Read first time. Held at Desk.

    reading-1

  14. 2025-06-05

    Referred to Com. on HEALTH.

    referral-committee

  15. 2025-06-17

    From committee: Do pass and re-refer to Com. on APPR. with recommendation: To consent calendar. (Ayes 15. Noes 0.) (June 17). Re-referred to Com. on APPR.

    committee-passage,committee-passage-favorable,referral-committee

  16. 2025-08-20

    August 20 set for first hearing. Placed on APPR. suspense file.

  17. 2025-08-29

    From committee: Do pass. (Ayes 15. Noes 0.) (August 29).

    committee-passage,committee-passage-favorable

  18. 2025-09-02

    Read second time. Ordered to third reading.

    reading-1,reading-2,reading-3

  19. 2025-09-04

    Read third time. Passed. (Ayes 77. Noes 0. Page 2907.) Ordered to the Senate.

    passage,reading-1,reading-3

  20. 2025-09-04

    In Senate. Ordered to engrossing and enrolling.

    committee-passage

  21. 2025-09-10

    Enrolled and presented to the Governor at 2 p.m.

    executive-receipt

  22. 2025-10-03

    Approved by the Governor.

    executive-signature

  23. 2025-10-03

    Chaptered by Secretary of State. Chapter 308, Statutes of 2025.

    became-law

Versions

Documents

Votes

  • Do pass, but first be re-referred to the Committee on [Appropriations] with the recommendation: To Consent Calendar

    2025-04-02 · pass · 11-0

    Member-level votes (11)
    • Gonzalez: yes
    • Valladares: yes
    • Weber Pierson: yes
    • Rubio: yes
    • Durazo: yes
    • Grove: yes
    • Menjivar: yes
    • Padilla: yes
    • Wiener: yes
    • Limón: yes
    • Richardson: yes

  • Placed on suspense file

    2025-04-21 · pass · 6-0

    Member-level votes (7)
    • Grayson: yes
    • Wahab: yes
    • Richardson: yes
    • Cabaldon: yes
    • Caballero: yes
    • Seyarto: yes
    • Dahle: other

  • Do pass

    2025-05-23 · pass · 6-0

    Member-level votes (7)
    • Caballero: yes
    • Seyarto: yes
    • Wahab: yes
    • Cabaldon: yes
    • Richardson: yes
    • Grayson: yes
    • Dahle: other

  • Special Consent SB246 Grove et al.

    2025-05-29 · pass · 38-0

    Member-level votes (40)
    • Smallwood-Cuevas: yes
    • Grayson: yes
    • Grove: yes
    • Dahle: yes
    • Rubio: yes
    • Jones: yes
    • Umberg: yes
    • Weber Pierson: yes
    • Wiener: yes
    • Stern: yes
    • Padilla: yes
    • Arreguín: yes
    • Caballero: yes
    • Pérez: yes
    • McNerney: yes
    • Gonzalez: yes
    • Durazo: yes
    • Cortese: yes
    • Archuleta: yes
    • Blakespear: yes
    • Laird: yes
    • Strickland: yes
    • Choi: yes
    • Valladares: yes
    • McGuire: yes
    • Niello: yes
    • Allen: yes
    • Richardson: yes
    • Hurtado: yes
    • Cervantes: yes
    • Seyarto: yes
    • Menjivar: yes
    • Wahab: yes
    • Becker: yes
    • Alvarado-Gil: yes
    • Ochoa Bogh: yes
    • Ashby: yes
    • Cabaldon: yes
    • Limón: other
    • Reyes: other

  • Do pass and be re-referred to the Committee on [Appropriations] with recommendation: To Consent Calendar

    2025-06-17 · pass · 15-0

    Member-level votes (16)
    • Patterson: yes
    • Celeste Rodriguez: yes
    • Chen: yes
    • Bonta: yes
    • Patel: yes
    • Krell: yes
    • Caloza: yes
    • Schiavo: yes
    • Carrillo: yes
    • Sanchez: yes
    • Mark González: yes
    • Addis: yes
    • Sharp-Collins: yes
    • Flora: yes
    • Aguiar-Curry: yes
    • Stefani: other

  • Do pass.

    2025-08-29 · pass · 15-0

    Member-level votes (15)
    • Ta: yes
    • Elhawary: yes
    • Pellerin: yes
    • Fong: yes
    • Pacheco: yes
    • Tangipa: yes
    • Calderon: yes
    • Arambula: yes
    • Dixon: yes
    • Mark González: yes
    • Sanchez: yes
    • Wicks: yes
    • Caloza: yes
    • Ahrens: yes
    • Solache: yes

  • SB 246 Grove Senate Third Reading By Hadwick

    2025-09-04 · pass · 77-0

    Member-level votes (79)
    • Bains: yes
    • Michelle Rodriguez: yes
    • Hart: yes
    • Caloza: yes
    • Aguiar-Curry: yes
    • Ta: yes
    • Blanca Rubio: yes
    • Haney: yes
    • Solache: yes
    • Chen: yes
    • Gallagher: yes
    • Tangipa: yes
    • Zbur: yes
    • Carrillo: yes
    • Gipson: yes
    • Papan: yes
    • Irwin: yes
    • Addis: yes
    • Bryan: yes
    • Celeste Rodriguez: yes
    • Schiavo: yes
    • Mark González: yes
    • Alvarez: yes
    • Sharp-Collins: yes
    • Krell: yes
    • Schultz: yes
    • Calderon: yes
    • Dixon: yes
    • Soria: yes
    • Castillo: yes
    • Ramos: yes
    • Sanchez: yes
    • Patel: yes
    • Fong: yes
    • Hoover: yes
    • Patterson: yes
    • Gabriel: yes
    • Harabedian: yes
    • Pacheco: yes
    • Hadwick: yes
    • Ellis: yes
    • Ávila Farías: yes
    • Wallis: yes
    • Flora: yes
    • Wilson: yes
    • Arambula: yes
    • Quirk-Silva: yes
    • Bauer-Kahan: yes
    • Elhawary: yes
    • Petrie-Norris: yes
    • Connolly: yes
    • Bonta: yes
    • Valencia: yes
    • Alanis: yes
    • Stefani: yes
    • Jeff Gonzalez: yes
    • Davies: yes
    • Lackey: yes
    • Bennett: yes
    • Berman: yes
    • Ward: yes
    • Nguyen: yes
    • Pellerin: yes
    • Boerner: yes
    • Rivas: yes
    • Jackson: yes
    • Macedo: yes
    • Kalra: yes
    • Rogers: yes
    • Garcia: yes
    • McKinnor: yes
    • Lowenthal: yes
    • Ransom: yes
    • Wicks: yes
    • Muratsuchi: yes
    • DeMaio: yes
    • Ortega: yes
    • Lee: other
    • Ahrens: other

Related bills

No related bills recorded for this bill.

Official source

http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202520260SB246

Attribution

Data from openstates_bulk_csv, retrieved 2026-07-24T01:34:27.960412Z

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