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CaliforniaAB 5432025-2026 Regular SessionHouseWALLET

Medi-Cal: street medicine.

Sponsored By: Mark Mark González (Democratic)

Signed by Governor

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Bill Overview

Analyzed Economic Effects

4 provisions identified: 4 benefits, 0 costs, 0 mixed.

Direct referrals and coordination for homeless Medi-Cal

If you are experiencing homelessness and see a field medicine provider, they can directly refer you for covered services. This includes specialists, tests, medicines, medical equipment, and transportation. Your plan or IPA must set up referral and authorization systems and make sure providers share information quickly. These steps help coordinate care and avoid duplicate services, subject to federal approvals and funding.

Medi-Cal care outside clinics for homeless

The law creates Medi-Cal field medicine. Plans can choose to use in-network field medicine providers who treat people outside clinics. If your plan offers this and you are experiencing homelessness, you can get care from that provider even if your assigned primary care doctor or IPA is different. This works alongside other Medi-Cal services and applies with required federal approvals and funding.

Medi-Cal pays field providers in fee-for-service

For beneficiaries experiencing homelessness in fee-for-service Medi-Cal, the Department pays enrolled field medicine providers for covered care they deliver. This creates a payment path for care outside clinics. It applies with required federal approvals and federal funding.

Easier to tell Medi-Cal you are homeless

Your Medi-Cal plan must let you report that you are experiencing homelessness online, in person, or by phone. The Department also tells your plan if you marked homelessness on your Medi-Cal application. Beginning January 1, 2027, the standard application adds an optional question so you can identify homelessness. The plan and department steps apply with required federal approvals and funding.

Sponsors & Cosponsors

Sponsor

  • Mark Mark González

    Democratic • House

Cosponsors

  • Celeste Celeste Rodriguez

    Democratic • House

  • Sade Elhawary

    Democratic • House

  • Matt Haney

    Democratic • House

  • John Harabedian

    Democratic • House

  • Susan Rubio

    Democratic • Senate

  • Pilar Schiavo

    Democratic • House

Roll Call Votes

All Roll Calls

Yes: 249 • No: 0

House vote • 9/10/2025

Item 210 — Assembly AFLOOR

Yes: 79 • No: 0

Senate vote • 9/9/2025

Item 356 — Senate SFLOOR

Yes: 40 • No: 0

legislature vote • 8/29/2025

Vote in CS61

Yes: 7 • No: 0

legislature vote • 7/7/2025

Vote in CS61

Yes: 6 • No: 0

legislature vote • 6/18/2025

Vote in CS60

Yes: 10 • No: 0

House vote • 6/2/2025

Item 110 — Assembly AFLOOR

Yes: 78 • No: 0

legislature vote • 5/23/2025

Vote in CX25

Yes: 13 • No: 0

legislature vote • 4/22/2025

Vote in CX08

Yes: 16 • No: 0

Actions Timeline

  1. Chaptered by Secretary of State - Chapter 374, Statutes of 2025.

    10/6/2025Senate

  2. Approved by the Governor.

    10/6/2025legislature

  3. Enrolled and presented to the Governor at 3 p.m.

    9/22/2025legislature

  4. Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 79. Noes 0. Page 3197.).

    9/10/2025House

  5. In Assembly. Concurrence in Senate amendments pending.

    9/9/2025House

  6. Read third time. Passed. Ordered to the Assembly. (Ayes 40. Noes 0. Page 2738.).

    9/9/2025Senate

  7. Read second time. Ordered to third reading.

    9/8/2025Senate

  8. Read second time and amended. Ordered returned to second reading.

    9/5/2025Senate

  9. Read third time and amended. Ordered to second reading.

    9/4/2025Senate

  10. Read second time. Ordered to third reading.

    9/2/2025Senate

  11. Read second time and amended. Ordered returned to second reading.

    8/29/2025Senate

  12. From committee: Amend, and do pass as amended. (Ayes 7. Noes 0.) (August 29).

    8/29/2025Senate

  13. In committee: Referred to APPR. suspense file.

    7/7/2025Senate

  14. Read second time and amended. Re-referred to Com. on APPR.

    6/23/2025Senate

  15. From committee: Amend, and do pass as amended and re-refer to Com. on APPR. (Ayes 10. Noes 0.) (June 18).

    6/19/2025Senate

  16. From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on HEALTH.

    6/11/2025Senate

  17. Referred to Com. on HEALTH.

    6/11/2025Senate

  18. In Senate. Read first time. To Com. on RLS. for assignment.

    6/3/2025Senate

  19. Read third time. Passed. Ordered to the Senate. (Ayes 78. Noes 0. Page 1836.)

    6/2/2025House

  20. Read second time. Ordered to third reading.

    5/27/2025House

  21. From committee: Do pass. (Ayes 13. Noes 0.) (May 23).

    5/23/2025House

  22. In committee: Set, first hearing. Referred to APPR. suspense file.

    5/7/2025House

  23. From committee: Do pass and re-refer to Com. on APPR. (Ayes 16. Noes 0.) (April 22). Re-referred to Com. on APPR.

    4/23/2025House

  24. Coauthors revised.

    4/23/2025House

  25. Re-referred to Com. on HEALTH.

    4/9/2025House

Bill Text

  • Chaptered

    10/6/2025

    HTML

  • Enrolled

    9/12/2025

    HTML

  • Amended Senate

    9/5/2025

    HTML

  • Amended Senate

    9/4/2025

    HTML

  • Amended Senate

    8/29/2025

    HTML

  • Amended Senate

    6/23/2025

    HTML

  • Amended Senate

    6/11/2025

    HTML

  • Amended Assembly

    4/8/2025

    HTML

  • Amended Assembly

    3/11/2025

    HTML

  • Introduced

    2/11/2025

    HTML

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