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CaliforniaSB 2462025-2026 Regular SessionSenateWALLET

Medi-Cal: graduate medical education payments.

Sponsored By: Anna Caballero (Democratic), Shannon Grove (Republican)

Signed by Governor

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Bill Overview

Analyzed Economic Effects

2 provisions identified: 1 benefits, 0 costs, 1 mixed.

Special fund to finance hospital training

The law creates a Special Fund in the State Treasury to hold transfers for these hospital training payments. The nonfederal share must come only from voluntary intergovernmental transfers by these hospitals, their affiliates, or other public entities, not the State General Fund. Each year the department sets transfers to cover the nonfederal share plus 5% of that share, calculated as if the federal match rate were 50%. The department must claim federal matching funds and return related transfers within 14 days if federal funds are not available or are taken back. Transfers must meet federal Medicaid rules and be certified by the senders.

New Medi-Cal training payments to public hospitals

The law creates extra Medi-Cal payments to district and municipal public hospitals and their government affiliates for doctor training costs. Payments use the same direct and indirect methods used for other public hospitals. The department must get federal approval and matching funds, and payments take effect no earlier than January 1, 2026. The department can also seek other payment types, like fee‑for‑service volume or incentive payments, if federally approved. The department consults with these hospitals and can use letters or bulletins to run the program.

Sponsors & Cosponsors

Sponsors

  • Anna Caballero

    Democratic • Senate

  • Shannon Grove

    Republican • Senate

Cosponsors

  • Megan Dahle

    Republican • Senate

  • Melissa Hurtado

    Democratic • Senate

  • Alexandra Macedo

    Republican • House

  • Rosilicie Ochoa Bogh

    Republican • Senate

Roll Call Votes

All Roll Calls

Yes: 168 • No: 0

House vote • 9/4/2025

Item 140 — Assembly AFLOOR

Yes: 77 • No: 0

legislature vote • 8/29/2025

Vote in CX25

Yes: 15 • No: 0

legislature vote • 6/17/2025

Vote in CX08

Yes: 15 • No: 0

Senate vote • 5/29/2025

Item 295 — Senate SFLOOR

Yes: 38 • No: 0

legislature vote • 5/23/2025

Vote in CS61

Yes: 6 • No: 0

legislature vote • 4/21/2025

Vote in CS61

Yes: 6 • No: 0

legislature vote • 4/2/2025

Vote in CS60

Yes: 11 • No: 0

Actions Timeline

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

    10/3/2025Senate

  2. Approved by the Governor.

    10/3/2025legislature

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

    9/10/2025legislature

  4. In Senate. Ordered to engrossing and enrolling.

    9/4/2025Senate

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

    9/4/2025House

  6. Read second time. Ordered to third reading.

    9/2/2025House

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

    8/29/2025House

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

    8/20/2025House

  9. 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.

    6/17/2025House

  10. Referred to Com. on HEALTH.

    6/5/2025House

  11. In Assembly. Read first time. Held at Desk.

    5/29/2025House

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

    5/29/2025Senate

  13. Ordered to special consent calendar.

    5/27/2025Senate

  14. Read second time. Ordered to third reading.

    5/23/2025Senate

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

    5/23/2025Senate

  16. Set for hearing May 23.

    5/16/2025Senate

  17. April 21 hearing: Placed on APPR. suspense file.

    4/21/2025Senate

  18. Set for hearing April 21.

    4/4/2025Senate

  19. 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.

    4/3/2025Senate

  20. Set for hearing April 2.

    3/17/2025Senate

  21. Referred to Com. on HEALTH.

    2/14/2025Senate

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

    2/3/2025Senate

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

    1/30/2025Senate

Bill Text

  • Chaptered

    10/3/2025

    HTML

  • Enrolled

    9/8/2025

    HTML

  • Introduced

    1/30/2025

    HTML

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