Bill > AB116

This bill is a comprehensive health omnibus trailer bill that makes numerous changes to California's healthcare system. It introduces significant modifications to Medi-Cal, pharmacy benefit manager regulations, healthcare provider oversight, and various health services. Key provisions include establishing a new licensing and regulatory framework for pharmacy benefit managers, requiring them to obtain a license from the Department of Managed Health Care and submit detailed financial and operational information. The bill also expands Medi-Cal coverage for certain populations, modifies reimbursement rates for healthcare providers, and adjusts eligibility criteria for various health services. Notably, the bill creates new requirements for pharmacy benefit managers, such as a fiduciary duty to their clients and mandatory data reporting on drug pricing and fees. It also introduces changes to Medi-Cal eligibility, including modifications to asset and income calculations for certain populations, and adjustments to coverage for immigrants and individuals with specific health conditions. The bill expands telehealth services for federally qualified health centers and rural health clinics, allowing more flexible visit definitions and modalities. Additionally, the legislation makes changes to AIDS Drug Assistance Program funding, increases financial eligibility standards for HIV-related programs, and allocates funds for various health initiatives, including HIV prevention, transgender health services, and harm reduction programs. The bill also introduces new oversight mechanisms for healthcare providers, including potential sanctions for non-compliance with state regulations and contract requirements. The bill aims to improve healthcare access, reduce costs, enhance provider accountability, and create more comprehensive and flexible health service delivery in California, with many provisions taking effect in 2025 and 2026.

Budget and Finance

Budget (A)

https://leginfo.legislature.ca.gov/faces/billStatusClient.xhtml?bill_id=202520260AB116