SB 165 — Skilled nursing facilities: reimbursement rates.
Last action — Chaptered by Secretary of State. Chapter 61, Statutes of 2026.
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✓Introduced
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✓In Committee
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✓Passed Senate
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✓Passed Assembly
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5To Executive
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6Enacted
This bill has been sent to the executive. Introduced January 23, 2025. It awaits signature.
Next likely step: the executive signs it into law or issues a veto.
Prognosis
Where this bill stands today.
Odds of enactment
HighHow often bills like it became law.
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To Executive
Current position in the legislative process.
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1 sponsor
1 primary, 0 co-sponsors signed on.
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Cleared a recorded vote
Passed 3 recorded votes so far.
Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.
In plain language
The bill extends reimbursement provisions for skilled nursing facilities under Medi-Cal until 2027.
This bill prolongs the quality assurance fee and Medi-Cal Long-Term Care Reimbursement Act until the end of 2027. It ensures skilled nursing facilities continue to receive needed funding through this framework.
What this means for you
- Healthcare: This means skilled nursing facilities can continue receiving financial support for their services until the end of 2027.
Summary
Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services, 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, the Medi-Cal Long-Term Care Reimbursement Act, requires the department to implement a facility-specific reimbursement ratesetting system for certain skilled nursing facilities. Reimbursement rates for freestanding skilled nursing facilities are funded by a combination of federal funds and moneys collected pursuant to the skilled nursing uniform quality assurance fee. Existing law prohibits the quality assurance fee from being assessed after December 31, 2026, and repeals these provisions on January 1, 2028. Existing law establishes the maximum annual aggregate rate increases for the 2023 to 2026, inclusive, calendar years, as prescribed, and sets forth the annual rate methodologies. Under existing law, the Medi-Cal Long-Term Care Reimbursement Act is operative until December 31, 2026, and the department is authorized to conduct necessary closeout activities after that date. Existing law repeals these provisions on January 1, 2028. This bill would extend the application of the quality assurance fee until December 31, 2027, and would repeal the quality assurance fee provisions on January 1, 2029. The bill would extend the operative date of the Medi-Cal Long-Term Care Reimbursement Act to December 31, 2027, and repeals these provisions on January 1, 2029, or the date when the director certifies that all necessary closeout activities have been completed, whichever is later. The bill would also make conforming changes. This bill would declare that it is to take effect immediately as an urgency statute.
Bill Text
- Chaptered 07/06/26 - Chaptered Current pdf July 06, 2026
- Enrolled 06/29/26 - Enrolled pdf June 29, 2026
- Amended 06/26/26 - Amended Assembly pdf June 26, 2026
- Introduced 01/23/25 - Introduced pdf January 23, 2025
- SB165 View text html
Action History
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Enrolled and presented to the Governor at 3 p.m.
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Assembly amendments concurred in. (Ayes 31. Noes 0.) Ordered to engrossing and enrolling.
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Urgency clause adopted.
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Unanimous consent granted to take up without reference to file.
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In Senate. Concurrence in Assembly amendments pending.
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Read third time. Urgency clause adopted. Passed. Ordered to the Senate.
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Assembly Rule 63 suspended.
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Withdrawn from committee pursuant to Asssembly Rule 96.
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From committee with author's amendments. Read second time and amended. Re-referred to Com. on BUDGET.
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Referred to Com. on BUDGET.
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In Assembly. Read first time. Held at Desk.
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Read third time. Passed. (Ayes 28. Noes 10. Page 452.) Ordered to the Assembly.
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Read second time. Ordered to third reading.
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Ordered to second reading.
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Withdrawn from committee. (Ayes 27. Noes 10. Page 384.)
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Referred to Com. on B. & F. R.
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From printer. May be acted upon on or after February 23.
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Introduced. Read first time. To Com. on RLS. for assignment. To print.
Sponsors
- Committee on Budget and Fiscal Review · Primary
Sponsorship breakdown
Export CSV (upgrade) →1 sponsors · 0 co-sponsors · 121 not signed on · 14 voted No
Sponsors (1)
- Committee on Budget and Fiscal Review
Co-sponsors (0)
None.
Not signed on (121)
121 members have not signed on to this bill.
Show all 121 →"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.
Votes
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Democratic | 29 | 0 | 0 | 1 |
| Republican | 2 | 0 | 0 | 8 |
| Total | 31 | 0 | 0 | 9 |
| % of votes cast | 78% | 0% | 0% | 23% |
How each member voted (40)
| Member | Party | Vote |
|---|---|---|
| Allen, Benjamin | Democratic | Yea |
| Archuleta, Bob | Democratic | Yea |
| Arreguín, Jesse | Democratic | Yea |
| Ashby, Angelique V. | Democratic | Yea |
| Becker, Josh | Democratic | Yea |
| Blakespear, Catherine S. | Democratic | Yea |
| Cabaldon, Christopher | Democratic | Yea |
| Caballero, Anna M. | Democratic | Yea |
| Cervantes, Sabrina | Democratic | Yea |
| Cortese, Dave | Democratic | Yea |
| Durazo, Maria Elena | Democratic | Yea |
| Gonzalez, Lena A. | Democratic | Yea |
| Grayson, Timothy S. | Democratic | Yea |
| Hurtado, Melissa | Democratic | Yea |
| Laird, John | Democratic | Yea |
| Limón, Monique | Democratic | Yea |
| McGuire, Mike | Democratic | Yea |
| McNerney, Jerry | Democratic | Yea |
| Menjivar, Caroline | Democratic | Yea |
| Padilla, Stephen C. | Democratic | Yea |
| Pérez, Sasha Renée | Democratic | Yea |
| Reyes, Eloise Gómez | Democratic | Yea |
| Richardson, Laura | Democratic | Yea |
| Rubio, Susan | Democratic | Not Voting |
| Smallwood-Cuevas, Lola | Democratic | Yea |
| Stern, Henry I. | Democratic | Yea |
| Umberg, Thomas J. | Democratic | Yea |
| Wahab, Aisha | Democratic | Yea |
| Weber Pierson, M.D., Akilah | Democratic | Yea |
| Wiener, Scott D. | Democratic | Yea |
| Alvarado-Gil, Marie | Republican | Not Voting |
| Choi, Steven S. | Republican | Not Voting |
| Dahle, Megan | Republican | Not Voting |
| Grove, Shannon | Republican | Not Voting |
| Jones, Brian W. | Republican | Not Voting |
| Niello, Roger W. | Republican | Not Voting |
| Ochoa Bogh, Rosilicie | Republican | Not Voting |
| Seyarto, Kelly | Republican | Not Voting |
| Strickland, Tony | Republican | Yea |
| Valladares, Suzette Martinez | Republican | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Democratic | 56 | 0 | 0 | 3 |
| Republican | 3 | 4 | 0 | 12 |
| Unaffiliated | 1 | 0 | 0 | 0 |
| Total | 60 | 4 | 0 | 15 |
| % of votes cast | 76% | 5% | 0% | 19% |
How each member voted (79)
| Member | Party | Vote |
|---|---|---|
| Ávila Farías | — | Yea |
| Addis, Dawn | Democratic | Yea |
| Aguiar-Curry, Cecilia M. | Democratic | Yea |
| Ahrens, Patrick | Democratic | Yea |
| Alvarez, David | Democratic | Yea |
| Arambula, Joaquin | Democratic | Yea |
| Bains, Jasmeet | Democratic | Not Voting |
| Bauer-Kahan, Rebecca | Democratic | Yea |
| Bennett, Steve | Democratic | Yea |
| Berman, Marc | Democratic | Yea |
| Boerner, Tasha | Democratic | Not Voting |
| Bonta, Mia | Democratic | Yea |
| Bryan, Isaac G. | Democratic | Yea |
| Calderon, Lisa | Democratic | Yea |
| Caloza, Jessica | Democratic | Yea |
| Carrillo, Juan | Democratic | Yea |
| Connolly, Damon | Democratic | Yea |
| Elhawary, Sade | Democratic | Yea |
| Fong, Mike | Democratic | Yea |
| Gabriel, Jesse | Democratic | Yea |
| Garcia, Robert | Democratic | Yea |
| Gipson, Mike A. | Democratic | Yea |
| González, Mark | Democratic | Yea |
| Haney, Matt | Democratic | Yea |
| Harabedian, John | Democratic | Yea |
| Hart, Gregg | Democratic | Yea |
| Irwin, Jacqui | Democratic | Yea |
| Jackson, Corey A. | Democratic | Yea |
| Kalra, Ash | Democratic | Yea |
| Krell, Maggy | Democratic | Yea |
| Lee, Alex | Democratic | Yea |
| Lowenthal, Josh | Democratic | Yea |
| McKinnor, Tina | Democratic | Yea |
| Muratsuchi, Al | Democratic | Not Voting |
| Nguyen, Stephanie | Democratic | Yea |
| Ortega, Liz | Democratic | Yea |
| Pacheco, Blanca | Democratic | Yea |
| Papan, Diane | Democratic | Yea |
| Patel, Darshana R. | Democratic | Yea |
| Pellerin, Gail | Democratic | Yea |
| Petrie-Norris, Cottie | Democratic | Yea |
| Quirk-Silva, Sharon | Democratic | Yea |
| Ramos, James C. | Democratic | Yea |
| Ransom, Rhodesia | Democratic | Yea |
| Rivas, Robert | Democratic | Yea |
| Rodriguez, Celeste | Democratic | Yea |
| Rodriguez, Michelle | Democratic | Yea |
| Rogers, Chris | Democratic | Yea |
| Rubio, Blanca E. | Democratic | Yea |
| Schiavo, Pilar | Democratic | Yea |
| Schultz, Nick | Democratic | Yea |
| Sharp-Collins, LaShae | Democratic | Yea |
| Solache, Jr., José Luis | Democratic | Yea |
| Soria, Esmeralda | Democratic | Yea |
| Stefani, Catherine | Democratic | Yea |
| Valencia, Avelino | Democratic | Yea |
| Ward, Christopher M. | Democratic | Yea |
| Wicks, Buffy | Democratic | Yea |
| Wilson, Lori D. | Democratic | Yea |
| Zbur, Rick Chavez | Democratic | Yea |
| Alanis, Juan | Republican | Yea |
| Castillo, Leticia | Republican | Not Voting |
| Chen, Phillip | Republican | Not Voting |
| Davies, Laurie | Republican | Not Voting |
| DeMaio, Carl | Republican | Nay |
| Dixon, Diane | Republican | Not Voting |
| Ellis, Stan | Republican | Not Voting |
| Flora, Heath | Republican | Yea |
| Gonzalez, Jeff | Republican | Yea |
| Hadwick, Heather | Republican | Nay |
| Hoover, Josh | Republican | Not Voting |
| Johnson, Natasha | Republican | Nay |
| Lackey, Tom | Republican | Not Voting |
| Macedo, Alexandra | Republican | Nay |
| Patterson, Joe | Republican | Not Voting |
| Sanchez, Kate | Republican | Not Voting |
| Ta, Tri | Republican | Not Voting |
| Tangipa, David J. | Republican | Not Voting |
| Wallis, Greg | Republican | Not Voting |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Democratic | 28 | 0 | 0 | 2 |
| Republican | 0 | 10 | 0 | 0 |
| Total | 28 | 10 | 0 | 2 |
| % of votes cast | 70% | 25% | 0% | 5% |
How each member voted (40)
Subjects
Frequently asked questions
- What does SB 165 do?
- Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services, 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, the Medi-Cal Long-Term Care Reimbursement Act, requires the department to implement a facility-specific reimbursement ratesetting system for certain skilled nursing facilities. Reimbursement rates for freestanding skilled nursing facilities are funded by a combination of federal funds and moneys collected pursuant to the skilled nursing uniform quality assurance fee. Existing law prohibits the quality assurance fee from being assessed after December 31, 2026, and repeals these provisions on January 1, 2028. Existing law establishes the maximum annual aggregate rate increases for the 2023 to 2026, inclusive, calendar years, as prescribed, and sets forth the annual rate methodologies. Under existing law, the Medi-Cal Long-Term Care Reimbursement Act is operative until December 31, 2026, and the department is authorized to conduct necessary closeout activities after that date. Existing law repeals these provisions on January 1, 2028. This bill would extend the application of the quality assurance fee until December 31, 2027, and would repeal the quality assurance fee provisions on January 1, 2029. The bill would extend the operative date of the Medi-Cal Long-Term Care Reimbursement Act to December 31, 2027, and repeals these provisions on January 1, 2029, or the date when the director certifies that all necessary closeout activities have been completed, whichever is later. The bill would also make conforming changes. This bill would declare that it is to take effect immediately as an urgency statute.
- Who sponsors SB 165?
- SB 165 is sponsored by Committee on Budget and Fiscal Review.
- What is the current status of SB 165?
- This bill has been sent to the executive. Introduced January 23, 2025. It awaits signature.
- Where can I track SB 165?
- Track SB 165 free on One Click Politics — get push/email alerts when it moves.
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