California 20252026 Regular Session Status: Introduced 1 D cosponsors

AB 165 — Skilled nursing facilities: reimbursement rates.

Last action — Ordered to inactive file at the request of Senator Laird.

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  1. 1
    Introduced
  2. 2
    In Committee
  3. 3
    Passed Assembly
  4. 4
    Passed Senate
  5. 5
    To Executive
  6. 6
    Enacted

This bill has been introduced in the Assembly. Introduced January 08, 2025. It must pass committee before a floor vote.

Next likely step: a committee referral and hearing.

Prognosis

Stalled 28% · moderate confidence

Where this bill stands today.

Odds of enactment

Low

How often bills like it became law.

  • Introduced

    Current position in the legislative process.

  • 1 sponsor

    1 primary, 0 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (1 D).

  • Cleared a recorded vote

    Passed 2 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 the quality assurance fee for skilled nursing facilities until 2027.

This bill prolongs the quality assurance fee's application and the Medi-Cal Long-Term Care Reimbursement Act until December 2027. It also makes related conforming changes.

What this means for you
  • Healthcare: This means continued funding structures for skilled nursing facilities, potentially affecting the quality of care provided.

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

Action History

  1. Ordered to inactive file at the request of Senator Laird.

  2. Read second time. Ordered to third reading.

  3. From committee: Do pass. (Ayes 13. Noes 0.) (June 29).

  4. From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on B. & F. R.

  5. Referred to Com. on B. & F. R.

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

  7. Read third time. Passed. Ordered to the Senate. (Ayes 53. Noes 17. Page 745.)

  8. Read second time. Ordered to third reading.

  9. (Ayes 53. Noes 17. Page 643.)

  10. Ordered to second reading.

  11. Withdrawn from committee.

  12. Referred to Com. on BUDGET.

  13. From printer. May be heard in committee February 8.

  14. Read first time. To print.

Sponsors

Sponsorship breakdown

Export CSV (upgrade) →

1 sponsors · 0 co-sponsors · 121 not signed on · 17 voted No

Sponsors (1)

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.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

Do pass

Passed 13 Yea · 0 Nay · 5 Other
Party YeaNayPresentNot Voting
Democratic 13000
Republican 0005
Total 13005
% of votes cast 72%0%0%28%
How each member voted (18)
Member Party Vote
Archuleta, Bob Democratic Yea
Blakespear, Catherine S. Democratic Yea
Cabaldon, Christopher Democratic Yea
Durazo, Maria Elena Democratic Yea
Hurtado, Melissa Democratic Yea
Laird, John Democratic Yea
McNerney, Jerry Democratic Yea
Menjivar, Caroline Democratic Yea
Pérez, Sasha Renée Democratic Yea
Reyes, Eloise Gómez Democratic Yea
Richardson, Laura Democratic Yea
Smallwood-Cuevas, Lola Democratic Yea
Weber Pierson, M.D., Akilah Democratic Yea
Choi, Steven S. Republican Not Voting
Grove, Shannon Republican Not Voting
Niello, Roger W. Republican Not Voting
Ochoa Bogh, Rosilicie Republican Not Voting
Seyarto, Kelly Republican Not Voting

Official roll call →

AB 165 Gabriel Assembly Third Reading

Passed 53 Yea · 17 Nay · 10 Other
Party YeaNayPresentNot Voting
Democratic 52007
Unaffiliated 1000
Republican 01703
Total 5317010
% of votes cast 66%21%0%13%
How each member voted (80)
Member Party Vote
Ávila Farías — Yea
Addis, Dawn Democratic Yea
Aguiar-Curry, Cecilia M. Democratic Yea
Ahrens, Patrick Democratic Not Voting
Alvarez, David Democratic Not Voting
Arambula, Joaquin Democratic Yea
Bains, Jasmeet Democratic Yea
Bauer-Kahan, Rebecca Democratic Not Voting
Bennett, Steve Democratic Yea
Berman, Marc Democratic Yea
Boerner, Tasha Democratic Yea
Bonta, Mia Democratic Yea
Bryan, Isaac G. Democratic Yea
Calderon, Lisa Democratic Not Voting
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 Not Voting
Jackson, Corey A. Democratic Yea
Kalra, Ash Democratic Yea
Krell, Maggy Democratic Not Voting
Lee, Alex Democratic Yea
Lowenthal, Josh Democratic Yea
McKinnor, Tina Democratic Yea
Muratsuchi, Al Democratic Yea
Nguyen, Stephanie Democratic Yea
Ortega, Liz Democratic Yea
Pacheco, Blanca Democratic Yea
Papan, Diane Democratic Not Voting
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 Nay
Castillo, Leticia Republican Nay
Chen, Phillip Republican Nay
Davies, Laurie Republican Nay
DeMaio, Carl Republican Nay
Dixon, Diane Republican Nay
Ellis, Stan Republican Nay
Essayli, Bill Republican Not Voting
Flora, Heath Republican Nay
Gallagher, James Republican Nay
Gonzalez, Jeff Republican Nay
Hadwick, Heather Republican Nay
Hoover, Josh Republican Not Voting
Lackey, Tom Republican Nay
Macedo, Alexandra Republican Nay
Patterson, Joe Republican Nay
Sanchez, Kate Republican Nay
Ta, Tri Republican Nay
Tangipa, David J. Republican Nay
Wallis, Greg Republican Not Voting

Official roll call →

Subjects

finance healthcare health-insurance
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Frequently asked questions

What does AB 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 AB 165?
AB 165 is sponsored by Gabriel, Jesse (Democratic).
What is the current status of AB 165?
This bill has been introduced in the Assembly. Introduced January 08, 2025. It must pass committee before a floor vote.
Where can I track AB 165?
Track AB 165 free on One Click Politics — get push/email alerts when it moves.

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