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CaliforniaSB165Signed into lawas of July 6, 2026

A California bill on Medicaid payment, signed into law. Takes effect July 6, 2026.

Official title Skilled nursing facilities: reimbursement rates.

An act to amend Sections 1324.29 and 1324.30 of the Health and Safety Code, and to amend Section 14126.033 of, and to amend and repeal Section 14126.036 of, the Welfare and Institutions Code, relating to health and care facilities, and declaring the urgency thereof, to take effect immediately.

What this affects

Who pays, or is paid
The state's Medicaid program pays. Every Medicaid-certified nursing facility in California is paid off this schedule.
Which buildings
1,165 facilities holding 114,990 licensed beds in California.
The dollars, or the rule
Applies to freestanding skilled nursing facilities under Medi-Cal. The bill extends the quality assurance fee (which funds rate increases) from expiring Dec 31, 2026 to Dec 31, 2027, and extends the Medi-Cal Long-Term Care Reimbursement Act's operative date to Dec 31, 2027, with repeal pushed from Jan 1, 2028 to Jan…
Effective
July 6, 2026 (already in force).
Status
Signed into law, as of July 6, 2026.

Rate changes reach every Medicaid bed in the state, and a thin-margin operator feels them within a quarter.

Ask us about this bill

Latest action, July 6, 2026: Chaptered by Secretary of State. Chapter 61, Statutes of 2026.

The full record, free

Every action this bill has taken, who is carrying it, committee and vote detail, and what it moves for the 1,165 facilities it reaches. Free to owners and operators, gone in one sign-in.

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Legislative data: LegiScan LLC (legiscan.com) · CC BY 4.0

Bill text and status: leginfo.legislature.ca.gov · retrieved August 3, 2026

Bill status, history and votes are drawn from the state legislature's own records, as of the date shown. It is market information, not legal advice. A bill can move the day after we checked; confirm anything you intend to act on.

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