Medi-Cal: lactation services.
Vote required
Majority
Fiscal committee
No
Appropriation
No
Current location
Enrolled
Take action
Record your position on this measure.
Create an account to record your position, submit testimony, or contact your legislator.
Progress
Where this bill stands in the legislative process.
- Introduced
- Passed Assembly
- Passed Senate
- To Governor
- Became Law
Overview
This bill updates California’s Medi-Cal program to improve access to lactation services for eligible recipients. It requires the Department of Health Care Services to issue updated guidance by July 1, 2027, clarifying Medi-Cal coverage for a range of lactation services, including education, support, and clinical consultation. The guidance will also address billing procedures and managed care plan responsibilities, with implementation contingent on federal funding and approvals.
Key provisions
- Requires the Department of Health Care Services to issue updated Medi-Cal guidance by July 1, 2027.
- Clarifies Medi-Cal coverage for health education, basic lactation support, and clinical lactation consultation.
- Specifies standard billing procedures and appropriate billing codes for lactation services.
- Defines managed care plans’ responsibility to cover lactation services.
- Eliminates prior authorization requirements for lactation services.
- Requires managed care plans to report on the availability of International Board Certified Lactation Consultants.
- Allows for implementation through all-county letters and plan bulletins until regulations are adopted.
- States that implementation is contingent on federal funding and approvals.
Who is affected
- Medi-Cal beneficiaries
- California residents eligible for Medi-Cal
- Healthcare providers offering lactation services
Bill text
Read the latest version inline or switch to a previous version.
Text extraction is in progress. View the official source.
Sponsors
Official sponsors from legislative records.
1 on record
Primary sponsor
Arguments
Reasons offered for and against this legislation.
Arguments in favor
No arguments in favor have been submitted.
Submit yoursArguments opposed
No arguments opposed have been submitted.
Submit yours