Plain English Breakdown
The official status shows 'Passed Legislature' but also lists a committee referral date in 2026, which creates uncertainty about whether this version is final or if further action is needed.
Medi-Cal Acupuncture Coverage Limits
If federal funds are available, this law requires Medi-Cal to cover up to 24 acupuncture visits per person each year and allows for more if medically necessary.
What This Bill Does
- Requires the Medi-Cal program to pay for up to 24 acupuncture visits per beneficiary in a calendar year when federal financial participation is available.
- States that additional visits beyond 24 may be authorized based on medical necessity.
Who It Names or Affects
- Qualified low-income individuals who receive health care through the Medi-Cal program.
- The State Department of Health Care Services, which administers the program.
Terms To Know
- Medi-Cal
- A state health care program for qualified low-income individuals administered by the State Department of Health Care Services.
- Federal financial participation
- Funding from the federal government that is required to cover certain Medi-Cal benefits like acupuncture.
Limits and Unknowns
- The new coverage limits only apply if federal funds are available.
- The text does not explain how medical necessity will be determined or who makes that decision.
- An effective date is not provided in the official source material.