Back to California

AB-2138 • 2026

Medi-Cal: enhanced care management: peer support specialists.

Medi-Cal: enhanced care management: peer support specialists.

Healthcare Labor Technology
Active

The official status still shows this bill as active or still awaiting another formal step.

Sponsor
Krell
Last action
Official status
Assembly - Appropriations
Effective date
Not listed

Plain English Breakdown

The exact 'certain criteria' for caseloads are not defined in the provided summary text and will be determined by departmental rules.

Medi-Cal Enhanced Care Management Peer Support Requirements

This law requires certain Medi-Cal enhanced care management providers to include peer support specialists on their teams and limits how criminal records can block these workers from being hired.

What This Bill Does

  • Requires ECM providers whose caseload meets specific criteria to maintain an interdisciplinary team with at least one integrated peer support specialist or trainee.
  • Allows providers to meet staffing requirements using various models, including virtual, phone, and technology-based service delivery.
  • Sets a deadline of January 1, 2028, for subject ECM providers to achieve full compliance.
  • Prohibits disqualifying peer support specialists solely or primarily based on criminal background checks.
  • Allows consideration of an individual's criminal record if it is directly related to the duties of the position.

Who It Names or Affects

  • Medi-Cal enhanced care management (ECM) providers with caseloads meeting certain criteria
  • Peer support specialists and trainees seeking employment or certification
  • The State Department of Health Care Services, counties, Medi-Cal managed care plans, and other health agencies

Terms To Know

Enhanced Care Management (ECM)
A benefit for specific Medi-Cal members that addresses both medical needs and non-medical life challenges.
Peer Support Specialist
An adult at least 18 years old who has personal experience recovering from mental illness or substance use disorder and helps others in similar situations.

Limits and Unknowns

  • The law only takes effect if the state receives necessary federal approvals.
  • Implementation depends on whether federal funding is available to support these changes.
  • Rules about criminal records cannot conflict with existing federal laws.
  • Only ECM providers whose caseload meets certain criteria must meet the staffing requirements.

Bill History

  1. California Legislative Information

    Assembly - Appropriations

Official Summary Text

Medi-Cal: enhanced care management: peer support specialists.