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AB-315 • 2026

Medi-Cal: Home and Community-Based Alternatives Waiver.

Medi-Cal: Home and Community-Based Alternatives Waiver.

Healthcare
Active

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

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

Plain English Breakdown

The effective date is listed as empty in the official metadata.

Medi-Cal Home and Community-Based Alternatives Waiver Changes

This law updates the name of a Medi-Cal waiver program, removes limits on how many people can join it by requiring enrollment for all eligible applicants, and orders officials to study payment rates.

What This Bill Does

  • Updates existing laws to refer to the Home and Community-Based Alternatives (HCBA) Waiver instead of its previous name.
  • Removes a rule that allowed adding up to 5,000 new spots in the program.
  • Requires the enrollment of all eligible individuals who apply for the HCBA Waiver.
  • Orders the Department of Health Care Services to seek changes by March 1, 2026, so there is enough room for everyone on the waiting list.
  • Mandates a study submitted by March 1, 2026, that reviews how sustainable, high-quality, and transparent the payment rates are for these services.

Who It Names or Affects

  • The State Department of Health Care Services
  • Individuals who qualify for Medi-Cal home- and community-based services
  • People currently on a waiting list for the HCBA Waiver

Terms To Know

Medi-Cal
A state health care program that provides coverage to qualified low-income individuals.
HCBA Waiver
The Home and Community-Based Alternatives Waiver, which helps people stay in their homes instead of moving into nursing facilities or hospitals.

Limits and Unknowns

  • The bill does not state when it officially becomes effective.
  • The law orders a study on payment rates but does not specify what changes must happen after the study is finished.
  • Federal approval may be needed for waiver amendments, which could affect whether capacity goals are met by the deadline.

Bill History

  1. California Legislative Information

    Assembly - Died - Appropriations

Official Summary Text

Medi-Cal: Home and Community-Based Alternatives Waiver.