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AB-55 • 2026

Alternative birth centers: licensing and Medi-Cal reimbursement.

Alternative birth centers: licensing and Medi-Cal reimbursement.

Healthcare
Enacted

This bill passed the Legislature and reached final enactment based on the latest official action.

Sponsor
Bonta
Last action
Official status
Chaptered
Effective date
Not listed

Plain English Breakdown

The effective date is not provided in the source material, only that it was chaptered on October 11, 2025.

New Rules for Alternative Birth Centers and Medi-Cal Payment

This law changes how alternative birth centers are licensed by removing a specific service definition requirement, replacing the need to be near an emergency hospital with a written transfer plan.

What This Bill Does

  • Removes the rule that facilities must meet the specific Medi-Cal definition for comprehensive perinatal services under both licensing and reimbursement rules.
  • Requires facilities to provide perinatal services that are comprehensive in nature, as specified, consistent with certain standards.
  • Eliminates the requirement for birth centers to be located near a facility capable of handling obstetrical and neonatal emergencies.
  • Mandates that every facility create a written policy detailing how they will transfer patients to hospitals in an emergency.
  • Requires the new transfer plan to include arrangements for referrals, transferring care, providing medical records, estimating travel time, and explaining the overall emergency plan.

Who It Names or Affects

  • Licensed alternative birth center specialty clinics
  • Primary care clinics that offer services as alternative birth centers

Terms To Know

Alternative Birth Center
A clinic not part of a hospital that provides comprehensive perinatal services and delivery care to pregnant women staying less than 24 hours.
Perinatal Services
Healthcare services provided before, during, and shortly after childbirth.
Medi-Cal Reimbursement
Payment made by the state health program to facilities for care given to qualified low-income individuals.

Limits and Unknowns

  • The law states that no reimbursement is required from the state for local costs, but it does not explain what the 'specified reason' is.
  • The specific standards mentioned for comprehensive perinatal services are referenced as being specified elsewhere and are not detailed in this summary.

Bill History

  1. California Legislative Information

    Chaptered

Official Summary Text

Alternative birth centers: licensing and Medi-Cal reimbursement.