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SB-1284 • 2026

Medi-Cal benefits: employer reports.

Medi-Cal benefits: employer reports.

Crime Education Labor
Passed Legislature

This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.

Sponsor
Smallwood-Cuevas
Last action
2026-04-23
Official status
Read second time and amended. Re-referred to Com. on APPR.
Effective date
Not listed

Plain English Breakdown

The bill summary does not provide specific details on costs or penalties, leaving these points as unknowns.

Medi-Cal Benefits: Employer Reports

The bill requires large California employers to report information about their employees who use Medi-Cal benefits and prohibits discrimination against these employees.

What This Bill Does

  • Requires the State Department of Health Care Services to create a yearly report on employers with 100 or more workers, including those whose employees receive Medi-Cal benefits.
  • Includes details like the annual cost of Medi-Cal for each employer's employees and their dependents in the report.
  • Exempts individually identifiable information about employees and Medi-Cal users from public records laws.
  • Allows data-sharing agreements between health agencies and employment departments to gather necessary information.
  • Prohibits employers from discriminating against or retaliating against workers who apply for or are enrolled in Medi-Cal benefits.

Who It Names or Affects

  • Employers with 100 or more employees in California.
  • Employees of these large employers, especially those using Medi-Cal benefits.

Terms To Know

Medi-Cal
A health insurance program for low-income Californians provided by the state and federal government.
Data-sharing agreements
Agreements that allow different government agencies to share information needed for specific purposes, like creating reports.

Limits and Unknowns

  • The bill does not specify how much it will cost or who will pay for the data collection and reporting process.
  • It is unclear if there are any penalties for employers who do not comply with the new requirements.

Bill History

  1. 2026-04-23 California Legislative Information

    Read second time and amended. Re-referred to Com. on APPR.

  2. 2026-04-22 California Legislative Information

    From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 4. Noes 1.) (April 22).

  3. 2026-04-16 California Legislative Information

    From committee: Do pass and re-refer to Com. on L., P.E. & R. (Ayes 8. Noes 1.) (April 15). Re-referred to Com. on L., P.E. & R.

  4. 2026-04-15 California Legislative Information

    Set for hearing April 22 in L., P.E. & R. pending receipt.

  5. 2026-04-09 California Legislative Information

    Set for hearing April 15.

  6. 2026-04-08 California Legislative Information

    Re-referred to Coms. on HEALTH and L., P.E. & R.

  7. 2026-03-25 California Legislative Information

    From committee with author's amendments. Read second time and amended. Re-referred to Com. on RLS.

  8. 2026-03-04 California Legislative Information

    Referred to Com. on RLS.

  9. 2026-02-23 California Legislative Information

    Read first time.

  10. 2026-02-23 California Legislative Information

    From printer. May be acted upon on or after March 23.

  11. 2026-02-20 California Legislative Information

    Introduced. To Com. on RLS. for assignment. To print.

Official Summary Text

SB 1284, as amended, Smallwood-Cuevas.
Medi-Cal benefits: employer reports.
Existing law establishes the California Health and Human Services Agency, headed by the Secretary of California Health and Human Services. Existing law further establishes, within the agency, a number of departments and other entities, including the State Department of Health Care Services. Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services, and under which qualified low-income persons receive health care benefits.
This bill would require the
California Health and Human Services Agency,
State Department of Health Care Services,
after obtaining specified information from the Employment Development
Department,
Department (EDD),
to prepare a report that includes information regarding employers in California that employ
50
100
or more employees and have any employees who receive benefits from the Medi-Cal program, including, among other things, the annual cost to the Medi-Cal program provided to each identified employer’s employees and their dependents enrolled in the Medi-Cal program, and submit that report to the Legislature no later than July 1, 2027, and annually thereafter. The
bill would provide that individually identifiable information about employees or Medi-Cal enrollees contained in the report is exempt from disclosure under the California Public Records Act, and would authorize the
California Health and Human Services Agency
department
and
the Employment Development Department
EDD
to enter into data-sharing agreements, as provided. The bill would also repeal an obsolete reporting requirement.
Under existing law, the information obtained in the administration of the Unemployment Insurance Code is for the exclusive use and information of the Director of
Employment Development in the discharge of their duties and is not open to the public. However, existing law permits the use of the information for specified purposes, and allows the director to require reimbursement for direct costs incurred. Existing law provides that a person who knowingly accesses, uses, or discloses this confidential information without authorization is guilty of a misdemeanor.
This
The
bill would require the Director of Employment Development to permit the use of specified information in their possession by the
California Health and Human Services Agency
State Department of Health Care Services
to prepare and submit the above-described report. By requiring this information to be provided to the
California Health and Human Services Agency
department
for these purposes, this bill would expand the crime of unauthorized access, use, or disclosure of this information, and would impose a state-mandated local program.
Existing law, subject to certain exceptions, also requires all types of information concerning a person, made or kept by any public officer or agency in connection with the administration of the Medi-Cal program, to be confidential, and makes knowingly releasing or possessing this confidential information punishable as a misdemeanor.
The bill would make individually identifiable information about employees or Medi-Cal enrollees contained in the above-described report subject to these confidentiality requirements. By expanding the scope of an existing crime, this bill would impose a state-mandated local program.
Existing law establishes within the Department of Industrial Relations the Division of Labor Standards Enforcement, headed by the Labor Commissioner, for the purposes of enforcing labor laws. Existing law prohibits an employer from discharging or in any manner discriminating against an employee for specified actions, including, among other things, taking time off to serve on a jury or because of an employee’s status as a victim of crime or abuse, as specified.
This bill would additionally prohibit an employer from discharging or in any manner discriminating or retaliating against an employee who applies for, or is enrolled in, the Medi-Cal program. The bill would also prohibit an employer from refusing to hire a person because that person is enrolled in the Medi-Cal program.
Existing constitutional provisions require that a statute that limits the right of access to the meetings of public bodies or the writings of public officials and agencies be adopted with findings demonstrating the interest protected by the limitation and the need for protecting that interest.
This bill would make legislative findings to that effect.
The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.
This bill would provide that no reimbursement is required by this act for a specified reason.

Current Bill Text

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