Current Version
Amended (as amended by Stats. 2023, Ch. 42, Sec. 152) by Stats. 2025, Ch. 21, Sec. 108. (AB 116) Effective June 30, 2025. Operative January 1, 2026, by its own provisions.
(a)State-funded perinatal services shall be provided under the Medi-Cal program to pregnant persons and state-funded medical services to infants up to one year of age in families with incomes above 185 percent, but not more than 208 percent, of the federal poverty level, in the same manner that these services are being provided to the Medi-Cal population, including eligibility requirements and integration of eligibility determinations and payment of claims. When determining eligibility under this section, an applicant’s or beneficiary’s income and resources shall be determined, counted, and valued in accordance with the methodology set forth in Section 14005.64.
(b)Services provided under this section shall not be subject to any spend down of excess income
requirements.
(c)(1) The department, in implementing the Medi-Cal program and public health programs, may provide for outreach activities in order to enhance participation and access to perinatal services. Funding received pursuant to the federal provisions shall be used to expand perinatal outreach activities. These outreach activities shall be implemented if funding is provided for this purpose by an appropriation in the annual Budget Act or other statute.
(2)Those outreach activities authorized by paragraph (1) shall be targeted toward both Medi-Cal and non-Medi-Cal eligible high risk or uninsured pregnant persons and infants. Outreach activities may include, but not
be limited to, all of the following:
(A)Education of the targeted persons on the availability and importance of early prenatal care and referral to Medi-Cal and other programs.
(B)Information provided through toll-free telephone numbers.
(C)Recruitment and retention of perinatal providers.
(d)Notwithstanding any other law, contracts required to implement this section shall be exempt from the approval of the Director of General Services and from the Public Contract Code.
(e)This section shall become operative on January 1, 2026.
Future Version
Amended (as added by Stats. 2023, Ch. 42, Sec. 153) by Stats. 2025, Ch. 21, Sec. 109. (AB 116) Effective June 30, 2025. Inoperative January 1, 2026, by its own provisions. Repealed as of January 1, 2027, by its own provisions. See later operative version, as amended by Sec. 108 of Stats. 2025, Ch. 21.
(a)State-funded perinatal services shall be provided under the Medi-Cal program to pregnant persons and state-funded medical services to infants up to one year of age in families with incomes above 185 percent, but not more than 208 percent, of the federal poverty level, in the same manner that these services are being provided to the Medi-Cal population, including eligibility requirements and integration of eligibility determinations and payment of claims. When determining eligibility under this section, an applicant’s or beneficiary’s income shall be determined, counted, and valued in accordance with the methodology set forth in Section 14005.64.
(b)Services provided under this section shall not be subject to any spend down of excess income
requirements.
(c)(1) The department, in implementing the Medi-Cal program and public health programs, may provide for outreach activities in order to enhance participation and access to perinatal services. Funding received pursuant to the federal provisions shall be used to expand perinatal outreach activities. These outreach activities shall be implemented if funding is provided for this purpose by an appropriation in the annual Budget Act or other statute.
(2)Those outreach activities authorized by paragraph (1) shall be targeted toward both Medi-Cal and non-Medi-Cal eligible high risk or uninsured pregnant persons and infants. Outreach activities may include, but not be limited to, all of the following:
(A)Education of the targeted persons on the availability and importance of early
prenatal care and referral to Medi-Cal and other programs.
(B)Information provided through toll-free telephone numbers.
(C)Recruitment and retention of perinatal providers.
(d)Notwithstanding any other law, contracts required to implement this section shall be exempt from the approval of the Director of General Services and from the Public Contract Code.
(e)This section shall become inoperative on January 1, 2026, and, as of January 1, 2027, is repealed.
Cite this section
Other sections in Article 4.7 - Perinatal Services Program