Medi-Cal: lactation services.
Summary
Existing law establishes the Medi-Cal program, which is administered by the State Department of Health Care Services and under which qualified low-income individuals receive health care services. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Existing law requires the department to streamline and simplify existing Medi-Cal program procedures to improve access to lactation supports and breast pumps among Medi-Cal beneficiaries. This bill would require the department to, by July 1, 2027, issue updated Medi-Cal guidance that clarifies Medi-Cal coverage for lactation services. The bill would also require the guidance to, among other things, clarify Medi-Cal coverage policies for a continuum of lactation services, including health education related to lactation, basic lactation support, and clinical lactation consultation. The bill would require the department to seek stakeholder input on draft guidance prior to issuing the guidance. The bill would make the implementation of these provisions contingent to the extent that federal financial participation is available and any necessary federal approvals are obtained.
Bill status
passed both
4 of 5 stages cleared
Introduction
Feb 2026
Committee Review
Aug 2026
Assembly Passage
May 2026
Senate Passage
Aug 2026
Governor
Introduced Feb 18, 2026
Last action Aug 28, 2026
Maddy AI version diff · 5 comparisons
What changed between versions
04/09/26 - Amended Assembly
→
05/18/26 - Amended Assembly
·
2 edits
·
May 18, 2026
MINOR
The amendment narrows the category of lactation consultants eligible to enroll as Medi-Cal providers and bill for lactation services. The previous version allowed any consultant certified by a nationally or internationally recognized certification body to enroll, while the amended version limits this to only those holding International Board Certified Lactation Consultant (IBCLC) certification. This reduces the pool of eligible providers and may affect access to lactation services under Medi-Cal.
Scope change
Narrowed from allowing any nationally or internationally certified lactation consultant to enroll as a Medi-Cal provider to limiting enrollment specifically to IBCLC-certified consultants only.
ELIGIBILITY
Removed a provision in the guidance requirements that allowed lactation consultants certified by any nationally or internationally recognized certification body to enroll as Medi-Cal providers and bill for lactation services.
Changed the managed care plan credentialing provision to reference only IBCLC-certified consultants (via subdivision (d)) instead of the broader category of nationally or internationally certified consultants that was previously referenced.
Floor votes · Senate Aug 20, 2026 · Assembly May 27, 2026
How they voted
39–0
Passed · 1 other
Total votes 40
Aug 20, 2026
D
Democratic30
96% Yea
R
Republican10
100% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
24
Key actions
9
Committee
8
Amendments
7
Aug 24, 2026
Lower · Passed
Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 78. Noes 0.).
lower
Aug 20, 2026
Introduced
In Assembly. Concurrence in Senate amendments pending.
lower
Aug 20, 2026
Upper · Passed
Read third time. Passed. Ordered to the Assembly. (Ayes 39. Noes 0.).
upper
Aug 13, 2026
Upper · Passed
From committee: Do pass. (Ayes 7. Noes 0.) (August 13).
upper
Aug 3, 2026
Committee
In committee: Referred to APPR. suspense file.
upper
Jun 25, 2026
Upper · Passed
From committee: Do pass and re-refer to Com. on APPR. (Ayes 11. Noes 0.) (June 24). Re-referred to Com. on APPR.
upper
Jun 16, 2026
Introduced
From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on HEALTH.
upper
Jun 3, 2026
Committee
Referred to Com. on HEALTH.
upper
May 27, 2026
Assembly · Passed
Assembly Vote: pass (77-0-2)
assembly
May 26, 2026
Lower · Passed
Read third time. Passed. Ordered to the Senate. (Ayes 78. Noes 0.)
lower
May 18, 2026
Lower · Passed
Read second time and amended. Ordered returned to second reading.
lower
May 14, 2026
Introduced
From committee: Amend, and do pass as amended. (Ayes 11. Noes 0.) (May 14).
lower
May 6, 2026
Committee
In committee: Set, first hearing. Referred to APPR. suspense file.
lower
Apr 13, 2026
Committee
Re-referred to Com. on APPR.
lower
Apr 9, 2026
Lower · Passed
Read second time and amended.
lower
Apr 8, 2026
Introduced
From committee: Amend, and do pass as amended and re-refer to Com. on APPR. with recommendation: To Consent Calendar. (Ayes 16. Noes 0.) (April 7).
lower
Mar 2, 2026
Committee
Referred to Com. on HEALTH.
lower
Feb 19, 2026
Lower · Passed
From printer. May be heard in committee March 21.
lower
1 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Celeste Rodriguez
DDemocratic
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