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    SB-433
    Health & Public Health

    Residential care facilities for the elderly: assisted living waiver rental rate protection.

    Engrossed
    CA
    ∙
    2025-2026 Regular Session
    0
    0
    Track
    Track

    Key Takeaways

    • Limits room and board charges for Medi-Cal residents in elderly care facilities based on their income levels.
    • Modifies Medi-Cal eligibility by excluding certain housing costs from countable income calculations.
    • Requires federal approval before implementing new income calculation rules for Medi-Cal eligibility.
    • Creates criminal penalties for facilities that violate the new room and board rate restrictions.

    Summary

    Senator Wahab's residential care facility legislation establishes new rental rate protections for elderly Medi-Cal beneficiaries while modifying income calculations for program eligibility. The measure creates room and board rate limits for residential care facilities that contract with Medi-Cal, capping charges at the difference between a resident's income and their personal needs allowance under SSI/SSP for non-medical out-of-home care.

    The bill revises Medi-Cal eligibility determinations by excluding certain retained income from calculations for residents of elderly care facilities. This exclusion applies to the difference between a resident's income and their facility's room and board rate, up to the amount of their personal needs allowance. Counties must incorporate these modified income calculations when evaluating Medi-Cal eligibility.

    Implementation requires federal approval to maintain Medicaid matching funds. The measure creates new oversight responsibilities for counties and introduces criminal penalties for facilities that violate the room and board rate restrictions. While the bill mandates these changes as local requirements, it specifies that state reimbursement applies only to costs beyond those associated with modified criminal provisions.

    Key Dates

    Next Step
    Referred to the Assembly Standing Committee on Appropriations
    Next Step
    Assembly Committee
    Referred to the Assembly Standing Committee on Appropriations
    Hearing scheduled for , 1021 O Street, Room 1100
    Assembly Human Services Hearing
    Assembly Committee
    Assembly Human Services Hearing
    Do pass as amended and be re-referred to the Committee on [Appropriations]
    Assembly Aging And Long-term Care Hearing
    Assembly Committee
    Assembly Aging And Long-term Care Hearing
    Do pass and be re-referred to the Committee on [Human Services]
    Vote on Senate Floor
    Senate Floor
    Vote on Senate Floor
    Senate 3rd Reading SB433 Wahab et al
    Senate Appropriations Hearing
    Senate Committee
    Senate Appropriations Hearing
    Do pass
    Senate Appropriations Hearing
    Senate Committee
    Senate Appropriations Hearing
    Placed on suspense file
    Senate Human Services Hearing
    Senate Committee
    Senate Human Services Hearing
    Do pass, but first be re-referred to the Committee on [Appropriations]
    Introduced
    Senate Floor
    Introduced
    Introduced. Read first time. To Com. on RLS. for assignment. To print.

    Contacts

    Profile
    Sharon Quirk-SilvaD
    Assemblymember
    Bill Author
    Not Contacted
    Not Contacted
    Profile
    Benjamin AllenD
    Senator
    Bill Author
    Not Contacted
    Not Contacted
    Profile
    Joaquin ArambulaD
    Assemblymember
    Committee Member
    Not Contacted
    Not Contacted
    Profile
    Buffy WicksD
    Assemblymember
    Committee Member
    Not Contacted
    Not Contacted
    Profile
    Steve BennettD
    Assemblymember
    Bill Author
    Not Contacted
    Not Contacted
    0 of 21 row(s) selected.
    Page 1 of 5
    Select All Legislators
    Profile
    Sharon Quirk-SilvaD
    Assemblymember
    Bill Author
    Profile
    Benjamin AllenD
    Senator
    Bill Author
    Profile
    Joaquin ArambulaD
    Assemblymember
    Committee Member
    Profile
    Buffy WicksD
    Assemblymember
    Committee Member
    Profile
    Steve BennettD
    Assemblymember
    Bill Author
    Profile
    Lisa CalderonD
    Assemblymember
    Committee Member
    Profile
    Mike FongD
    Assemblymember
    Committee Member
    Profile
    Diane DixonR
    Assemblymember
    Committee Member
    Profile
    Gregg HartD
    Assemblymember
    Committee Member
    Profile
    Blanca PachecoD
    Assemblymember
    Committee Member
    Profile
    Gail PellerinD
    Assemblymember
    Committee Member
    Profile
    Kate SanchezR
    Assemblymember
    Committee Member
    Profile
    Tri TaR
    Assemblymember
    Committee Member
    Profile
    Aisha WahabD
    Senator
    Bill Author
    Profile
    Jessica CalozaD
    Assemblymember
    Committee Member
    Profile
    Robert GarciaD
    Assemblymember
    Bill Author
    Profile
    Mark GonzalezD
    Assemblymember
    Committee Member
    Profile
    Heather HadwickR
    Assemblymember
    Committee Member
    Profile
    John HarabedianD
    Assemblymember
    Bill Author
    Profile
    Jose SolacheD
    Assemblymember
    Committee Member
    Profile
    Sade ElhawaryD
    Assemblymember
    Committee Member

    Get Involved

    Act Now!

    Email the authors or create an email template to send to all relevant legislators.

    Introduced By

    Aisha Wahab
    Aisha WahabD
    California State Senator
    Co-Authors
    Benjamin Allen
    Benjamin AllenD
    California State Senator
    Steve Bennett
    Steve BennettD
    California State Assembly Member
    Robert Garcia
    Robert GarciaD
    California State Assembly Member
    John Harabedian
    John HarabedianD
    California State Assembly Member
    Sharon Quirk-Silva
    Sharon Quirk-SilvaD
    California State Assembly Member
    40% progression
    Bill has passed all readings in its first house and is ready to move to the other house (6/4/2025)

    Latest Voting History

    View History
    July 15, 2025
    PASS
    Assembly Committee
    Assembly Human Services Hearing
    AyesNoesNVRTotalResult
    5027PASS

    Key Takeaways

    • Limits room and board charges for Medi-Cal residents in elderly care facilities based on their income levels.
    • Modifies Medi-Cal eligibility by excluding certain housing costs from countable income calculations.
    • Requires federal approval before implementing new income calculation rules for Medi-Cal eligibility.
    • Creates criminal penalties for facilities that violate the new room and board rate restrictions.

    Get Involved

    Act Now!

    Email the authors or create an email template to send to all relevant legislators.

    Introduced By

    Aisha Wahab
    Aisha WahabD
    California State Senator
    Co-Authors
    Benjamin Allen
    Benjamin AllenD
    California State Senator
    Steve Bennett
    Steve BennettD
    California State Assembly Member
    Robert Garcia
    Robert GarciaD
    California State Assembly Member
    John Harabedian
    John HarabedianD
    California State Assembly Member
    Sharon Quirk-Silva
    Sharon Quirk-SilvaD
    California State Assembly Member

    Summary

    Senator Wahab's residential care facility legislation establishes new rental rate protections for elderly Medi-Cal beneficiaries while modifying income calculations for program eligibility. The measure creates room and board rate limits for residential care facilities that contract with Medi-Cal, capping charges at the difference between a resident's income and their personal needs allowance under SSI/SSP for non-medical out-of-home care.

    The bill revises Medi-Cal eligibility determinations by excluding certain retained income from calculations for residents of elderly care facilities. This exclusion applies to the difference between a resident's income and their facility's room and board rate, up to the amount of their personal needs allowance. Counties must incorporate these modified income calculations when evaluating Medi-Cal eligibility.

    Implementation requires federal approval to maintain Medicaid matching funds. The measure creates new oversight responsibilities for counties and introduces criminal penalties for facilities that violate the room and board rate restrictions. While the bill mandates these changes as local requirements, it specifies that state reimbursement applies only to costs beyond those associated with modified criminal provisions.

    40% progression
    Bill has passed all readings in its first house and is ready to move to the other house (6/4/2025)

    Key Dates

    Next Step
    Referred to the Assembly Standing Committee on Appropriations
    Next Step
    Assembly Committee
    Referred to the Assembly Standing Committee on Appropriations
    Hearing scheduled for , 1021 O Street, Room 1100
    Assembly Human Services Hearing
    Assembly Committee
    Assembly Human Services Hearing
    Do pass as amended and be re-referred to the Committee on [Appropriations]
    Assembly Aging And Long-term Care Hearing
    Assembly Committee
    Assembly Aging And Long-term Care Hearing
    Do pass and be re-referred to the Committee on [Human Services]
    Vote on Senate Floor
    Senate Floor
    Vote on Senate Floor
    Senate 3rd Reading SB433 Wahab et al
    Senate Appropriations Hearing
    Senate Committee
    Senate Appropriations Hearing
    Do pass
    Senate Appropriations Hearing
    Senate Committee
    Senate Appropriations Hearing
    Placed on suspense file
    Senate Human Services Hearing
    Senate Committee
    Senate Human Services Hearing
    Do pass, but first be re-referred to the Committee on [Appropriations]
    Introduced
    Senate Floor
    Introduced
    Introduced. Read first time. To Com. on RLS. for assignment. To print.

    Latest Voting History

    View History
    July 15, 2025
    PASS
    Assembly Committee
    Assembly Human Services Hearing
    AyesNoesNVRTotalResult
    5027PASS

    Contacts

    Profile
    Sharon Quirk-SilvaD
    Assemblymember
    Bill Author
    Not Contacted
    Not Contacted
    Profile
    Benjamin AllenD
    Senator
    Bill Author
    Not Contacted
    Not Contacted
    Profile
    Joaquin ArambulaD
    Assemblymember
    Committee Member
    Not Contacted
    Not Contacted
    Profile
    Buffy WicksD
    Assemblymember
    Committee Member
    Not Contacted
    Not Contacted
    Profile
    Steve BennettD
    Assemblymember
    Bill Author
    Not Contacted
    Not Contacted
    0 of 21 row(s) selected.
    Page 1 of 5
    Select All Legislators
    Profile
    Sharon Quirk-SilvaD
    Assemblymember
    Bill Author
    Profile
    Benjamin AllenD
    Senator
    Bill Author
    Profile
    Joaquin ArambulaD
    Assemblymember
    Committee Member
    Profile
    Buffy WicksD
    Assemblymember
    Committee Member
    Profile
    Steve BennettD
    Assemblymember
    Bill Author
    Profile
    Lisa CalderonD
    Assemblymember
    Committee Member
    Profile
    Mike FongD
    Assemblymember
    Committee Member
    Profile
    Diane DixonR
    Assemblymember
    Committee Member
    Profile
    Gregg HartD
    Assemblymember
    Committee Member
    Profile
    Blanca PachecoD
    Assemblymember
    Committee Member
    Profile
    Gail PellerinD
    Assemblymember
    Committee Member
    Profile
    Kate SanchezR
    Assemblymember
    Committee Member
    Profile
    Tri TaR
    Assemblymember
    Committee Member
    Profile
    Aisha WahabD
    Senator
    Bill Author
    Profile
    Jessica CalozaD
    Assemblymember
    Committee Member
    Profile
    Robert GarciaD
    Assemblymember
    Bill Author
    Profile
    Mark GonzalezD
    Assemblymember
    Committee Member
    Profile
    Heather HadwickR
    Assemblymember
    Committee Member
    Profile
    John HarabedianD
    Assemblymember
    Bill Author
    Profile
    Jose SolacheD
    Assemblymember
    Committee Member
    Profile
    Sade ElhawaryD
    Assemblymember
    Committee Member