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

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 has not been scheduled yet
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

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 has not been scheduled yet
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

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