AB 403 would have required CHW Medi-Cal reporting but died January 31
Issue
AB 403 (Asm. Liz Ortega) would have required DHCS to publish yearly data on CHW and promotora Medi-Cal use, payments and demographics starting July 1, 2027. Fewer than 6,000 of about 15 million Medi-Cal members had used CHW services, with under $1 million paid.
The bill was held in Assembly Appropriations on May 23, 2025, and died January 31, 2026.
Corrected Sep 28, 2026: AB 403 was held in Assembly Appropriations on May 23, 2025, and died on January 31, 2026; it is not advancing.
Key points
- Requires DHCS to publicly report annual CHW Medi-Cal utilization, reimbursements, and demographics starting July 1, 2027
- Fewer than 6,000 of ~15M Medi-Cal beneficiaries have used CHW services; under $1M reimbursed
- FQHCs are the primary CHW billing providers — public reporting will surface site-level performance
- Distinct from SB 184 (certification); May 29 is the house-of-origin passage deadline
Sources for this story
California Legislature / Latino Coalition for a Healthy CaliforniaSources for your board packet
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Part of
- CalAIM, Enhanced Care Management and Community Supports
The community health worker benefit
FQHC Talent. (2026, May 22). AB 403 would have required CHW Medi-Cal reporting but died January 31. Source: California Legislature / Latino Coalition for a Healthy California. Retrieved October 27, 2026, from https://www.fqhctalent.com/intel/ca-ab-403-chw-promotora-medi-cal-transparency-may-2026
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