Health Care
Two California regulators can now fine a health system: DMHC for plan conduct and the Office of Health Care Affordability for spending growth. Capitol Axis represents providers and plans before both, and in the budget process that sets Medi-Cal rates.
- Signed into law
- 1
- On the Governor's desk
- 5
- Still moving
- 5
- Vetoed
- 1
From the public record, updated September 18, 2026. See every health care bill.
Services.
Cost growth and OHCA
- Representation before OHCA and the Affordability Board on target-setting and enforcement
- Response strategy for public explanations and performance improvement plans
DMHC and CDI
- Network adequacy, timely access, grievance, and provider directory compliance
- AI in utilization review under SB 1120 for plans and health technology vendors
Medi-Cal and the budget
- Rate-setting and MCO tax allocation through the Budget Subcommittees on Health and Human Services
- Managed care transition planning ahead of the 2027 structure
Transactions and distress
- Attorney General review of nonprofit hospital sales, mergers, and conversions
- Hospital distress programs including AB 108 grant eligibility
Why now.
2026 is the first enforcement year.
Hospitals and systems that exceed the growth target now face performance improvement plans and fines.
DMHC is fining.
The December 2025 actions against multiple plans set the tone for the agency's 2026 to 2030 strategic plan.
The MCO tax has a 2027 deadline.
Federal approval of the new structure and the fee-for-service transition both land January 1, 2027.
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