Budget Act of 2025.

Increases Item 4140-101-0001 (local assistance, Department of Health Care Access and Information) from $90,000,000 to $140,253,000, a net increase of $50,253,000.

Creates Schedule (1) allocating $36,133,000 for Health Care Workforce and $10,620,000 for Health Care Quality and Affordability, with specific sub-allocations for primary care residency slots (existing up to $18,667,000; new at existing programs up to $3,333,000; teaching health centers up to $5,667,000), newly accredited programs (up to $3,333,000), and the State Loan Repayment Program (up to $333,000).

Creates Schedule (2) allocating $3,500,000 for Facilities Development, including $3,000,000 to Northeast Valley Health Corporation and $500,000 to American Reproductive Centers Fertility Clinic in Palm Springs.

Provides up to $90,000,000 for grants to family planning providers (community clinics) that demonstrate they are subject to an elimination of federal financial participation on or after July 4, 2025. This is the largest single allocation and appears designed to backfill lost federal funding.

Provides $2,800,000 for the California Medicine Scholars Program as a continuing annual appropriation, and $2,000,000 to the Youth Mental Health Academy for a Los Angeles cohort.

Limits eligible recipients of the $90 million family planning grant program to community clinics licensed under Health and Safety Code Section 1204(a) that provide family planning services and demonstrate loss of federal financial participation on or after July 4, 2025.

Requires the Department of Health Care Access and Information to maintain an Advisory Workgroup composed of a majority of active community health workers, Promotores, or their representatives until June 30, 2026, to advise on workforce policy including career development, training access, and certification standards.

Exempts contracts, grants, and related information created under the family planning grant provision from disclosure under the California Public Records Act, with legislative findings that this is necessary to protect confidential medical information, provider safety, and access to reproductive health services.

Funds in Schedule (1) are available for encumbrance or expenditure until June 30, 2030. Unspent amounts allocated to newly accredited primary care residency programs may be redirected to fund new slots at existing programs if such programs have not been established by June 30, 2027.

The bill was changed from a stub expressing only legislative intent to enact changes to the Budget Act of 2025 into a full budget amendment with specific appropriation amounts, program provisions, and an immediate-effect Budget Bill declaration under Article IV, Section 12(e) of the California Constitution.