SB 228 California Senate · 2025-2026 Regular Session

Comprehensive Perinatal Services Program.

Summary
Existing law establishes the Comprehensive Perinatal Services Program, the goals of which are to decrease and maintain the decreased level of perinatal, maternal, and infant mortality and morbidity in the State of California and to support methods of providing comprehensive prenatal care that prevent prematurity and the incidence of low birth weight infants. Under the program, the State Department of Public Health is required to develop and maintain a statewide comprehensive community-based perinatal services program and enter into contracts, grants, or agreements with health care providers to deliver these services in a coordinated effort. Existing law also requires the department to monitor the delivery of services under those contracts, grants, and agreements through a uniform health data collection system that utilizes epidemiologic methodology. This bill would specify that the State Department of Health Care Services is responsible for implementing comprehensive community-based perinatal services for purposes of the Medi-Cal program. By July 1, 2027, the bill would require the State Department of Health Care Services, in consultation with the State Department of Public Health, to clarify each department's roles and responsibilities in the Comprehensive Perinatal Services Program by regulation. The bill would, among other things, require the State Department of Health Care Services to develop a training on administering the program, require all perinatal providers in the program to attend the training, and require all Medi-Cal managed care plans to ensure providers receive the training. The bill would require the State Department of Health Care Services, no later than July 15, 2026, to submit to the Assembly Health Committee and the Senate Health Committee, and post on its internet website, reports that identify the number of pregnant and postpartum individuals that received and were offered Comprehensive Perinatal Services Program services from January 1, 2022, to January 1, 2025, inclusive. The bill would also require the State Department of Health Care Services, commencing January 1, 2028, and every 3 years thereafter, to submit to those committees, and post on its internet website, reports that identify the number of pregnant and postpartum individuals that received and were offered Comprehensive Perinatal Services Program services during the previous 3 years. The bill would also state the intent of the Legislature to enact additional legislation relating to the program in order to implement several legislative recommendations made in a specified report issued by the California State Auditor's office including by, among other things, requiring the State Department of Health Care Services to create and use a perinatal services data form to engage in additional data collection duties, as specified.
Bill status passed 3 of 5 stages cleared
Introduction
Jan 2025
Committee Review
Aug 2025
Senate Passage
Jun 2025
Assembly Passage
Governor
Introduced Jan 28, 2025 Last action Aug 29, 2025
Maddy AI version diff · 4 comparisons

What changed between versions

04/07/25 - Amended Senate → 05/23/25 - Amended Senate · 6 edits · May 23, 2025
MODERATE
The May 23 amendment to SB 228 removes the detailed administrative transfer provisions that would have formally moved the Comprehensive Perinatal Services Program from the State Department of Public Health to the State Department of Health Care Services, replacing them with a simpler declaration of DHCS authority. The bill also expands oversight to explicitly include fee-for-service providers alongside managed care plans, adds specific deadlines (January 31, 2026 for data collection and system implementation; July 15, 2026 for the first report), and changes reporting requirements to track both individuals who received and were offered perinatal services rather than identifying which providers conducted reviews.
SCOPE

Removed all provisions formally transferring administration of the Comprehensive Perinatal Services Program from the State Department of Public Health to the State Department of Health Care Services, including succession of powers, continuation of existing regulations, transfer of contracts and records, and continuation of legal actions. Also removed the amendment to Section 123485 (definitions) and Section 131051.

REQUIREMENT

Added explicit inclusion of fee-for-service providers alongside managed care plans in training requirements, data collection forms, oversight systems, and quality assurance reviews throughout Sections 123487 and 123501.

Changed reporting requirements in Section 123521 from identifying which providers conducted reviews of service numbers to directly reporting the number of individuals who received services. Added a new separate report requirement tracking the number of individuals who were offered (but not necessarily received) Comprehensive Perinatal Services Program services, both for the initial period and for each triennial cycle.

TIMELINE

Changed the deadline for the first triennial report from January 1, 2026 to July 15, 2026. Added a new deadline of January 31, 2026 for beginning data collection on offer and use of perinatal services and for implementing the system to ensure services are offered to beneficiaries.

ENFORCEMENT

Added new subdivision (e) to Section 123501 requiring the department to develop and implement a system to verify compliance with the requirement that managed care plans and fee-for-service providers offer and provide perinatal services to eligible beneficiaries.

DEFINITION

Changed terminology from 'enrollees' to 'beneficiaries' in Section 123501(c), broadening the language to cover both managed care and fee-for-service populations. Changed 'providers' to 'managed care plan and fee-for-service providers' in multiple sections for clarity.

Floor votes · Senate Jun 4, 2025

How they voted

39–0
Passed · 1 other
Total votes 40
Jun 4, 2025
D Democratic30
29 Yea 1
96% Yea
R Republican10
10 Yea
100% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
20
Key actions
8
Committee
4
Amendments
5
Aug 29, 2025
Lower · Passed
August 29 hearing: Held in committee and under submission.
lower
Jul 9, 2025
Lower · Passed
From committee: Do pass and re-refer to Com. on APPR. with recommendation: To consent calendar. (Ayes 16. Noes 0.) (July 8). Re-referred to Com. on APPR.
lower
Jun 16, 2025
Committee
Referred to Com. on HEALTH.
lower
Jun 4, 2025
Upper · Passed
Read third time. Passed. (Ayes 39. Noes 0. Page 1521.) Ordered to the Assembly.
upper
May 23, 2025
Upper · Passed
Read second time and amended. Ordered to second reading.
upper
May 23, 2025
Upper · Passed
From committee: Do pass as amended. (Ayes 6. Noes 0. Page 1192.) (May 23).
upper
Apr 7, 2025
Upper · Passed
Read second time and amended. Re-referred to Com. on APPR.
upper
Apr 3, 2025
Upper · Passed
From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 11. Noes 0. Page 636.) (April 2).
upper
Mar 24, 2025
Upper · Passed
From committee with author's amendments. Read second time and amended. Re-referred to Com. on HEALTH.
upper
Feb 5, 2025
Committee
Referred to Com. on HEALTH.
upper
Jan 28, 2025
Introduced
Introduced. Read first time. To Com. on RLS. for assignment. To print.
upper
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Sabrina Cervantes
Sabrina Cervantes
DDemocratic
CA
31