---
type: "Bill"
title: "Medi-Cal: county organized health system: Orange County Health Authority."
description: "Existing law establishes the Medi-Cal program, administered by the State Department of Health Care Services, under which health care services are provided to qualified, low-income persons. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Existing law authorizes a county board of supervisors, by ordinance, to establish a commission to negotiate an exclusive contract with the department and to arrange for the provision of health care services under the Medi-Cal program. This system of services provided by or through a county under these provisions is known as a county organized health system. Pursuant to this authority, the County of Orange, by ordinance, established a commission, known as the Orange County Health Authority, or CalOptima, to provide health care services under the Medi-Cal program."
jurisdiction: "us/states/ca"
legislature: "California Legislature"
session: "20212022"
identifier: "AB 498"
citation: "California AB 498 (20212022)"
classification: ["bill"]
subjects: ["Medi-Cal: county organized health system: Orange County Health Authority."]
status: "enacted"
primary_sponsors: ["Quirk-Silva"]
version_count: 11
action_count: 38
vote_count: 9
first_action: "2021-02-09"
last_action: "2022-09-19"
source: "openstates"
source_identifier: "ocd-bill/77a323ba-cb00-452a-8ee0-6bce95ede0fd"
source_url: "http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220AB498"
source_hash: "977e088df33ae711369071b74e2b58458a347c08b0fa5e521e70cb960830a45e"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-ca"]
---

# California AB 498 (20212022) — Medi-Cal: county organized health system: Orange County Health Authority.

Existing law establishes the Medi-Cal program, administered by the State Department of Health Care Services, under which health care services are provided to qualified, low-income persons. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Existing law authorizes a county board of supervisors, by ordinance, to establish a commission to negotiate an exclusive contract with the department and to arrange for the provision of health care services under the Medi-Cal program. This system of services provided by or through a county under these provisions is known as a county organized health system. Pursuant to this authority, the County of Orange, by ordinance, established a commission, known as the Orange County Health Authority, or CalOptima, to provide health care services under the Medi-Cal program.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **02/09/21 - Introduced** (filed) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220AB498&version=20210AB49899INT)
2. **04/14/21 - Amended Assembly** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220AB498&version=20210AB49898AMD)
3. **06/13/22 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220AB498&version=20210AB49895AMD)
4. **06/22/21 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220AB498&version=20210AB49897AMD)
5. **06/23/22 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220AB498&version=20210AB49894AMD)
6. **08/01/22 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220AB498&version=20210AB49893AMD)
7. **08/22/22 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220AB498&version=20210AB49892AMD)
8. **09/10/21 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220AB498&version=20210AB49896AMD)
9. **09/19/22 - Chaptered** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220AB498&version=20210AB49890CHP)
10. **AB498** (committee substitute) — [source](http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220AB498)
11. **09/02/22 - Enrolled** (enrolled) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220AB498&version=20210AB49891ENR)

## Votes

- 3rd Reading AB498 Quirk-Silva et al. By Min — **40–0** (pass) · upper
- AB 498 Quirk-Silva Assembly Third Reading — **78–0** (pass) · lower
- With recommendation: That Senate amendments be concurred in. — **13–0** (pass) · lower
- Do pass as amended, but first amend, and re-refer to the Committee on [Appropriations] — **5–0** (pass) · upper
- Do pass. — **16–0** (pass) · lower
- Do pass, but first be re-referred to the Committee on [Governance and Finance] — **9–0** (pass) · upper
- AB 498 Quirk-Silva Concurrence in Senate Amendments — **80–0** (pass) · lower
- Do pass as amended, and be re-referred to the Committee on [Appropriations] with recommendation: To Consent Calendar — **7–0** (pass) · lower
- Do pass, but first be re-referred to the Committee on [Appropriations] — **7–0** (pass) · upper

## Sponsors

- Quirk-Silva — primary (person)
- Archuleta — coauthor (person)
- Choi — coauthor (person)
- Daly — coauthor (person)
- Davies — coauthor (person)
- Min — coauthor (person)
- Newman — coauthor (person)
- Nguyen — coauthor (person)
- Petrie-Norris — coauthor (person)
- Umberg — coauthor (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2021-02-09** Read first time. To print. `reading-1`
- **2021-02-10** From printer. May be heard in committee March 12.
- **2021-02-18** Referred to Com. on ED. `referral-committee`
- **2021-04-13** From committee: Amend, and do pass as amended and re-refer to Com. on APPR. with recommendation: To Consent Calendar. (Ayes 7. Noes 0.) (April 7). `amendment-introduction, amendment-passage, committee-passage, referral-committee`
- **2021-04-14** Read second time and amended. `amendment-passage, reading-1, reading-2`
- **2021-04-15** Re-referred to Com. on APPR. `referral-committee`
- **2021-04-28** In committee: Set, first hearing. Referred to APPR. suspense file. `referral-committee`
- **2021-05-20** From committee: Do pass. (Ayes 16. Noes 0.) (May 20). `committee-passage, committee-passage-favorable`
- **2021-05-24** Read second time. Ordered to third reading. `reading-1, reading-2`
- **2021-05-27** Read third time. Passed. Ordered to the Senate. (Ayes 78. Noes 0. Page 1605.) `passage, reading-1, reading-3`
- **2021-05-28** In Senate. Read first time. To Com. on RLS. for assignment. `reading-1`
- **2021-06-09** Referred to Com. on ED. `referral-committee`
- **2021-06-22** From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on ED. `amendment-introduction, amendment-passage, reading-1, reading-2, referral-committee`
- **2021-07-07** From committee: Do pass and re-refer to Com. on APPR. (Ayes 7. Noes 0.) (July 7). Re-referred to Com. on APPR. `committee-passage, committee-passage-favorable, referral-committee`
- **2021-08-16** In committee: Set, first hearing. Hearing canceled at the request of author.
- **2021-09-10** Senate Rules Suspended
- **2021-09-10** From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on APPR. `amendment-introduction, amendment-passage, reading-1, reading-2, referral-committee`
- **2021-09-10** Withdrawn from committee.
- **2021-09-10** Re-referred to Com. on RLS. `referral-committee`
- **2022-06-13** From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on RLS. `amendment-introduction, amendment-passage, reading-1, reading-2, referral-committee`
- **2022-06-16** Re-referred to Coms. on HEALTH and GOV. & F. `referral-committee`
- **2022-06-23** From committee: Do pass and re-refer to Com. on GOV. & F. (Ayes 9. Noes 0.) (June 22). Re-referred to Com. on GOV. & F. `committee-passage, committee-passage-favorable, referral-committee`
- **2022-06-23** From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on GOV. & F. `amendment-introduction, amendment-passage, reading-1, reading-2, referral-committee`
- **2022-06-30** From committee: Amend, and do pass as amended and re-refer to Com. on APPR. (Ayes 5. Noes 0.) (June 29). `amendment-introduction, amendment-passage, committee-passage, referral-committee`
- **2022-08-01** Read second time and amended. Re-referred to Com. on APPR. `amendment-passage, reading-1, reading-2, referral-committee`
- **2022-08-08** From committee: Be ordered to second reading pursuant to Senate Rule 28.8. `committee-passage, reading-2`
- **2022-08-09** Read second time. Ordered to third reading. `reading-1, reading-2`
- **2022-08-22** Read third time and amended. Ordered to second reading. `amendment-passage, reading-1, reading-3`
- **2022-08-23** Read second time. Ordered to third reading. `reading-1, reading-2`
- **2022-08-30** Read third time. Passed. Ordered to the Assembly. (Ayes 40. Noes 0. Page 5235.). `passage, reading-1, reading-3`
- **2022-08-30** In Assembly. Concurrence in Senate amendments pending.
- **2022-08-30** Re-referred to Com. on HEALTH. pursuant to Assembly Rule 77.2. `referral-committee`
- **2022-08-30** Joint Rule 62(a), file notice suspended.
- **2022-08-30** From committee: That the Senate amendments be concurred in. (Ayes 13. Noes 0.) (August 30). `committee-passage`
- **2022-08-31** Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 80. Noes 0.). `amendment-passage, committee-passage-favorable`
- **2022-09-13** Enrolled and presented to the Governor at 4 p.m.
- **2022-09-19** Approved by the Governor. `executive-signature`
- **2022-09-19** Chaptered by Secretary of State - Chapter 430, Statutes of 2022. `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/77a323ba-cb00-452a-8ee0-6bce95ede0fd`. Confidence: reported (aggregated from official California legislature records).