republic-os/legislation/us/states/ca/20172018/sb-849.md

---
type: "Bill"
title: "Medi-Cal."
description: "(1) Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services, under which qualified low-income individuals receive health care services. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Existing law, the California Healthcare, Research and Prevention Tobacco Tax Act of 2016, an initiative measure approved as Proposition 56 at the November 8, 2016, statewide general election, increases taxes imposed on distributors of cigarettes and tobacco products and requires all revenues to be deposited into the California Healthcare, Research and Prevention Tobacco Tax Act of 2016 Fund, a continuously appropriated fund. Proposition 56 requires the Controller to transfer 82% of those revenues to the Healthcare Treatment Fund, to be used by the State Department of Health Care Services to increase funding for Medi-Cal and other specified health care programs and services in a way that, among other things, ensures timely access, limits geographic shortages of services, and ensures quality care. The act authorizes the Legislature to amend the provision relating to the allocation of revenues in the Healthcare Treatment Fund to further the purposes of the act with a 23 vote of the membership of each house of the Legislature."
jurisdiction: "us/states/ca"
legislature: "California Legislature"
session: "20172018"
identifier: "SB 849"
citation: "California SB 849 (20172018)"
classification: ["bill", "appropriation"]
subjects: ["Medi-Cal."]
status: "enacted"
primary_sponsors: ["Committee on Budget and Fiscal Review"]
version_count: 5
action_count: 21
vote_count: 3
first_action: "2018-01-10"
last_action: "2018-06-27"
source: "openstates"
source_identifier: "ocd-bill/295936c3-1bc0-458f-ad9f-b09fa8d4f0a9"
source_url: "http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201720180SB849"
source_hash: "b7cb9cc25faf03e20cd83d0265006ac8c9519e3637b8209ab7856e3dc68d5fbb"
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 SB 849 (20172018) — Medi-Cal.

(1) Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services, under which qualified low-income individuals receive health care services. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Existing law, the California Healthcare, Research and Prevention Tobacco Tax Act of 2016, an initiative measure approved as Proposition 56 at the November 8, 2016, statewide general election, increases taxes imposed on distributors of cigarettes and tobacco products and requires all revenues to be deposited into the California Healthcare, Research and Prevention Tobacco Tax Act of 2016 Fund, a continuously appropriated fund. Proposition 56 requires the Controller to transfer 82% of those revenues to the Healthcare Treatment Fund, to be used by the State Department of Health Care Services to increase funding for Medi-Cal and other specified health care programs and services in a way that, among other things, ensures timely access, limits geographic shortages of services, and ensures quality care. The act authorizes the Legislature to amend the provision relating to the allocation of revenues in the Healthcare Treatment Fund to further the purposes of the act with a 23 vote of the membership of each house of the Legislature.

## Version chain

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

1. **01/10/18 - Introduced** (filed) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201720180SB849&version=20170SB84999INT)
2. **06/21/18 - Amended Assembly** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201720180SB849&version=20170SB84998AMD)
3. **06/27/18 - Chaptered** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201720180SB849&version=20170SB84996CHP)
4. **SB849** (committee substitute) — [source](http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201720180SB849)
5. **06/25/18 - Enrolled** (enrolled) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201720180SB849&version=20170SB84997ENR)

## Votes

- SB 849 B. & F. R. Senate Third Reading By TING — **76–0** (pass) · lower
- 3rd Reading SB849 B. & F.R. — **24–11** (pass) · upper
- W/O REF. TO FILE SB849 B. & F.R. (Mitchell) Concurrence — **36–0** (pass) · upper

## Sponsors

- Committee on Budget and Fiscal Review — primary (person)

## Timeline

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

- **2018-01-10** Introduced. Read first time. To Com. on RLS. for assignment. To print. `introduction, reading-1`
- **2018-01-11** From printer. May be acted upon on or after February 10.
- **2018-01-16** Referred to Com. on B. & F.R. `referral-committee`
- **2018-04-30** Withdrawn from committee. (Ayes 25. Noes 11. Page 4865.)
- **2018-04-30** Ordered to second reading.
- **2018-05-01** Read second time. Ordered to third reading. `reading-2, reading-1`
- **2018-05-03** Read third time. Passed. (Ayes 24. Noes 11. Page 4921.) Ordered to the Assembly. `reading-3, passage, reading-1`
- **2018-05-03** In Assembly. Read first time. Held at Desk. `reading-1`
- **2018-05-07** Referred to Com. on BUDGET. `referral-committee`
- **2018-06-21** From committee with author's amendments. Read second time and amended. Re-referred to Com. on BUDGET. `reading-2, referral-committee, amendment-passage, committee-passage, reading-1`
- **2018-06-25** Assembly Rule 96 suspended. (Ayes 48. Noes 21. Page 5957.)
- **2018-06-25** Withdrawn from committee.
- **2018-06-25** Ordered to third reading.
- **2018-06-25** Assembly Rule 63 suspended. (Ayes 48. Noes 21. Page 5957.)
- **2018-06-25** Read third time. Passed. (Ayes 76. Noes 0. Page 5959.) Ordered to the Senate. `reading-3, passage, reading-1`
- **2018-06-25** In Senate. Concurrence in Assembly amendments pending.
- **2018-06-25** Unanimous consent granted to take up without reference to file.
- **2018-06-25** Assembly amendments concurred in. (Ayes 36. Noes 0. Page 4867.) Ordered to engrossing and enrolling. `committee-passage-favorable, amendment-passage`
- **2018-06-25** Enrolled and presented to the Governor at 5 p.m.
- **2018-06-27** Approved by the Governor. `executive-signature`
- **2018-06-27** Chaptered by Secretary of State. Chapter 47, Statutes of 2018.

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/295936c3-1bc0-458f-ad9f-b09fa8d4f0a9`. Confidence: reported (aggregated from official California legislature records).