republic-os/legislation/us/states/ca/20212022/ab-498.md

type, title, description, jurisdiction, legislature, session, identifier, citation, classification, subjects, status, primary_sponsors, version_count, action_count, vote_count, first_action, last_action, source, source_identifier, source_url, source_hash, vintage, source_snapshot, retrieved_at, confidence, tags

type	title	description	jurisdiction	legislature	session	identifier	citation	classification	subjects	status	primary_sponsors	version_count	action_count	vote_count	first_action	last_action	source	source_identifier	source_url	source_hash	vintage	source_snapshot	retrieved_at	confidence	tags
Bill	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.	us/states/ca	California Legislature	20212022	AB 498	California AB 498 (20212022)	bill	Medi-Cal: county organized health system: Orange County Health Authority.	enacted	Quirk-Silva	11	38	9	2021-02-09	2022-09-19	openstates	ocd-bill/77a323ba-cb00-452a-8ee0-6bce95ede0fd	http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220AB498	977e088df33ae711369071b74e2b58458a347c08b0fa5e521e70cb960830a45e	2026-07-01	https://data.openstates.org/daily/2026-07-01/public.pgdump	2026-07-06	reported	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
2. 04/14/21 - Amended Assembly (committee substitute) — source
3. 06/13/22 - Amended Senate (committee substitute) — source
4. 06/22/21 - Amended Senate (committee substitute) — source
5. 06/23/22 - Amended Senate (committee substitute) — source
6. 08/01/22 - Amended Senate (committee substitute) — source
7. 08/22/22 - Amended Senate (committee substitute) — source
8. 09/10/21 - Amended Senate (committee substitute) — source
9. 09/19/22 - Chaptered (committee substitute) — source
10. AB498 (committee substitute) — source
11. 09/02/22 - Enrolled (enrolled) — source

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; origin ocd-bill/77a323ba-cb00-452a-8ee0-6bce95ede0fd. Confidence: reported (aggregated from official California legislature records).