republic-os/legislation/us/states/ca/20212022/sb-48.md

---
type: "Bill"
title: "Medi-Cal: annual cognitive health assessment."
description: "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 pursuant to a schedule of benefits. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions."
jurisdiction: "us/states/ca"
legislature: "California Legislature"
session: "20212022"
identifier: "SB 48"
citation: "California SB 48 (20212022)"
classification: ["bill"]
subjects: ["Medi-Cal: annual cognitive health assessment."]
status: "enacted"
primary_sponsors: ["Limón"]
version_count: 9
action_count: 33
vote_count: 7
first_action: "2020-12-07"
last_action: "2021-10-04"
source: "openstates"
source_identifier: "ocd-bill/413b8a91-9d30-4681-83df-b1944d2d5f62"
source_url: "http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220SB48"
source_hash: "aee330688c31a7437d2b8903530c7c918141eb6f72d32c61ed0bcd1388350961"
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 48 (20212022) — Medi-Cal: annual cognitive health assessment.

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 pursuant to a schedule of benefits. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions.

## Version chain

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

1. **12/07/20 - Introduced** (filed) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220SB48&version=20210SB4899INT)
2. **03/09/21 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220SB48&version=20210SB4898AMD)
3. **05/28/21 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220SB48&version=20210SB4897AMD)
4. **06/21/21 - Amended Assembly** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220SB48&version=20210SB4896AMD)
5. **07/08/21 - Amended Assembly** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220SB48&version=20210SB4895AMD)
6. **08/16/21 - Amended Assembly** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220SB48&version=20210SB4894AMD)
7. **10/04/21 - Chaptered** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220SB48&version=20210SB4892CHP)
8. **SB48** (committee substitute) — [source](http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220SB48)
9. **09/13/21 - Enrolled** (enrolled) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220SB48&version=20210SB4893ENR)

## Votes

- 3rd Reading SB48 Limón et al. — **38–0** (pass) · upper
- That the Assembly amendments be concurred in — **8–1** (pass) · upper
- SB 48 Limón Senate Third Reading By Nazarian — **77–0** (pass) · lower
- Do pass. — **16–0** (pass) · lower
- Unfinished Business SB48 Limón et al. Concurrence — **31–4** (pass) · upper
- Do pass as amended, but first amend, and re-refer to the Committee on [Appropriations] — **11–1** (pass) · upper
- Do pass as amended and be re-referred to the Committee on [Appropriations] — **15–0** (pass) · lower

## Sponsors

- Limón — primary (person)
- Aguiar-Curry — principal coauthor (person)
- Chen — coauthor (person)
- Nazarian — coauthor (person)
- Newman — coauthor (person)
- Ochoa Bogh — coauthor (person)
- Stone — coauthor (person)
- Wieckowski — coauthor (person)

## Timeline

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

- **2020-12-07** Introduced. Read first time. To Com. on RLS. for assignment. To print. `introduction, reading-1`
- **2020-12-08** From printer. May be acted upon on or after January 7.
- **2021-01-28** Referred to Com. on B., P. & E.D. `referral-committee`
- **2021-03-02** Set for hearing March 8.
- **2021-03-08** From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 11. Noes 1. Page 405.) (March 8). `amendment-passage, committee-passage, committee-passage-favorable`
- **2021-03-09** Read second time and amended. Re-referred to Com. on APPR. `amendment-passage, reading-1, reading-2, referral-committee`
- **2021-03-12** Set for hearing March 22.
- **2021-03-22** From committee: Be ordered to second reading pursuant to Senate Rule 28.8. `committee-passage, reading-2`
- **2021-03-23** Read second time. Ordered to third reading. `reading-1, reading-2`
- **2021-05-28** Read third time and amended. `amendment-passage, reading-1, reading-3`
- **2021-05-28** Ordered to second reading.
- **2021-06-01** Read second time. Ordered to third reading. `reading-1, reading-2`
- **2021-06-03** Read third time. Passed. (Ayes 38. Noes 0. Page 1416.) Ordered to the Assembly. `passage, reading-1, reading-3`
- **2021-06-03** In Assembly. Read first time. Held at Desk. `reading-1`
- **2021-06-10** Referred to Com. on B. & P. `referral-committee`
- **2021-06-21** From committee with author's amendments. Read second time and amended. Re-referred to Com. on B. & P. `amendment-passage, committee-passage, reading-1, reading-2, referral-committee`
- **2021-06-24** Re-referred to Com. on HEALTH pursuant to Assembly Rule 96. `referral-committee`
- **2021-07-07** From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 15. Noes 0.) (July 6). `amendment-passage, committee-passage, committee-passage-favorable`
- **2021-07-08** Read second time and amended. Re-referred to Com. on APPR. `amendment-passage, reading-1, reading-2, referral-committee`
- **2021-08-16** From committee with author's amendments. Read second time and amended. Re-referred to Com. on APPR. `amendment-passage, committee-passage, reading-1, reading-2, referral-committee`
- **2021-08-26** August 26 set for first hearing. Placed on APPR. suspense file.
- **2021-08-26** From committee: Do pass. (Ayes 16. Noes 0.) (August 26). `committee-passage, committee-passage-favorable`
- **2021-08-30** Read second time. Ordered to third reading. `reading-1, reading-2`
- **2021-09-02** Read third time. Passed. (Ayes 77. Noes 0. Page 2696.) Ordered to the Senate. `passage, reading-1, reading-3`
- **2021-09-02** In Senate. Concurrence in Assembly amendments pending.
- **2021-09-03** Re-referred to Com. on RLS pursuant to Senate Rule 29.10(d). `referral-committee`
- **2021-09-03** From committee: Be re-referred to Com. on HEALTH pursuant to Senate Rule 29.10(d). (Ayes 5. Noes 0. Page 2418.) Re-referred to Com. on HEALTH. `committee-passage, referral-committee`
- **2021-09-07** Set for hearing September 8.
- **2021-09-08** From committee: That the Assembly amendments be concurred in. (Ayes 8. Noes 1. Page 2538.) `committee-passage`
- **2021-09-09** Assembly amendments concurred in. (Ayes 31. Noes 4. Page 2544.) Ordered to engrossing and enrolling. `amendment-passage, committee-passage-favorable`
- **2021-09-17** Enrolled and presented to the Governor at 1:30 p.m.
- **2021-10-04** Approved by the Governor. `executive-signature`
- **2021-10-04** Chaptered by Secretary of State. Chapter 484, Statutes of 2021. `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/413b8a91-9d30-4681-83df-b1944d2d5f62`. Confidence: reported (aggregated from official California legislature records).