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---
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. Existing law provides that a health facility is eligible to receive supplemental reimbursement under the Medi‑Cal program if the facility has specified characteristics, including that the facility is owned or operated by the state, a county, a city, a city and county, or a health care district. Existing law prohibits claimed expenditures for specified nursing facility services, when combined with the amount received from all other sources of reimbursement from the Medi-Cal program, from exceeding 100% of projected costs, as determined pursuant to the Medi-Cal State Plan, for skilled nursing services at each facility."
jurisdiction: "us/states/ca"
legislature: "California Legislature"
session: "20132014"
identifier: "AB 498"
citation: "California AB 498 (20132014)"
classification: ["bill"]
subjects: ["Medi-Cal."]
status: "enacted"
primary_sponsors: ["Chávez"]
version_count: 10
action_count: 39
vote_count: 11
first_action: "2013-02-20"
last_action: "2013-10-10"
source: "openstates"
source_identifier: "ocd-bill/1c5e9580-f9ee-4844-a701-890f4c75f639"
source_url: "http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201320140AB498"
source_hash: "cd0d262eacd6b0299114c62205dc3584ca13aad86de807dd71d797bf01abf3be"
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 (20132014) — 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. Existing law provides that a health facility is eligible to receive supplemental reimbursement under the Medi‑Cal program if the facility has specified characteristics, including that the facility is owned or operated by the state, a county, a city, a city and county, or a health care district. Existing law prohibits claimed expenditures for specified nursing facility services, when combined with the amount received from all other sources of reimbursement from the Medi-Cal program, from exceeding 100% of projected costs, as determined pursuant to the Medi-Cal State Plan, for skilled nursing services at each facility.
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **02/20/13 - Introduced** (filed) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201320140AB498&version=20130AB49899INT)
2. **03/19/13 - Amended Assembly** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201320140AB498&version=20130AB49898AMD)
3. **04/23/13 - Amended Assembly** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201320140AB498&version=20130AB49897AMD)
4. **05/07/13 - Amended Assembly** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201320140AB498&version=20130AB49896AMD)
5. **06/20/13 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201320140AB498&version=20130AB49895AMD)
6. **08/20/13 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201320140AB498&version=20130AB49894AMD)
7. **09/05/13 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201320140AB498&version=20130AB49893AMD)
8. **10/09/13 - Chaptered** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201320140AB498&version=20130AB49891CHP)
9. **AB498** (committee substitute) — [source](http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201320140AB498)
10. **09/19/13 - Enrolled** (enrolled) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201320140AB498&version=20130AB49892ENR)
## Votes
- Do pass. — **170** (pass) · lower
- That the Assembly amendments be concurred in, but first be re-referred to the Committee on Appropriations. — **70** (pass) · upper
- Do pass as amended and be re-referred to the Committee on Appropriations. — **180** (pass) · lower
- AB 498 CHÁVEZ Assembly Third Reading — **740** (pass) · lower
- Do pass, but re-refer to the Committee on Appropriations. — **90** (pass) · upper
- From Committee: That the measure be returned to the Senate floor for consideration. — **70** (pass) · upper
- AB 498 CHÁVEZ Concurrence in Senate Amendments — **770** (pass) · lower
- amendments be concurred in. — **180** (pass) · lower
- 3rd Reading AB498 Chávez By Nielsen — **340** (pass) · upper
- Do pass. — **70** (pass) · upper
- Placed on Appropriations Suspense file. — **70** (pass) · upper
## Sponsors
- Chávez — primary (person)
- Alejo — coauthor (person)
- Bigelow — coauthor (person)
- Chesbro — coauthor (person)
- Conway — coauthor (person)
- Nielsen — coauthor (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2013-02-20** Read first time. To print. `reading-1`
- **2013-02-21** From printer. May be heard in committee March 23.
- **2013-03-19** Referred to Com. on HEALTH. `referral-committee`
- **2013-03-19** From committee chair, with author's amendments: Amend, and re-refer to Com. on HEALTH. Read second time and amended. `amendment-introduction, amendment-passage, reading-2, reading-1`
- **2013-03-20** Re-referred to Com. on HEALTH. `referral-committee`
- **2013-04-23** From committee chair, with author's amendments: Amend, and re-refer to Com. on HEALTH. Read second time and amended. `amendment-introduction, amendment-passage, reading-2, reading-1`
- **2013-04-24** Re-referred to Com. on HEALTH. `referral-committee`
- **2013-05-06** From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 18. Noes 0.) (April 30). `committee-passage-favorable, committee-passage, amendment-passage`
- **2013-05-07** Read second time and amended. `reading-2, reading-1, amendment-passage`
- **2013-05-08** Re-referred to Com. on APPR. `referral-committee`
- **2013-05-16** From committee: Do pass. (Ayes 17. Noes 0.) (May 15). `committee-passage-favorable, committee-passage`
- **2013-05-20** Read second time. Ordered to third reading. `reading-2, reading-1`
- **2013-05-23** Read third time. Passed. Ordered to the Senate. (Ayes 74. Noes 0. Page 1567.) `reading-3, reading-1, passage`
- **2013-05-23** In Senate. Read first time. To Com. on RLS. for assignment. `reading-1`
- **2013-06-06** Referred to Com. on HEALTH. `referral-committee`
- **2013-06-20** From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on HEALTH. `amendment-introduction, amendment-passage, reading-2, reading-1, referral-committee`
- **2013-07-11** From committee: Do pass and re-refer to Com. on APPR. (Ayes 9. Noes 0.) (July 3). Re-referred to Com. on APPR. `committee-passage-favorable, referral-committee, committee-passage`
- **2013-08-08** In committee: Hearing postponed by committee.
- **2013-08-19** In committee: Placed on APPR. suspense file.
- **2013-08-20** 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-2, reading-1, referral-committee`
- **2013-08-30** From committee: Do pass. (Ayes 7. Noes 0.) (August 30). `committee-passage-favorable, committee-passage`
- **2013-09-03** Read second time. Ordered to third reading. `reading-2, reading-1`
- **2013-09-05** Read third time and amended. Ordered to second reading. `reading-3, reading-1, amendment-passage`
- **2013-09-06** Read second time. Ordered to third reading. `reading-2, reading-1`
- **2013-09-09** Re-referred to Com. on RLS. pursuant to Senate Rule 29.10(b). `referral-committee`
- **2013-09-09** From committee: Be re-referred to Com. on HEALTH pursuant to Senate Rule 29.10. (Ayes 4. Noes 0.) Re-referred to Com. on HEALTH. `referral-committee, committee-passage`
- **2013-09-11** From committee: Pursuant to Senate Rule 29.10, that the measure be re-referred to Com. on APPR pursuant to Joint Rule 10.5. (Ayes 7. Noes 0.) (September 11). Re-referred to Com. on APPR. `referral-committee, committee-passage`
- **2013-09-11** From committee: Return to Senate floor for consideration. (Ayes 7. Noes 0.) (September 11). `committee-passage`
- **2013-09-11** Ordered to third reading.
- **2013-09-12** Read third time. Passed. Ordered to the Assembly. (Ayes 34. Noes 0. Page 2399.). `reading-3, reading-1, passage`
- **2013-09-12** In Assembly. Concurrence in Senate amendments pending.
- **2013-09-12** Re-referred to Com. on HEALTH. pursuant to Assembly Rule 77.2. `referral-committee`
- **2013-09-12** Joint Rule 62(a), file notice suspended. (Page 3337.)
- **2013-09-12** From committee: That the Senate amendments be concurred in. (Ayes 18. Noes 0.) (September 12). `committee-passage`
- **2013-09-12** Assembly Rule 63 suspended. (Page 3339.)
- **2013-09-12** Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 77. Noes 0. Page 3339.). `committee-passage-favorable, amendment-passage`
- **2013-09-25** Enrolled and presented to the Governor at 4:30 p.m.
- **2013-10-09** Approved by the Governor. `executive-signature`
- **2013-10-10** Chaptered by Secretary of State - Chapter 672, Statutes of 2013.
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/1c5e9580-f9ee-4844-a701-890f4c75f639`. Confidence: reported (aggregated from official California legislature records).