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---
type: "Bill"
title: "Medi-Cal: County of Sacramento."
description: "(1) 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 under various health care delivery systems, including fee-for-service and managed care. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Existing law authorizes the department to enter into various types of contracts for the provision of services to beneficiaries, including contracts with Medi-Cal managed care plans."
jurisdiction: "us/states/ca"
legislature: "California Legislature"
session: "20212022"
identifier: "SB 226"
citation: "California SB 226 (20212022)"
classification: ["bill"]
subjects: ["Medi-Cal: County of Sacramento."]
status: "enacted"
primary_sponsors: ["Pan"]
version_count: 4
action_count: 19
vote_count: 5
first_action: "2021-01-15"
last_action: "2021-10-01"
source: "openstates"
source_identifier: "ocd-bill/509338e1-89b2-4055-a6f4-a02345cf4348"
source_url: "http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220SB226"
source_hash: "aa3d844998205a5b0ad5302874f1a2079fc4f32e4dec29148a63eeae24e7ffd2"
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 226 (20212022) — Medi-Cal: County of Sacramento.
(1) 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 under various health care delivery systems, including fee-for-service and managed care. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Existing law authorizes the department to enter into various types of contracts for the provision of services to beneficiaries, including contracts with Medi-Cal managed care plans.
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **01/15/21 - Introduced** (filed) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220SB226&version=20210SB22699INT)
2. **10/01/21 - Chaptered** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220SB226&version=20210SB22697CHP)
3. **SB226** (committee substitute) — [source](http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220SB226)
4. **09/07/21 - Enrolled** (enrolled) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220SB226&version=20210SB22698ENR)
## Votes
- Consent Calendar SB226 — **380** (pass) · upper
- Do pass. — **160** (pass) · lower
- Do pass and be re-referred to the Committee on [Appropriations] with recommendation: To Consent Calendar — **150** (pass) · lower
- SB 226 Pan Senate Third Reading By McCarty — **770** (pass) · lower
- Do pass, but first be re-referred to the Committee on [Appropriations] with the recommendation: To Consent Calendar — **110** (pass) · upper
## Sponsors
- Pan — primary (person)
- Cooper — coauthor (person)
- McCarty — coauthor (person)
- Nielsen — coauthor (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2021-01-15** Introduced. Read first time. To Com. on RLS. for assignment. To print. `introduction, reading-1`
- **2021-01-19** From printer. May be acted upon on or after February 18.
- **2021-01-28** Referred to Com. on HEALTH. `referral-committee`
- **2021-02-17** Set for hearing March 10.
- **2021-03-11** From committee: Do pass and re-refer to Com. on APPR with recommendation: To consent calendar. (Ayes 11. Noes 0. Page 456.) (March 10). Re-referred to Com. on APPR. `committee-passage, committee-passage-favorable, 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 and ordered to consent calendar. `committee-passage, reading-2`
- **2021-03-23** Read second time. Ordered to consent calendar. `reading-1, reading-2`
- **2021-03-25** Read third time. Passed. (Ayes 38. Noes 0. Page 611.) Ordered to the Assembly. `passage, reading-1, reading-3`
- **2021-03-25** In Assembly. Read first time. Held at Desk. `reading-1`
- **2021-05-13** Referred to Com. on HEALTH. `referral-committee`
- **2021-06-08** From committee: Do pass and re-refer to Com. on APPR. with recommendation: To consent calendar. (Ayes 15. Noes 0.) (June 8). Re-referred to Com. on APPR. `committee-passage, committee-passage-favorable, referral-committee`
- **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 2701.) Ordered to the Senate. `passage, reading-1, reading-3`
- **2021-09-02** In Senate. Ordered to engrossing and enrolling.
- **2021-09-09** Enrolled and presented to the Governor at 1 p.m.
- **2021-10-01** Approved by the Governor. `executive-signature`
- **2021-10-01** Chaptered by Secretary of State. Chapter 446, 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/509338e1-89b2-4055-a6f4-a02345cf4348`. Confidence: reported (aggregated from official California legislature records).