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---
type: "Bill"
title: "Medi-Cal: Part A buy-in."
description: "Existing law establishes the Medi-Cal program, which is administered by the State Department of Health Care Services and 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 requires the department, to the extent required by federal law, for Medi-Cal recipients who are qualified Medicare beneficiaries, to pay the Medicare premiums, deductibles, and coinsurance for certain elderly and disabled persons. Existing federal law authorizes states to pay for Medicare benefits for specified enrollees pursuant to either a buy-in agreement to directly enroll and pay premiums or a group payer arrangement to pay premiums."
jurisdiction: "us/states/ca"
legislature: "California Legislature"
session: "20232024"
identifier: "SB 311"
citation: "California SB 311 (20232024)"
classification: ["bill"]
subjects: ["Medi-Cal", "Part A buy-in"]
status: "enacted"
primary_sponsors: ["Eggman"]
version_count: 5
action_count: 26
vote_count: 8
first_action: "2023-02-06"
last_action: "2023-10-10"
source: "openstates"
source_identifier: "ocd-bill/899b2c27-02e7-491e-9643-a3903fccbd98"
source_url: "http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240SB311"
source_hash: "f0f6b399c4aca37d39acaff2c6db695eac689181f20f80d704c32ee739fbf928"
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 311 (20232024) — Medi-Cal: Part A buy-in.
Existing law establishes the Medi-Cal program, which is administered by the State Department of Health Care Services and 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 requires the department, to the extent required by federal law, for Medi-Cal recipients who are qualified Medicare beneficiaries, to pay the Medicare premiums, deductibles, and coinsurance for certain elderly and disabled persons. Existing federal law authorizes states to pay for Medicare benefits for specified enrollees pursuant to either a buy-in agreement to directly enroll and pay premiums or a group payer arrangement to pay premiums.
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **02/06/23 - Introduced** (filed) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202320240SB311&version=20230SB31199INT)
2. **09/06/23 - Amended Assembly** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202320240SB311&version=20230SB31198AMD)
3. **10/10/23 - Chaptered** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202320240SB311&version=20230SB31196CHP)
4. **SB311** (committee substitute) — [source](http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240SB311)
5. **09/15/23 - Enrolled** (enrolled) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202320240SB311&version=20230SB31197ENR)
## Votes
- Do pass and be re-referred to the Committee on [Appropriations] with recommendation: To Consent Calendar — **150** (pass) · lower
- Do pass. — **160** (pass) · lower
- Special Consent SB311 Eggman et al. — **400** (pass) · upper
- Unfinished Business SB311 Eggman et al. Concurrence — **390** (pass) · upper
- Placed on suspense file — **70** (pass) · upper
- Do pass, but first be re-referred to the Committee on [Appropriations] with the recommendation: To Consent Calendar — **110** (pass) · upper
- SB 311 Eggman Senate Third Reading By Wood — **800** (pass) · lower
- Do pass — **70** (pass) · upper
## Sponsors
- Eggman — primary (person)
- Wood — coauthor (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2023-02-06** Introduced. Read first time. To Com. on RLS. for assignment. To print. `introduction, reading-1`
- **2023-02-07** From printer. May be acted upon on or after March 9.
- **2023-02-15** Referred to Com. on HEALTH. `referral-committee`
- **2023-03-06** Set for hearing March 22.
- **2023-03-23** From committee: Do pass and re-refer to Com. on APPR with recommendation: To consent calendar. (Ayes 11. Noes 0. Page 473.) (March 22). Re-referred to Com. on APPR. `committee-passage, committee-passage-favorable, referral-committee`
- **2023-03-28** Set for hearing April 10.
- **2023-04-10** April 10 hearing: Placed on APPR suspense file.
- **2023-05-12** Set for hearing May 18.
- **2023-05-18** From committee: Do pass. (Ayes 7. Noes 0. Page 1165.) (May 18). `committee-passage, committee-passage-favorable`
- **2023-05-18** Read second time. Ordered to third reading. `reading-1, reading-2`
- **2023-05-23** Ordered to special consent calendar.
- **2023-05-25** Read third time. Passed. (Ayes 40. Noes 0. Page 1297.) Ordered to the Assembly. `passage, reading-1, reading-3`
- **2023-05-25** In Assembly. Read first time. Held at Desk. `reading-1`
- **2023-06-08** Referred to Com. on HEALTH. `referral-committee`
- **2023-06-13** From committee: Do pass and re-refer to Com. on APPR. with recommendation: To consent calendar. (Ayes 15. Noes 0.) (June 13). Re-referred to Com. on APPR. `committee-passage, committee-passage-favorable, referral-committee`
- **2023-08-16** August 16 set for first hearing. Placed on suspense file.
- **2023-09-01** From committee: Do pass. (Ayes 16. Noes 0.) (September 1). `committee-passage, committee-passage-favorable`
- **2023-09-05** Read second time. Ordered to third reading. `reading-1, reading-2`
- **2023-09-06** Read third time and amended. `amendment-passage, reading-1, reading-3`
- **2023-09-06** Ordered to third reading.
- **2023-09-12** Read third time. Passed. (Ayes 80. Noes 0. Page 3260.) Ordered to the Senate. `passage, reading-1, reading-3`
- **2023-09-12** In Senate. Concurrence in Assembly amendments pending.
- **2023-09-13** Assembly amendments concurred in. (Ayes 39. Noes 0. Page 2738.) Ordered to engrossing and enrolling. `amendment-passage, committee-passage-favorable`
- **2023-09-20** Enrolled and presented to the Governor at 4:30 p.m.
- **2023-10-10** Approved by the Governor. `executive-signature`
- **2023-10-10** Chaptered by Secretary of State. Chapter 707, Statutes of 2023. `became-law`
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/899b2c27-02e7-491e-9643-a3903fccbd98`. Confidence: reported (aggregated from official California legislature records).