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HCAI outlines Prop 35 spending plan, PBM data rules and midwifery, prompting questions over supplanted provider pay
Summary
HCAI told the Senate subcommittee that Prop 35 funding in the May Revision would prioritize new workforce investments, midwifery training and PBM data reporting rather than direct, ongoing provider rate increases.
The Department of Health Care Access and Information (HCAI) told the subcommittee it intends to use portions of Proposition 35 money for workforce development, midwifery education expansion and a labor‑management cooperative model rather than direct provider rate increases.
Libby Abbott, deputy director for health workforce development at HCAI, said the May Revision proposes allocating $90 million from Prop 35 for reproductive health services in calendar years 2025'026 and $75 million for Medi‑Cal workforce development programs (plus federal matching funds). Abbott told the committee the $75 million would seed labor‑management cooperation committees (LMCCs) to support training, apprenticeships, loan repayment and…
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