Date: September 18, 2026

Time: 12:30 p.m. – 3 p.m.

Meeting Location: Department of Health Care Services (DHCS)
1501 Capitol Avenue, Sacramento, CA 95814 (First Floor, Conference Room 17.1316)

Webinar: Register for Virtual Attendance

Agenda

1. Welcome, Opening Comments, Roll Call
2. Committee Member Feedback from May 28, 2026 Meeting. Discuss committee members’ feedback submitted to DHCS following the May 28, 2026, PAHCA-SAC meeting. 
3. Federal Guidance Update. Discuss recent federal developments related to Medicaid financing, including CMS proposed rules concerning State Directed Payments (SDPs) and health care-related tax provisions.
4. 2027 Managed Care Organization (MCO) Tax Update. Provide an update on federal requirements affecting California’s MCO tax and DHCS’s plans to seek federal approval of tax structures required under Proposition 35 and Senate Bill 125.
5. PAHCA Design and Implementation CY 2025 and CY 2026 Updates: Discuss and obtain the Stakeholder Advisory Committee’s input on implementation activities associated with the CY 2025 and CY 2026 Proposition 35 Spending Plans, including updates related to managed care base rate increases, State Plan Amendments, State Directed Payment preprints, All Plan Letters, and proposed Behavioral Health Facility Throughputs investments.
6. Public Comment
7. Meeting Adjournment

Note

For individuals with disabilities, DHCS will provide free assistive devices, including language and sign-language interpretation, real-time captioning, note takers, reading or writing assistance, and conversion of training or meeting materials into braille, large print, audio, or electronic format. To request alternative format or language services, please call or write:

Department of Health Care Services
Office of Communications
1501 Capitol Ave, MS 0025, Sacramento, CA 95814
(916) 440-7660
dhcspahca@dhcs.ca.gov

Please note that the range of assistive services available may be limited if requests are received less than ten working days prior to the meeting or event.