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Consolidated Appropriations Act of 2023

On December 29, 2023, Congress enacted the federal Consolidated Appropriations Act (CAA, 2023) (P.L. 117-328) (CAA). This law requires that all states, including California, provide a targeted set of Medicaid-financed services to incarcerated youth who are post disposition (e.g., youth who are incarcerated after conviction or adjudication). Specifically, the CAA requirements apply to individuals under 21 years of age, or between the ages of 18 and 26 if they are former foster care youth, who are being held post-disposition at a youth correctional facility or an adult prison or jail. was enacted on December 29, 2023, and went into effect January 1, 2025.

The requirements set forth by the CAA go into effect on January 1, 2025. Per this federal law and CMS implementation guidance, California is required to have an internal operational plan in place to deliver the following services to eligible youth:

  • Screening and diagnostic services in the 30 days prior to release (or no later than one week, or as soon as practicable, post-release); and
  • Targeted case management in the 30 days prior to release and for at least 30 days post-release for Medicaid and CHIP enrolled youth who are incarcerated and post-disposition.

The services required under the CAA fully align with the services that DHCS is implementing under its Section 1115 Demonstration Reentry Initiative.

Justice-Involved Reentry Initiative Learning Collaborative Session 7: Consolidated Appropriations Act of 2023 – February 6, 2025

  • Description: The seventh webinar in the Reentry Initiative Learning Collaborative series focused on the Consolidated Appropriations Act of 2023. The webinar included a presentation on the overlap between the Reentry Initiative and Consolidated Appropriations Act and concluded with a brief question and answer session.
  • Presentation Slides
  • Recording
  • Transcript