Back to Directed Payments | Proposition 56​​ 

The California Healthcare, Research and Prevention Tobacco Tax Act (Proposition 56), passed by the voters in November 2016, increases the excise tax rate on cigarettes and electronic cigarettes, effective April 1, 2017, and other tobacco products, effective July 1, 2017. The excise tax increased by $2 from 87 cents to $2.87 per pack of 20 cigarettes on distributors selling cigarettes in California with an equivalent excise tax rate increase on other tobacco products. In accordance with AB 120 (Chapter 22, Statutes of 2017) the Department of Health Care Services (DHCS) shall develop the structure of the supplemental payments.​​ 

参议院第 856 号法案 (统计)。 2018 年第 30 章第 44 节第 4260-101-3305 项）拨款 2018-19 州财政年度第 56 号提案的资金给 DHCS，以继续用作非联邦份额的医疗保健支出。 SB 849（2018 年法令第 47 章）设立了第 56 号提案的 Medi-Cal 医生和牙医贷款偿还法案计划，并拨款 2.2 亿美元用于针对刚毕业的医生和牙医的贷款援助计划。 参与的医生和牙医的选择将基于该部门的资格标准，该标准将优先考虑同意在人力资源短缺的地区工作、确保 Medi-Cal 计划的优质护理以及要求最低年限的承诺。​​