Back to Directed Payments | Proposition 56​​ 

California医疗保健、研究和预防烟草税法案（第 56 号提案）于 2016 年 11 月由选民通过，提高了卷烟和电子烟的消费税率，自 4 月1 , 2017起生效，并提高了其他烟草产品的消费税率，自 7 月1 , 2017起生效。 California对销售香烟的经销商征收的消费税从每包 20 支香烟 87 美分增加到 2.87 美元，其他烟草产品的消费税率也相应提高。 根据 AB 120（2017 年第 22 号法令）， Department of Health Care Services (DHCS) ) 应制定补充支付的结构。​​ 

Senate Bill 856 (Stats. 2018, ch. 30, § 44, Item 4260-101-3305) appropriates Proposition 56 funds in the 2018-19 state fiscal year to DHCS for continual use as the nonfederal share of health care expenditures. SB 849 (Chapter 47, Statutes of 2018), established the Proposition 56 Medi-Cal Physicians and Dentists Loan Repayment Act Program and appropriates $220 million for a loan assistance program for recently graduated physicians and dentists. The selection of physicians and dentists for participation will be based on the department’s eligibility criteria which will prioritize agreeing to work in geographic shortage areas, ensuring quality care in the Medi-Cal program, and requiring minimum years of commitment.​​