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.​​ 

856 年參議院條例草案（統計數據。 2018 年，第 30 章，§ 44，項目 4260-101-3305）將 2018-19 州財政年度提案 56 的資金撥給 DHCS，以持續用作醫療保健開支的非聯邦部分。 SB 849（2018 年章程第 47 章）制定了《56 號醫師和牙醫師貸款還款法案》計劃，並撥出 2.200 億美元作為新畢業醫生和牙醫的貸款援助計劃。 參加醫生和牙醫的選擇將根據部門的資格標準，這些準則將優先同意在地理短缺地區工作，確保 Medi-Cal 計劃中的優質護理，並需要最少年的承諾。​​