In November 2016, voters approved the California Healthcare, Research and Prevention Tobacco Tax Act (known as Proposition 56) which increased the excise tax rate on cigarettes and tobacco products. As a result, Assembly Bill No.120 was passed in 2017 to appropriate Proposition 56 funds for specified Department of Health Care Services (DHCS) healthcare expenditures.
Since 2017, DHCS has issued several All Plan Letters (APLs) to govern the distribution of Proposition 56 funds, mainly as supplemental payments to providers and facilities. Each APL contains specific information regarding covered services, program effective dates, funding amounts, qualification requirements, and guidelines for these payments.
APL 19-013 (PDF, 73KB)
Proposition 56 Hyde reimbursement requirements for specified services
APL 19-015 (PDF, 98KB)
Proposition 56 directed payments for physician services (supersedes APL 19-006)
APL 19-016 (PDF, 93KB)
Proposition 56 directed Payments for developmental screening services
APL 19-018 (PDF, 91KB)
Proposition 56 directed payments for adverse childhood experiences screening services
APL 22-011 (PDF, 244KB)
Proposition 56 directed payments for family planning services (supersedes APL 20-013)
APL 22-019 (PDF, 255KB)
Proposition 56 value-based payment program directed payments (supersedes APL 20-014)
APL 22-021 (PDF, 226KB)
Proposition 56 Behavioral Health Integration Incentive Program