Governor Signs SB 250 Into Law to Expand Access to Skilled Nursing Facilities

Senator Rosilicie Ochoa Bogh (R–Yucaipa) announced today that Governor Gavin Newsom has signed her bill, Senate Bill 250, into law. This important measure ensures skilled nursing facilities (SNFs) are included in California’s Medi-Cal managed care provider directory, providing seniors, people with disabilities, and their families with a clear and reliable resource when making critical long-term care decisions.

SB 250 addresses a longstanding gap in the Medi-Cal provider directory by requiring the Department of Health Care Services (DHCS) to publicly list skilled nursing facilities and update that information annually. While state law already required health plans to maintain directories of contracted providers, the DHCS directory omitted SNFs, leaving families without a centralized, trustworthy source to identify facilities covered by their Medi-Cal managed care plan.

“California families deserve clarity, not confusion, when navigating long-term care,” said Senator Ochoa Bogh. “I authored SB 250 to give our seniors and disabled residents the tools they need to make informed choices. I am proud to see this bill signed into law and grateful to the many advocates who stood with me to make it happen.”

The Legislative Analyst’s Office projects the number of Californians aged 65 and older with disabilities will grow by 135 percent—from 1.2 million to 2.7 million—by 2060. Many of these individuals, along with younger people with disabilities, will require long-term care in skilled nursing facilities. For the nearly 737,000 seniors and persons with disabilities who rely exclusively on Medi-Cal, the lack of a centralized directory has made finding a suitable facility especially burdensome.

With nearly 1,200 skilled nursing facilities operating in California as of August 2025, SB 250 ensures that information already collected by DHCS is now made publicly available and updated regularly. This reform will allow Medi-Cal beneficiaries and their families to make more informed decisions when choosing both a facility and a managed care plan.

The new law will take effect on January 1, 2026.