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AB 113 (Budget Act of 2026), enrolled Sept. 1, 2026 — Item 4140-101-0001, Provision 12

California Enrolls $9 Million for Pediatric Sex-Rejecting Procedures After CMS Medicaid Cut

Sep 1, 2026
Editorial illustration of the California State Capitol and a budget folio

On September 1, 2026, the California Legislature enrolled AB 113, an urgency end-of-session Budget Bill Junior amending the Budget Act of 2026.

Item 4140-101-0001, Provision 12 appropriates $9,000,000 for sex-rejecting procedures for children and youth. The Department of Health Care Access and Information is directed to collaborate with the State Department of Health Care Services and stakeholders, including support for Medi-Cal providers and Medi-Cal members seeking those services. Item 4140-001-0001, Provision 15 adds $800,000 (Schedule 2) and $200,000 (Schedule 4) for the same children-and-youth purpose and to implement Provision 12.

Governor Newsom later signed AB 113 on September 18, 2026. That signing is the later news item: California governor signs $9 million for sex-rejecting procedures on children. Leginfo may still show enrolled; chaptering can lag. Primary sources: the Governor’s September 18 legislative update and the enrolled text at https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202520260AB113.

This is a state appropriation responding to CMS-2451-F (effective October 13, 2026). It is separate from the June 2026 $26 million Transgender Health Care Fund already signed in the main budget.

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