Allows California to waive the monthly premiums for the Optional Targeted Low Income Children's Program (OTLICP) population on a case-by-case basis if the payment would create undue hardship for the individual.

Amends the provisions governing Express Lane Eligibility (ELE) by removing certain agencies from the eligibility determinations process, in compliance with the requirements of the U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services.

Revises the payment methodology for FQHC services.

Coverage & Limitations and Payment for Services: Addition of Acupuncturists' Services and Changes to Chiropractic and Clinic Services.

Reimbursement update for Outpatient Hospital Services.

Reimbursement update for EPSDT.

Reimbursement update for Autism Treatment Services.

Outpatient Prescriptlon Drug Rates.

Reimbursement update for Vision Services.

Payment rates for vaccines.