California Proposition 56 increased the excise tax rate on cigarettes, electronic cigarettes, and other tobacco products in phases beginning April 1, 2017 to support access to health care for low-income Californians covered by the Medi-Cal program. The Department of Health Care Services (DHCS) is responsible for structuring the supplemental payments from Proposition 56 funds.

DHCS has provided guidance and requirements to Medi-Cal managed care plans on how funds are to be distributed to Medi-Cal providers through policy guidance called All-Plan Letters (APL).

Please visit the DHCS Proposition 56 Program website at

Prop 56

Download a PDF Copy
of the Prop 56 Chart

Check to see if your HPSJ Patient is up to date with wellness visits here

If you have any questions please contact your HPSJ representative at 209.942.6340 or by email at

Posted on September 20th, 2021 and last modified on September 23rd, 2021.