Supplemental Med-Cal Funding Update May 18, 2018 General Reimbursement Governor Jerry Brown has included $1.3 billion in Proposition 56 tobacco tax funding to provide supplemental payments for Medi-Cal providers in his proposed fiscal year 2018�19 budget. The budget also includes $40 million for graduate medical education (GME), as required by Proposition 56, and $55 million to support psychiatric GME programs in underserved areas. Budget subcommittees in both houses of the state legislature are holding hearings for the next two weeks. ACCMA/CMA will continue to advocate for physicians' budget priorities. To support our advocacy for Medi-Cal physician rates that cover the actual cost of care, join the ACCMA at www.accma.org/join.