California Health Care Minimum Wage July 2026: New Facility Rates
Quick answer: Covered facilities can fall into July 2026 tiers of $25, $23, $22, or $19.28 per hour. Employers must identify the correct facility category before calculating regular and overtime pay.
July 2026 tiers
- Large health systems and specified facilities: $25
- Certain clinics: $22 through June 30, 2027
- Other covered health care facilities: $23 through June 30, 2028
- High governmental payer and qualifying rural facilities: $19.28 through June 30, 2027
Facility classification
The law does not create one universal health care rate. Facility type, ownership, size, payer mix, location, and statutory definitions determine the tier.
Some contractor employees performing covered services can also qualify.
Overtime effect
The facility minimum is only a wage floor. Shift differentials, bonuses, and multiple rates can produce a higher regular rate. California daily overtime and double time continue to apply.
Salary threshold distinction
California’s general exemption salary formula is tied to the statewide minimum wage, not automatically to the health care rate. Wage-floor and exemption analyses must be separated.
Waivers and compliance
Certain clinics were permitted to seek a state waiver based on financial distress. A waiver is not automatic.
- Identify the facility tier.
- Map covered employees and contractors.
- Update wages from July 1.
- Recalculate overtime.
- Review waiver documents.
- Post notices.
Frequently Asked Questions
What is the highest rate?
$25 for facilities in the applicable tier.
Do all clinics pay $22?
No.
What is the other-facility rate?
$23 under the cited tier.
Does overtime increase?
The higher wage floor can increase overtime.
Can a clinic obtain a waiver?
Certain qualifying clinics may receive approved relief.
Official Sources
- California Labor Commissioner — Health Care Wage FAQ
- California Health Care Wage Supplement
- California DIR — Clinic Waiver Information
This article is for general educational purposes and is not legal, tax, accounting, payroll, or employment advice. Rules can change and may differ by state, locality, occupation, employer, and employee circumstances.
This calculator is for educational purposes only. Consult your employer or a labor attorney for advice specific to your situation.