Bill Tracker

Legislature: Legislative action will be on the floors until the adjournment of the 2021-22 session on Aug. 31. The governor will have until Sep. 30 to sign or veto bills that make it to his desk.

Not Passed

Held on the Senate Appropriations Committee suspense file on Aug. 11.

AB 1995 (Arambula, D-Fresno)

Follow

AB 1995 would have eliminated the premiums and subscriber contributions for pregnant women or women in their postpartum period, children under age 2, and certain employed persons with disabilities in the Medi-Cal program. 

AB 1214 will not proceed this year.

AB 1214 (Waldron, R-Escondido)

Support

AB 1214 would have made an individual who is incarcerated in a state prison or county jail eligible for the Medi-Cal program for 30 days before the date they are released.

Pending

Passed off the Senate Appropriations Committee suspense file on Aug. 11; pending a Senate floor vote.

AB 2680 (Arambula, D-Fresno)

Follow

AB 2680 would create the Community Health Navigator Program to make direct grants to community-based organizations to conduct targeted outreach, enrollment, retention, and access activities for Medi-Cal-eligible individuals and families. The bill would establish the framework for the program.

Passed off the Senate Appropriations Committee suspense file on Aug. 11; pending a Senate floor vote.

AB 2077 (Calderon, D-Whittier)

Support

AB 2077 would increase the individual monthly maintenance amount for personal and incidental needs from $35 to $80 in the Program of All-Inclusive Care for the Elderly organization.

In the Assembly

ACA 11 (Kalra, D-San Jose)

Oppose

ACA 11 would impose an excise tax, payroll taxes, and a state personal income tax at specified rates to create the CALCare fund, which will support comprehensive universal single-payer health care coverage. The fund will also support a health care cost control system for the benefit of every resident of the state, as well as reserves deemed necessary to ensure payment, to be established in statute. The measure would authorize the Legislature to increase these tax rates by a statute passed by majority vote of both houses of the Legislature.

Passed

Signed by the governor on July 19.

AB 1394 (Irwin, D-Thousand Oaks)

Support

AB 1394 requires general acute care hospitals to have policies and procedures in place for screening patients ages 12 years and older for suicide risk. CHA is pleased the author accepted our requested amendments, which moved the age from 8 years old to 12 years old and reference the existing guidance on suicide risk published by The Joint Commission.

Not Passed

Held on the Assembly Appropriations Committee suspense file on Aug. 11.

SB 1154 (Eggman, D-Stockton)

Support if Amended

SB 1154 would have required the California Department of Public Health to develop, by Jan. 1, 2024, a real-time, internet-based database to collect, aggregate, and display information about available beds to treat those in mental health or substance use disorder crisis. It would also have required the database to include a minimum of specific information, including the contact information for a facility’s designated employee, and have the capacity to, among other things, enable searches to identify beds that are appropriate for the treatment of individuals in a mental health or substance use disorder crisis.

SB 516 will not proceed this year.

SB 516 (Eggman, D-Stockton)

Oppose

SB 516 would have allowed information about the medical status of a person with mental illness to be considered by the officer presiding over a 14-day involuntary psychiatric hold certification hearing. While CHA supports the goal of meeting the primary care and mental health needs of all Californians, we believe the bill is unnecessary and could be counterproductive. Psychiatric inpatient hospitals and physicians working in those hospitals do not always have ready access to current or previous information related to a patient’s physical health conditions. Further, accessing these records and coordinating with the appropriate physicians takes time and is unlikely to be accomplished within the time frame for the courts. The Psychiatric Physicians Alliance of California is the sponsor of the bill.

Pending

Passed off the Assembly Appropriations Committee suspense file on Aug. 11; pending an Assembly floor vote.

SB 1338 Umberg (D-Santa Ana) and Eggman (D-Stockton)

Support

SB 1338 is the legislative vehicle to establish Governor Newsom’s proposed Community Assistance, Recovery, and Empowerment (CARE) Court program. A variety of individuals and agencies would be authorized to file a petition to begin CARE Court proceedings for an individual who may be eligible for the program (i.e., over age 18, diagnosis of schizophrenia spectrum or other psychotic disorder, not currently stabilized in ongoing voluntary treatment, unlikely to survive safely in the community and condition is substantially deteriorating). County behavioral health departments would develop treatment and housing plans for eligible participants that would be supervised by the civil courts and established in consultation with the participants, their counsel, and a trained supporter. Individuals’ participation in the program would be voluntary and would last a maximum of two years. SB 1338 would permit a court to fine a county up to $1,000 per day for noncompliance with providing CARE services to program participants, as well as to appoint a receiver to secure court-ordered care for participants, at the county’s cost. CHA is requesting amendments to clearly require reimbursement for hospital services provided to individuals referred to CARE Court.

Passed off the Senate Appropriations Committee suspense file on Aug. 11; pending a Senate floor vote.

AB 2275 (Wood, D-Santa Rosa)

Neutral as Amended

This bill specifies that the 72 hours of detention under a 5150 involuntary hold begins at the time the person is first detained. It would require that a certification review hearing be held within seven days of the date on which a person was initially detained and for contact to be made with the patients’ rights advocate if a person has not been released from a 5150 within 72 hours.

Passed off the Senate Appropriations Committee suspense file on Aug. 11; pending a Senate floor vote.

AB 2242 (Santiago, D-Los Angeles)

Support

Among other provisions, AB 2242 would require individuals released from an involuntary psychiatric hold to receive care coordination plans and follow up engagement for voluntary outpatient services. The bill also requires the Department of Health Care Services to collect and publish specified information about involuntary psychiatric holds in each county.

Pending an Assembly floor vote.

SB 749 (Glazer, D-Orinda)

Support

SB 749 is a transparency measure that would require the Mental Health Services Oversight and Accountability Commission, in consultation with state and local mental health authorities and upon appropriation by the Legislature, to create a comprehensive tracking program for county spending on mental and behavioral health programs and services, including funding sources, funding utilization, and outcome data at the program, service, and statewide levels.

Passed

Behavioral Health Investments

Support

The budget agreement includes $1.5 billion for bridge housing for individuals with serious mental illness who are experiencing homelessness. It also includes funding to implement CARE Court, which is contingent upon a final agreement on its authorizing legislation.

Medi-Cal for All

Support

The budget agreement approves the expansion of comprehensive Medi-Cal coverage to Californians ages 26-49, regardless of immigration status, starting no later than Jan. 1, 2024. With this change, all undocumented residents otherwise eligible for Medi-Cal will be eligible for comprehensive coverage.

Hospital and Nursing Facility Worker Retention Payments

Support

In May, Gov. Newsom proposed that the state allocate $933 million to provide hospital and nursing facility workers with retention payments. While the initial language created implementation and administration questions, CHA has worked closely with the administration and organized labor to resolve those issues. The budget plan, expected to be signed by the governor, includes $1.077 billion in funding that would provide a base payment of $1000 for full time employees, $750 for part time employees and $1000 for physicians who work in hospitals. Additionally, the state will match, up to $500 any optional bonus or COVID-19 related payments paid by covered entities from Dec. 1, 2021 through Dec. 31, 2022.

Community Health Workers (Department of Health Care Access and Information)

Support

The final budget includes investment for the development and implementation of the Workforce for a Healthy California for All Program, which, among other things would assist to recruit, train, and certify 25,000 new community health workers by 2025, in partnership with the Department of Health Care Access and Information and the Department of Health Care Services.

Supporting the Care Economy

Support

To address California’s acute shortage of health care professionals, the state budget plan increases investments in workforce development for behavioral health, public health, primary care, clinic, and reproductive health. CHA advocated for these supports last fall and is pleased to see them included in the final budget.

Office of Health Care Affordability

The 2022-23 budget agreement approved by the Legislature and expected to be signed by the governor establishes the Office of Health Care Affordability and authorizes funding for the Department of Health Care Access and Information to set up the office. The office will oversee health care cost growth in California through public reporting and by setting and enforcing cost-growth targets statewide, for individual health care sectors and geographic regions, and potentially for individual health care entities. In addition, the office will prospectively review market transactions that include investor-owned health care providers. It will also measure and promote investments in primary care and behavioral health, the adoption of alternative payment methodologies, workforce stability, and performance by health care providers and payers on a standard set of equity and quality measurements. Review indicates that the final language addresses many of our key framework concerns, and we will continue to engage on this issue as the office is established.

Not Passed

GME Program

Support

To help address the state’s dire health care workforce shortage, CHA has proposed that the state expand the Medi-Cal graduate medical education (GME) program to include all eligible hospitals, not just the designated public hospitals, and invest ongoing state general funds to support Medi-Cal GME. See CHA Alert for letter templates.

Medi-Cal Program

Support

CHA is requesting equitable access to care for Medi-Cal beneficiaries. Systemic underfunding means that those who care for Medi-Cal patients are reimbursed just 74 cents on the dollar for the cost of care. This results in fewer resources for care in California’s most vulnerable communities. We will never make progress toward health equity in our state if Medi-Cal continues to underfund care for those with the greatest needs. CHA proposes that the state replace the policy that froze hospital APR-DRG rates at 2012-13 levels; create new, annual payment adjustments to account for the social and environmental challenges patients may be experiencing; and convert public hospitals’ Medi-Cal fee-for-service inpatient reimbursement to a value-based structure that includes state general fund support. See CHA alert for letter templates.

Pending

Community Benefits Requirements

Oppose

The governor’s budget proposed requiring hospitals that provide community benefits to dedicate 25% to community-based organizations for activities to address the social determinants of health (SDOH). The budget agreement rejected this proposal, although CHA continues to monitor in the event it reappears in possible budget trailer bills in August.

Passed

Governor Newsom signed AB 35 on May 23.

AB 35 Reyes (D-Grand Terrace)

Support

Stakeholders have reached a legislative compromise to adjust the Medical Injury Compensation Reform Act’s cap on non-economic damages, which is currently limited to $250,000. AB 35 is the vehicle that will implement the compromise, thus avoiding an expensive ballot battle heading into November. This new law will increase the existing limit to $350,000 for non-death cases and $500,000 for wrongful death cases on the effective date January 1, 2023, followed by incremental increases over 10 years to $750,000 for non-death cases and $1,000,000 for wrongful death cases, after which a 2% annual inflationary adjustment will apply. In addition, the proposal will also create three separate categories of caps that could apply, depending on the facts of each case. A health care provider or health care institution can only be held liable for damages under one category, regardless of how the categories are applied or combined.

Pending

Passed off the Assembly Appropriations Committee suspense file on Aug. 11; pending an Assembly floor vote.

SB 260 (Wiener, D-San Francisco)

Follow - Hot

SB 260 would require any business or corporation with more than $1 billion in total annual revenues that do business in California to publicly disclose their Scope 1, Scope 2, and Scope 3 greenhouse gas emissions annually to an emissions registry beginning in 2025.

Pending

Passed off the Assembly Appropriations Committee suspense file on Aug. 11; pending an Assembly floor vote.

SB 1139 (Kamlager, D-Los Angeles)

Follow

SB 1139 would require the California Department of Corrections and Rehabilitation to make emergency phone calls available from hospitalized incarcerated individuals to people on their approved visitor list, including their medical power of attorney and next of kin.

Not Passed

SB 958 will not proceed this year.

SB 958 (Limón, D-Goleta and Portantino, D-La Cañada Flintridge)

Cosponsor

SB 958 would have prevented health plans from refusing to cover infused and injected medications that the health care provider has in stock, if required for patient safety or medication integrity.The bill will not be moving forward this year. However, we will continue to explore options for ensuring that our patients who need infused and injectable medications have access to timely, safe, and high-quality care.

Not Passed

AB 2080 will not proceed this year.

AB 2080 (Wood, D-Santa Rosa)

Oppose Through Coalition

AB 2080 would have created the Health Care Consolidation and Contracting Fairness Act of 2022, pertaining to contracts issued, amended, or renewed on or after Jan. 1, 2023, between a health plan or insurer and a health care provider or facility. It would have prohibited these contracts from containing terms that — among other things — restrict the payer from steering patients to other providers or facilities, or that require the payer to contract with other affiliated providers or facilities. AB 2080 also would have created additional attorney general oversight for transactions undertaken by investor-owned hospitals, county and district hospitals, skilled-nursing facilities, medical groups, payers, and pharmacy benefit managers. The bill also would have expanded the Department of Managed Health Care’s authority over health plan mergers and acquisitions.

Pending

Proposed Health Care Minimum Wage and Seismic Reform

CHA — at the direction of its Board of Trustees — and Service Employees International Union are together advancing a proposal to create long-term stability and predictability for hospitals and a path toward higher wages for California’s health care workforce. This proposal includes CHA’s long-sought seismic reforms to refocus the 2030 seismic standards on emergency services while providing a seven-year extension to meet those standards. CHA issued an alert on Aug. 12 asking members to support the proposal by calling their legislators by Aug. 19 and/or making in-person visits to talk with them at the Capitol between Aug. 15 and Aug. 26.

Passed off the Assembly Appropriations Committee suspense file on Aug. 11; pending an Assembly floor vote.

SB 1162 (Limón, D-Santa Barbara)

Oppose Through Coalition

SB 1162 would require private employers with more than 100 employees to submit a pay data report to the California Department of Fair Employment and Housing, including employers with more than 100 employees hired through a labor contractor. Amendments delay each implementation year in the bill by one year, and require employers to furnish the pay scale for an employee’s position upon their request and include the pay scale in any job posting for employers with 15 or more employees. The amendments also delete the requirement in the bill for employers to first notify current employees five days in advance of internal job openings and the jobs’ respective pay scales.

Passed off the Senate Appropriations Committee suspense file on Aug. 11; pending a Senate floor vote.

AB 2188 (Quirk, D-Hayward)

Follow - Hot

AB 2188 would prohibit employers from discriminating against employees or job applicants for using cannabis off the job and away from work, including the discovery of nonpsychoactive cannabis metabolites in their urine, hair, or bodily fluids.

On Senate Inactive File

AB 858 (Jones-Sawyer, D-Los Angeles)

Oppose

AB 858 would allow direct patient care hospital workers to override health information technology and clinical practice guidelines and prohibits hospitals from retaliating against workers who override these clinical practice guidelines, creating liability under the Private Attorneys General Act for violations of these provisions.

Passed off the Assembly Appropriations Committee suspense file on Aug. 11; pending an Assembly floor vote.

SB 1334 (Bradford, D-Gardena)

Neutral

SB 1334 would extend existing meal and rest period requirements — and liability under the Private Attorneys General Act for failing to provide meal and rest periods — to public sector health care workers. The bill exempts employers and employees covered under a collective bargaining agreement.

Passed off the Assembly Appropriations Committee suspense file on Aug. 11; pending an Assembly floor vote.

SB 1044 (Durazo, D-Los Angeles)

Neutral as Amended

During a state or local emergency, SB 1044 would prohibit employers from taking or threatening any adverse action against employees for not reporting to or leaving work and would prohibit employers from not allowing employees to access or use their phones during the emergency. With amendments exempting hospital workers, CHA is neutral.

Passed off the Assembly Appropriations Committee suspense file on Aug. 11; pending an Assembly floor vote.

SB 931 (Leyva, D-San Bernardino)

Oppose Unless Amended

SB 931 would authorize labor unions to bring claims to the Public Employment Relations Board against a public employer for allegations that they are deterring union membership. It would subject employers to civil penalties up to $1,000 per violation per affected employee and up to $100,000 in total.

Pending

Passed Assembly Appropriations Committee on Aug. 3; pending an Assembly floor vote.

SB 979 (Dodd, D-Napa)

Sponsor

SB 979 would streamline the process for critical state agencies to respond and support the health care delivery system when the governor or the state public health officer declares a state of emergency.

Pending

Passed Assembly Appropriations Committee on Aug. 3; pending an Assembly floor vote.

SB 1375 (Atkins, D-San Diego)

Support

SB 1375 would require a nurse practitioner (NP) who has been practicing a minimum of three full-time equivalent years or 4,600 hours as of January 1, 2023, to satisfy the transition to practice requirement. The bill would authorize clinical experience to include experience obtained before January 1, 2023, and would permit that experience to be counted toward the three full-time equivalent years or 4,600 hours. This bill also clarifies when an NP may not perform an abortion. 

Pending

Passed off the Senate Appropriations Committee suspense file on Aug. 11; pending a Senate floor vote.

AB 2185 (Weber, D-San Diego)

Neutral as Amended

AB 2185 would require that victims of domestic violence be allowed to have a social worker, victim advocate, or support person present — if available — during a forensic medical examination. The bill would also make changes to the forensic exam documentation forms and require facilities conducting forensic exams to develop policies and procedures to maintain the confidentiality of forensic exam reports. In addition, the bill would require costs associated with the forensic exam to be separate from costs for treatment for injuries, and costs for the forensic exam not be charged to the victim. Costs associated with medical exams would be reimbursed through the California Office of Emergency Services, which will establish a flat reimbursement rate that must be “fair and reasonable.”

Not Passed

Held on the Assembly Appropriations Committee suspense file on Aug. 11.

SB 1339 (Pan, D-Sacramento)

Support if Amended

SB 1339 would have required hospitals with structural performance category 2 buildings to provide the location of each service in that building. In addition, hospitals would have needed to provide a cost estimate for meeting the 2030 requirement to the Department of Health Care Access and Information. The department would then have provided the Legislature with an assessment of the total projected costs for hospitals to meet the 2030 seismic requirements.

Pending

Proposed Health Care Minimum Wage and Seismic Reform

CHA — at the direction of its Board of Trustees — and Service Employees International Union are together advancing a proposal to create long-term stability and predictability for hospitals and a path toward higher wages for California’s health care workforce. This proposal includes CHA’s long-sought seismic reforms to refocus the 2030 seismic standards on emergency services while providing a seven-year extension to meet those standards. CHA issued an alert on Aug. 12 asking members to support the proposal by calling their legislators by Aug. 19 and/or making in-person visits to talk with them at the Capitol between Aug. 15 and Aug. 26.

Passed Senate Appropriations Committee on June 27; pending a Senate floor vote.

AB 1882 (R. Rivas, D-Hollister)

Neutral as Amended

AB 1882 would require hospitals to report to their local governments the seismic rating of their hospital buildings and progress toward meeting the 2030 seismic requirements. CHA had concerns about some of the reporting requirements in the bill. Amendments were secured to address these concerns.

Passed

Signed by the governor on July 19.

AB 2148 (Calderon, D-Whittier)

Support Through Coalition

AB 2148 extends existing law that gives employers authorization to deposit indemnity workers’ compensation payments in a prepaid card account until January 1, 2024.

Not Passed

Failed to pass Assembly Insurance Committee on June 22 and will not proceed this year.

SB 213 (Cortese, D-Silicon Valley)

Oppose

SB 213 would have created a rebuttable presumption in the workers’ compensation system that an infectious disease, respiratory disease, cancer, PTSD, musculoskeletal injury, or respiratory disease arose out of work for any hospital direct patient care worker.

Pending

Passed off the Senate Appropriations Committee suspense file on Aug. 11; pending a Senate floor vote.

AB 1681 (Daly, D-Anaheim)

Follow

AB 1681 would allow the district attorney to meet with insurance companies and self-insured employers to discuss suspected insurance fraud.

Passed off the Senate Appropriations Committee suspense file on Aug. 11; pending a Senate floor vote.

AB 1751 (Daly, D-Anaheim)

Oppose Unless Amended

AB 1751 would extend until January 1, 2025, the sunset date for the workers’ compensation presumption for COVID-19 that was signed by the governor in 2020.

Passed off the Assembly Appropriations Committee suspense file on Aug. 11; pending an Assembly floor vote.

SB 1127 (Atkins, D-San Diego)

Oppose Through Coalition

SB 1127 would shorten the time frame — from 90 to 75 days after knowledge of an injury — for employers to reject a workers’ compensation claim. Amendments also reduce the previous penalties in the bill from a cap of $100,000 to a cap of $50,000 for delays caused by unreasonably rejected claims.