Bill Tracker

Legislature: Action this week was predominantly in the Appropriations committees and the budget subcommittees. Now that activity has wrapped up in those committees, May 23-27 will be floor sessions only, and May 27 is the deadline for bills to pass their houses of origin. The budget bill must be passed by June 15 to meet the constitutionally mandated deadline. CHA supports a number of proposals that benefit hospitals and health care workers and opposes others that would create challenges.

Pending

Passed off the Assembly Appropriations Committee Suspense File; May 19.

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 Assembly Appropriations Committee Suspense File May 19.

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 Assembly Appropriations Committee May 19.

AB 1995 (Arambula, D-Fresno)

Follow

AB 1995 would eliminate 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. 

In Senate Health Committee

AB 1214 (Waldron, R-Escondido)

Support

AB 1214 would make 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.

In Senate Health Committee

AB 1130 (Wood, D-Santa Rosa)

Oppose Unless Amended

AB 1130 would establish, within the Department of Health Care Access and Information, an Office of Health Care Affordability. The office would analyze the health care market for cost trends and drivers, develop policies for lowering health care spending costs for consumers, set and enforce cost targets, and create a state strategy for controlling the cost of health care and ensuring affordability for consumers and purchasers. The governor has also included this issue in his 2022-23 budget proposal. The governor has released budget trailer bill language. CHA is currently reviewing the language. 

Not Passed

AB 2291 will not proceed.

AB 2291 (Muratsuchi, D-Torrance)

Oppose Unless Amended

AB 2291 would require facilities to obtain and keep emergency contact information for patients on a 72-hour hold. It would also require facilities to develop continuity of care plans for patients on a hold and require the facility to make the continuity plan available to the patient’s emergency contact (as authorized in accordance with state and federal medical information privacy laws).

Pending

Passed off the Senate Appropriations Committee Suspense File May 19.

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

Support

The governor’s budget includes a proposal to require hospitals that provide community benefits to dedicate 25% to community-based organizations for activities to address the social determinants of health (SDOH). Revised trailer bill language was recently released. While hospitals have dedicated millions in resources to addressing health care and many of the SDOH, mandating a percentage requirement limits the flexibility of hospitals to meet the needs of their communities and circumvents the community health needs assessment process. See CHA’s Alert (deadline extended to May 13) for a template letter and key messages for use in discussions about the proposal.

Letter to Senate Health

Letter to Senate Judiciary

Passed off the Senate Appropriations Committee Suspense File May 19.

SB 1154 (Eggman, D-Stockton)

Follow - Hot

SB 1154 would require the California Department of Public Health to develop, by January 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 require 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.

Passed off the Assembly Appropriations Committee Suspense File May 19.

AB 2275 (Wood, D-Santa Rosa)

Follow - Hot

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 when a person is certified for intensive treatment or has been placed on a sequence of detentions under 5150, while awaiting placement at a facility, a certification review hearing be held within seven days of the date on which the person was initially detained under the 5150. It would also require the Department of Health Care Services to collect and publish by May 1 of each year information concerning the operation of the Lanterman-Petris-Short Act system from the previous year, and specifies additional information to be collected and reported.

Passed off the Assembly Appropriations Committee Suspense File May 19.

AB 2242 (Santiago, D-Los Angeles)

Oppose Unless Amended

Among other provisions, AB 2242 would prohibit counties from discharging individuals from involuntary psychiatric holds until a first follow-up appointment is scheduled. This bill would also place the responsibility on the service provider to follow up with the individual and requires the Department of Health Care Services to collect (and counties to report) demographic data in addition to Lanterman-Petris-Short Act numbers.

Passed off the Assembly Appropriations Committee Suspense File May 19.

AB 1627 (Ramos, D-Highland)

Follow

AB 1627 would require the California Department of Public Health to award funding to county behavioral health departments to provide free naloxone to trained individuals, as well as to local law enforcement agencies to establish overdose response teams.

On Assembly Inactive File

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.

In Assembly Health Committee

SB 516 (Eggman, D-Stockton)

Oppose

SB 516 would allow 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.

Held in committee

AB 1635 (Nguyen, R-Huntington Beach)

Support

AB 1635 would provide grant funding to help mental health practitioners repay their educational loans for committing to provide direct patient care for two years in a facility where patients are referred by a suicide prevention hotline. 

In Senate Health Committee

AB 1394 (Irwin, D-Thousand Oaks)

Support if Amended

AB 1394 would require general acute care hospitals to have policies and procedures to screen patients 8 years and older for suicide risk. CHA is working with the author on amendments to ensure medical staff have appropriate flexibility and discretion to screen without a “one-size-fits-all” approach.

Pending

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.

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

Support

The governor’s proposal would allocate $350 million 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.

Timely Access for Behavioral Health Services

Support

The governor has dedicated additional resources to ensure health plans meet timeliness standards for mental health and substance use disorder follow-up appointments. CHA supports the focus on these standards and the additional supports for the Department of Managed Health Care to ensure these standards are met by health plans.

Supporting the Care Economy

Support

The governor has included almost $2 billion in workforce training and supports for health care providers to recruit and retain workers across hospital and health care settings. CHA advocated for these supports last fall and is pleased to see them included in the governor’s budget. During a recent hearing, the Department of Health Care Access and Information clarified these funds will be used to expand existing programs.  

Community Benefits Requirements

Oppose

Community Benefits Requirements: The governor’s budget includes a proposal to require hospitals that provide community benefits to dedicate 25% to community-based organizations for activities to address the social determinants of health (SDOH). Revised trailer bill language was recently released. While hospitals have dedicated millions in resources to addressing health care and many of the SDOH, mandating a percentage requirement limits the flexibility of hospitals to meet the needs of their communities and circumvents the community health needs assessment process. See CHA’s Alert for a template letter and key messages for use in discussions about the proposal.

Office of Health Care Affordability

Oppose Unless Amended

The Office of Health Care Affordability (OHCA) would establish a state-determined growth target for health care providers. The issue is part of the budget discussions, as the governor has included OHCA in his 2022-23 proposed budget. The language detailing this concept has been released. Early review indicates the language addresses many of our key framework concerns; however, we will continue to advocate to ensure all providers and payers are included in the target, as well as target definitions and enforcement concerns are considered. AB 1130 (Wood, D-Santa Rosa) includes the same language and is actively moving through the process.

Pending

Passed the Senate on May 5, and the Assembly concurred in the Senate amendments on May 12. The governor is scheduled to sign the bill into law on May 23 during a ceremony to commemorate this monumental effort.

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 would implement the compromise, thus avoiding an expensive ballot battle heading into November. This new law would 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 would apply. In addition, the proposal would 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

In the Assembly Natural Resources Committee

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 the Secretary of State beginning January 1, 2024.

Pending

Passed off the Senate Appropriations Committee Suspense File May 19.

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.

Pending

Passed off the Assembly Appropriations Committee Suspense File May 19.

AB 1721 (Rodriguez, D-Pomona)

Support Through Coalition

AB 1721 would establish the Emergency Medical Services Mutual Aid Program, to be administered by the Governor’s Office of Emergency Services (Cal OES), to support local government efforts in responding to surges in demand for emergency medical services and provide effective mutual aid during disasters. The bill would require Cal OES to provide noncompetitive grant funding to local governments, special districts, and tribes for the purpose of acquiring specified emergency medical services.

Pending

Passed off the Senate Appropriations Committee Suspense File May 19.

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

Sponsor

SB 958 would prevent 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.

Not Passed

AB 2461 will not proceed.

AB 2461 (Rodriguez, D-Pomona)

Support if Amended

AB 2461 would require general acute care hospitals and acute psychiatric hospitals to report to law enforcement, within five business days after a patient’s admission, if the hospital does not know the identity of a patient and, due to a medical or psychiatric condition, the patient is unable to identify themselves and an emergency contact.

Pending

Passed off the Assembly Appropriations Committee Suspense File May 19.

AB 2080 (Wood, D-Santa Rosa)

Oppose Through Coalition

AB 2080 would create the Health Care Consolidation and Contracting Fairness Act of 2022, pertaining to contracts issued, amended, or renewed on or after January 1, 2023, between a health plan or insurer and a health care provider or facility. It would prohibit 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 would also create additional attorney general oversight for transactions undertaken by investor-owned hospitals, medical groups, payers, and pharmacy benefit managers. The bill would also expand the Department of Managed Health Care’s authority over health plan mergers and acquisitions.

Not Passed

SB 1212 will not proceed.

SB 1212 (Caballero, D-Salinas)

Sponsor

This CHA-sponsored legislation would prevent the price gouging of staffing services provided to hospitals by staffing agencies during a declared state of emergency. It also would require staffing agencies to disclose personnel information to the hospital, such as the hourly rate being paid to workers.

AB 1993 will not proceed.

AB 1993 (Wicks, D-Oakland)

Neutral as Amended

AB 1993 would require employees or independent contractors to provide their employers with proof that they are vaccinated against COVID-19 or have a bonafide religious or medical exemption that prevents them from being vaccinated. Employers would be required to ensure employees are in compliance with the law and would be subject to unspecified penalties for being in violation.

Pending

Passed off the Senate Appropriations Committee Suspense File May 19.

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.

Passed off the Assembly Appropriations Committee Suspense File May 19.

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 Assembly Appropriations Committee Suspense File. Held in committee

AB 2095 (Kalra, D-San Jose)

Oppose Through Coalition

AB 2095 would require employers with 1,000 or more employees to annually report a series of personnel and wage data points to the Labor and Workforce Development Agency, which would be required to use the data in developing a high road certification program for employers.

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 Senate Appropriations Committee Suspense File May 19.

SB 1334 (Bradford, D-Gardena)

Oppose Unless Amended

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 Senate Appropriations Committee Suspense File May 19.

SB 1044 (Durazo, D-Los Angeles)

Oppose Through Coalition

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.

Passed off the Senate Appropriations Committee Suspense File May 19.

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.

Not Passed

AB 2092 will not proceed.

AB 2092 (Weber, D-San Diego)

Cosponsor

AB 2092 would have provided for the implementation of hospital-based acute hospital care at home (AHCaH) as defined by the Centers for Medicare & Medicaid Services (CMS), with oversight by the California Department of Public Health (CDPH). This bill was not heard by the Assembly Health Committee, and will not proceed this year.

Pending

Passed the Senate Appropriations Committee; to be voted on by full Senate.

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 off the Senate Appropriations Committee Suspense File May 19.

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 Assembly Appropriations Committee Suspense File May 19.

AB 2185 (Weber, D-San Diego)

Oppose Unless Amended

AB 2185 would require that victims of domestic violence have access to forensic examinations free of charge and that sexual assault response teams be reimbursed. The bill provides that the exams be kept confidential and not as part of the medical record.

Pending

Passed off the Senate Appropriations Committee Suspense File May 19.

SB 1339 (Pan, D-Sacramento)

Support if Amended

SB 1339 would require hospitals with SPC 2 buildings to provide the location of each service in those buildings. It would also require the Department of Health Care Access and Information to provide the Legislature with an assessment of projected costs to retrofit each hospital building in order to meet the 2030 seismic requirements.

Passed the Assembly, pending a policy committee assignment in the Senate.

AB 1882 (R. Rivas, D-Hollister)

Oppose Unless Amended

AB 1882 would require hospitals to report to their local governments the seismic rating of their hospital buildings and progress towards meeting the 2030 seismic requirements. The bill would also require all hospitals to post the status of their SPC 2 buildings in their hospitals, labeling them as an “Evacuation Risk.” CHA opposes this new title for hospital buildings, as well as other provisions in the bill. 

Pending

Passed the Assembly; pending a policy committee assignment in the Senate.

AB 2148 (Calderon, D-Whittier)

Support Through Coalition

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

Passed off the Assembly Appropriations Committee Suspense File May 19.

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 Assembly Appropriations Committee Suspense File May 19.

AB 1751 (Daly, D-Anaheim)

Follow - Hot

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 Senate Appropriations Committee Suspense File May 19.

SB 1127 (Atkins, D-San Diego)

Oppose Through Coalition

SB 1127 would shorten the time frame — from 90 to 60 days after knowledge of an injury — for employers to reject a workers’ compensation claim.

In the Assembly Insurance Committee

SB 213 (Cortese, D-Silicon Valley)

Oppose

SB 213 would create 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.