Bill Tracker

The Legislature reconvened on January 11 for the beginning of a new two-year session. Over 2,500 bills were introduced to meet the February 19 deadline, with hundreds that are of interest to hospitals. CHA continues to analyze legislation and will identify priorities prior to policy committees meeting in earnest throughout April. This page will be updated with legislation of particular interest to hospitals weekly.

Pending

In Assembly

AB 1400 (Kalra, D-San Jose)

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Also known as the California Guaranteed Health Care for All Act, or CalCare, AB 1400 would create a comprehensive universal single-payer health care coverage program in California. It would cover a wide range of medical benefits and services and require a governing board to seek all waivers necessary and allow existing federal health care payments to be paid to CalCare. Sponsored by the California Nurses Association. 

Passed Assembly Health Committee April 6

AB 1130 (Wood, D-Santa Rosa)

Oppose Unless Amended

AB 1130 would establish, within the Office of Statewide Health Planning and Development (OSHPD), 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. Also released by the administration on Feb. 18 was budget trailer bill language, similar to AB 1130, that would establish an Office of Health Care Affordability within OSHPD.

Pending

Passed Assembly Health Committee April 6

AB 1331 (Irwin, D-Thousand Oaks)

Cosponsor

AB 1331 would establish, under the Department of Health Care Services, a full-time statewide director of crisis services. The director would be responsible for various tasks, including coordinating behavioral health programs and services statewide, to ensure continuity of services and access points and to enhance cross-agency information exchange and resource sharing. CHA is cosponsoring this bill with NAMI California.

Pending

To be heard in Senate Health Committee

SB 379 Wiener (D-San Francisco)

Oppose

SB 379 would prohibit the University of California (UC) from entering, amending, or renewing any contract with any health facility in which a UC health care practitioner or trainee providing care in the facility under that contract would be limited, due to policy-based restrictions on care, in their ability to provide patients with medical information or medical services.

Pending

To be heard in Assembly Health Committee April 20

AB 1020 (Friedman, D-Glendale)

Oppose Unless Amended

AB 1020, pertaining to charity care, would require that uninsured patients or patients with high medical costs who are at or below 400% of the federal poverty level be eligible for charity care or discount payments from a hospital. Furthermore, this bill would authorize a hospital to grant eligibility for charity care or discount payments to patients with incomes over 400% of the federal poverty level. The bill has been referred to the Assembly Health Committee. 

Pending

This bill will not be heard.

AB 1132 (Wood, D-Santa Rosa)

Oppose

AB 1132 would create the Health Care Consolidation and Contracting Fairness Act of 2021, pertaining to contracts issued, amended, or renewed on or after January 1, 2022, between a health care service plan or health insurer and a health care provider or health facility. It would prohibit these contracts from containing terms that — among other things — restrict the plan or insurer from steering an enrollee or insured to another provider or facility, or that require the plan or insurer to contract with other affiliated providers or facilities. AB 1132 would also create additional Attorney General oversight for the merger or acquisition of health plans and providers, including hospitals.

Pending

To be heard in Assembly Labor and Employment Committee April 22

AB 1105 (Rodriguez, D-Pomona)

Oppose

AB 1105 would require acute care hospitals to provide personal protective equipment to direct patient care employees or employees who directly support patient care, regardless of their vaccination status. It would also require acute care hospitals to develop and implement a weekly COVID-19 screening testing and notification program.

To be heard in Assembly Labor and Employment Committee April 22

AB 650 (Muratsuchi, D-Torrance)

Oppose

AB 650 would require hospitals, except state and county hospitals, and private health care employers with 100 or more employees to pay all of their health care workers who are non-managerial/supervisorial, a “hazard premium pay bonus” of $5 per hour for each hour worked, applied retroactively to Jan. 1, 2021, and through the termination of the state of emergency related to the pandemic. 

Pending

To be heard in Senate Health Committee April 14

SB 637 (Newman, D-Fullerton)

Oppose Unless Amended

SB 637 would require hospitals to report, during any health-related state of emergency, various information related to PPE, testing, and staffing to the California Department of Public Health (CDPH) on a daily basis. At other times, hospitals would be required to report that information to CDPH on a weekly basis. This information would be publicly posted by the department. This bill is sponsored by the California Nurses Association. 

Pending

To be heard in Assembly Health Committee April 20

AB 1162 (Villapudua, D-Stockton)

Sponsor

AB 1162 would clarify that the Department of Managed Health Care can require health plans to take certain actions during disasters, such as extending deadlines to file claims or suspending limitations on prescription refills. The bill would also codify fair and reasonable payment practices (require health plans to pay claims as soon as possible, within a maximum of 20 calendar days, unless the claim is contested or denied) and eliminate some administrative burdens in how health plans process claims payments to hospitals.

Pending

To be heard in Senate Appropriations Committee April 21

SB 371 (Caballero, D-Salinas)

Support

SB 371, sponsored by the California Medical Association, was amended with the goal of creating a health information exchange (HIE) “network of networks” that aligns with federal guidelines and builds upon the existing HIE infrastructure. In addition, the bill would re-establish the deputy secretary of health information technology position and seeks to modernize California’s public health infrastructure. CHA moved to a support position and anticipates that this conversation will continue to evolve.

Passed Assembly Health Committee April 6. To be heard in Assembly Appropriations Committee

AB 1131 (Wood, D-Santa Rosa)

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AB 1131 would create a statewide health information exchange. Substantive amendments to this bill are still pending. CHA will continue to work with the author to help shape the conversation about sharing and exchanging health information.

Pending

To be heard in Assembly Health Committee

AB 705 (Kamlager, D-Los Angeles)

Oppose

AB 705 would prohibit health facilities from requiring a doctor to comply with policies or criteria, which are not explicitly ratified or promulgated by the medical staff, that directly or indirectly prohibit or restrict the doctor from providing a particular medical treatment or service that falls within the scope of the doctor’s privileges. For nonprofit transactions subject to Attorney General review, this bill would also add to the factors that may be considered by the Attorney General in determining whether to consent to the transaction and whether it would create a reduction or limitation in the availability of the full range of health care services, including reproductive and end-of-life care, to any group of individuals based on their membership in a protected class.

Pending

To be heard in Assembly Health Committee April 20

AB 1422 (Gabriel, D-Woodland Hills)

Oppose Unless Amended

AB 1422 would authorize the California Department of Public Health (CDPH) to grant a hospital’s program flexibility request relating to nurse-to-patient ratios, but only after CDPH completes a process that includes, among other things, a 40-day public comment period. Hospitals would be required to submit to CDPH, and make publicly available, supporting evidence that includes documentation establishing the need for program flexibility and that the proposed alternative will not compromise patient care.

Pending

To be heard in Senate Appropriations Committee April 19

SB 213 (Cortese, D-Silicon Valley)

Oppose as Amended

SB 213 would define “injury” for a hospital employee who provides direct patient care in an acute care hospital to include infectious diseases, cancer, musculoskeletal injuries, post-traumatic stress disorder, respiratory diseases, and now COVID-19. The bill would also create rebuttable presumptions that these injuries that develop or manifest in hospital employees arose out of and in the course of employment and would extend the presumptions for specified time periods after the hospital employee’s termination of employment.