Overview

Summer recess began on July 4, and session reconvenes on Aug. 5. Appropriations committees must finish their work by Aug. 16, and the 2023-24 legislative session ends on Aug. 31. The governor has until Sept. 30 to sign or veto bills.

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Aging and Disability 1

Not Passed
AB 2800 (Kalra, D-San Jose)
Oppose
Failed to pass the Assembly Aging and Long-Term Care Committee by the April 26 deadline.

AB 2800 would have expanded the definition of “neglect” — significantly increasing the types of conduct that constitute elder abuse — and lowered the evidentiary standard for determining elder abuse. The bill would have resulted in an increase in elder abuse claims, which are not subject to the Medical Injury Compensation Reform Act (commonly known as MICRA), and would have resulted in increased liability costs and potential impact on patient access. 

Vanessa Gonzalez

Job title:
VP State Advocacy
Phone number:
916-552-7670

Pat Blaisdell

Job title:
VP Policy
Phone number:
916-552-7553

Bioethical Issues 1

Not Passed
SB 1196 (Blakespear, D-Encinitas)
Follow
Failed to pass the Senate Health Committee by the April 26 deadline.

SB 1196 would have altered provisions of the End of Life Option Act, including replacing the term “terminal disease” for the purposes of an individual qualifying to use the act with “grievous and irremediable medical condition.” This replacement term would have included dementia if the individual meets specified capacity requirements. The bill would have authorized the self-administration of an aid-in-dying drug through intravenous injection and would have also repealed the act’s Jan. 1, 2031, expiration date. The provision allowing hospitals to prohibit their employees and health care providers from participating in physician-assisted death during work hours or on hospital property remains in statute and would not have been altered by this bill.

Vanessa Gonzalez

Job title:
VP State Advocacy
Phone number:
916-552-7670

Jackie Garman

Job title:
Vice President Legal Counsel
Phone number:
916-552-7636

Clinics 1

Pending
AB 2132 (Low, D-Cupertino)
Follow
Passed the Senate Judiciary Committee on July 2. Aug. 5 hearing in the Senate Appropriations Committee.

AB 2132 would require adult patients (18 years or older) who receive primary care services in settings where primary care services are provided — including a facility, clinic, center, or office — to be offered the tuberculosis (TB) risk assessment distributed by the Department of Public Health and TB screening test if TB risk factors are identified and if those services are covered under the patient’s health insurance. The bill contains specific exemptions where this requirement does not apply, including an exemption for emergency departments. AB 2132 would also require Medi-Cal managed care plans to comply with a Department of Health Care Services memorandum of understanding to local health departments related to TB follow-up care.

Vanessa Gonzalez

Job title:
VP State Advocacy
Phone number:
916-552-7670

Sheree Lowe

Job title:
VP Policy
Phone number:
916-552-7576

Community Benefit 2

Pending
AB 2297 (Friedman, D-Burbank)
Oppose Unless Amended
Passed the Senate Judiciary Committee on June 25. Aug. 5 hearing in the Senate Appropriations Committee.

AB 2297 would prohibit hospitals from considering patients’ monetary assets when determining eligibility for charity care or discount payments or imposing a time limit on eligibility.  

Vanessa Gonzalez

Job title:
VP State Advocacy
Phone number:
916-552-7670

Trina Gonzalez

Job title:
VP Policy
Phone number:
916-552-7543
Pending
SB 1061 (Limón, D-Santa Barbara)
Neutral
Passed the Assembly Banking and Finance Committee on July 1. To be heard in the Assembly Appropriations Committee.

SB 1061 would prohibit consumer credit reporting agencies from including medical debt in consumer credit reports and would also prohibit a health care provider from furnishing information regarding a medical debt to a consumer credit reporting agency. The bill also requires hospitals to maintain all documents related to an individual’s medical debt, including litigation documents.

Mark Farouk

Job title:
VP State Advocacy
Phone number:
916-552-7673

Trina Gonzalez

Job title:
VP Policy
Phone number:
916-552-7543

Emergency Services 4

Pending
AB 977 (Rodriguez, D-Pomona)
Co-sponsor
Placed on the Senate Appropriations Committee suspense file on July 1.

AB 977 would extend certain penalties for violence committed against first responders to all health care workers who provide services within emergency departments. The bill defines “health care worker” as all staff and employees who provide services and treatment in the emergency department. AB 977 would also allow emergency departments to post a notice stating that an assault and battery against hospital staff is a crime and may result in a felony conviction.

Vanessa Gonzalez

Job title:
VP State Advocacy
Phone number:
916-552-7670

Sheree Lowe

Job title:
VP Policy
Phone number:
916-552-7576
Not Passed
AB 2175 (Lowenthal, D-Long Beach)  
Oppose Unless Amended
Held on the Assembly Appropriations Committee suspense file on May 16.

AB 2175 would have required general acute care hospitals to annually report to the Department of Health Care Access and Information (HCAI) specified information, including all specialties listed on the hospital’s call panel, whether each specialty is available 24/7, and the telephone number to contact for interfacility transfers. HCAI would have been required to develop a searchable database accessible to hospital staff.  

Vanessa Gonzalez

Job title:
VP State Advocacy
Phone number:
916-552-7670

Sheree Lowe

Job title:
VP Policy
Phone number:
916-552-7576
Not Passed
AB 2960 (Lee, D-Milpitas)
Oppose Unless Amended
Held on the Assembly Appropriations Committee suspense file on May 16.

AB 2960 would have required primary care clinics and hospital emergency departments to, at least once a year, offer a syphilis test to all sexually active patients at least 15 years of age. 

Vanessa Gonzalez

Job title:
VP State Advocacy
Phone number:
916-552-7670

Sheree Lowe

Job title:
VP Policy
Phone number:
916-552-7576
Pending
SB 963 (Ashby, D-Sacramento)
Support
Passed the Assembly Judiciary Committee on June 25. To be heard in the Senate Appropriations Committee.

SB 963 would require general acute care hospitals with an emergency department (ED) to create a human trafficking system available at the ED that would allow patients to self-identify as a victim of human trafficking or domestic violence. CHA was successful in securing amendments that would limit hospital and staff liability for complying in good faith with the provisions of the law. 

Vanessa Gonzalez

Job title:
VP State Advocacy
Phone number:
916-552-7670

Sheree Lowe

Job title:
VP Policy
Phone number:
916-552-7576

Equity 3

Pending
AB 311 (Santiago, D-Los Angeles)
Support
Placed on the Senate Appropriations Committee suspense file on July 1.

AB 311 would ensure undocumented immigrants are eligible to receive food assistance benefits.

Vanessa Gonzalez

Job title:
VP State Advocacy
Phone number:
916-552-7670

Peggy Wheeler

Job title:
VP Policy
Phone number:
916-552-7689
Pending
AB 3161 (Bonta, D-Oakland)
Follow
Passed the Senate Judiciary Committee on July 2. Aug. 5 hearing in the Senate Appropriations Committee.

AB 3161 would require general acute care hospitals, acute psychiatric hospitals, and special hospitals, that report adverse events to provide the California Department of Public Health (CDPH) with additional patient demographic data including age, race, ethnicity, gender identity (if voluntarily provided by patient), sexual orientation (if voluntarily provided by patient), primary language spoken, disability status, and expected payer. The bill would also require hospitals to update their patient safety plans to include anonymous reporting options and a process for addressing racism and discrimination. Beginning Jan. 1, 2026, hospitals would be required to submit their patient safety plans to CDPH biannually, and the plans would be posted on CDPH’s website. The bill would authorize CDPH to impose a fine of up to $5,000 on health facilities that do not adopt, update, or submit patient safety plans. CHA will continue to work with the author’s office on further clarifying amendments.

Vanessa Gonzalez

Job title:
VP State Advocacy
Phone number:
916-552-7670

Lois Richardson

Job title:
Vice President Legal Counsel
Phone number:
916-552-7611
Pending
SB 37 (Caballero, D-Merced)
Support
Placed on the Assembly Appropriations Committee suspense file on July 2.

SB 37 would, upon appropriation of funding by the Legislature, require the Department of Housing and Community Development to begin developing the Older Adults and Adults with Disabilities Housing Stability Pilot Program to award competitive grants to eligible entities including nonprofit community-based organizations, continuums of care, public housing authorities, and area agencies on aging. Grant funds would provide housing subsidies to older adults and adults with disabilities whose households are experiencing homelessness or at risk of homelessness.

Vanessa Gonzalez

Job title:
VP State Advocacy
Phone number:
916-552-7670

Pat Blaisdell

Job title:
VP Policy
Phone number:
916-552-7553

Finance 5

Pending
AB 2098 (Garcia, D-Coachella)
Support
Passed the Senate Health Committee on June 26. Aug. 5 hearing in the Senate Appropriations Committee.

AB 2098 would extend repayment conditions for non-designated public hospitals with loans from the California Health Facilities Financing Authority Fund. 

Mark Farouk

Job title:
VP State Advocacy
Phone number:
916-552-7673

Ben McGowan

Job title:
Vice President Legal Counsel
Phone number:
916-552-7642
Pending
AB 2637 (Schiavo, D-Santa Clarita)
Support
Passed the Senate Health Committee on June 26. Aug. 5 hearing in the Senate Appropriations Committee.

AB 2637 would allow the California Health Facilities Financing Authority to issue long-term working capital financing by removing the limitation that loans be repaid within 24 months. The bill would also allow the authority to establish financial eligibility standards for working capital loans.

Mark Farouk

Job title:
VP State Advocacy
Phone number:
916-552-7673

Ben McGowan

Job title:
Vice President Legal Counsel
Phone number:
916-552-7642
Passed
SB 136 (Senate Committee on Budget and Fiscal Review)
Follow
Signed by the governor on March 25.

SB 136 authorizes changes to the managed care organization tax that will result in approximately $1.5 billion in new revenue to help the state maintain and improve the Medi-Cal program.

Mark Farouk

Job title:
VP State Advocacy
Phone number:
916-552-7673

Ben McGowan

Job title:
Vice President Legal Counsel
Phone number:
916-552-7642
Not Passed
SB 1269 (Padilla, D-El Centro)
Follow
Failed to pass the Senate Health Committee by the May 3 deadline.

SB 1269 would have established a definition for “safety net hospital” and stated the Legislature’s intent that policymakers use this definition when crafting policy related to these hospitals.

Mark Farouk

Job title:
VP State Advocacy
Phone number:
916-552-7673

Ben McGowan

Job title:
Vice President Legal Counsel
Phone number:
916-552-7642
Pending
SB 1511 (Senate Health Committee)
Support
Passed the Assembly Health Committee on June 25. To be heard in the Assembly Appropriations Committee.

SB 1511 would, among other things, extend the deadline for state agencies implementing the Distressed Hospital Loan Program to spend or encumber resources for administering the program from June 30, 2026, to Dec. 31, 2031, the last day the program is in effect under current law. This extension would ensure the state agencies have the resources to perform essential workload through the life of the program.

Mark Farouk

Job title:
VP State Advocacy
Phone number:
916-552-7673

Ben Johnson

Job title:
VP Policy
Phone number:
916-552-7620

Government Payers 9

Not Passed
AB 1783 (Essayli, R-Corona)
Oppose
Failed to pass an Assembly policy committee by the May 3 deadline.

AB 1783 states the Legislature’s intent to remove all taxpayer funding for health care for undocumented individuals.

Mark Farouk

Job title:
VP State Advocacy
Phone number:
916-552-7673

Ben Johnson

Job title:
VP Policy
Phone number:
916-552-7620
Not Passed
AB 2200 (Kalra, D-San Jose)
Oppose Through Coalition
Held on the Assembly Appropriations Committee suspense file on May 16.

AB 2200 would have created the California Guaranteed Health Care for All Program (CalCare) to establish comprehensive, universal single-payer health care coverage. The bill would have established a board that would obtain all necessary waivers, approvals, and agreements allowing existing federal health care payments to be paid to CalCare, which would have then assumed responsibility for benefits and services previously paid with those funds.

Mark Farouk

Job title:
VP State Advocacy
Phone number:
916-552-7673

Ben Johnson

Job title:
VP Policy
Phone number:
916-552-7620
Not Passed
AB 2342 (Lowenthal, D-Long Beach)
Follow
Failed to pass the Assembly Health Committee by the April 26 deadline.

AB 2342 would have provided an annual supplemental payment for Medi-Cal services to each critical access hospital that is located on an island more than 10 miles off California’s coast (i.e., Catalina Island).

Mark Farouk

Job title:
VP State Advocacy
Phone number:
916-552-7673

Ben McGowan

Job title:
Vice President Legal Counsel
Phone number:
916-552-7642
Not Passed
AB 2956 (Boerner, D-Solana Beach)
Support
Held on the Assembly Appropriations Committee suspense file on May 16.

AB 2956 sought to make it easier for individuals to maintain their Medi-Cal coverage by modifying the Medi-Cal eligibility redetermination process, subject to federal approval. Specifically, the bill would have extended provisions related to continuous eligibility for adults and increase county flexibility related to income verification.

Mark Farouk

Job title:
VP State Advocacy
Phone number:
916-552-7673

Ben McGowan

Job title:
Vice President Legal Counsel
Phone number:
916-552-7642
Pending
SB 1213 (Atkins, D-San Diego)
Support
Passed the Assembly Health Committee on June 4. To be heard in the Assembly Appropriations Committee.

SB 1213 would expand eligibility for the Breast and Cervical Cancer Treatment Program to Californians with family incomes of up to 300% of the federal poverty level.

Mark Farouk

Job title:
VP State Advocacy
Phone number:
916-552-7673

Ben Johnson

Job title:
VP Policy
Phone number:
916-552-7620
Not Passed
SB 1236 (Blakespear, D-Encinitas)
Support
Held on the Senate Appropriations Committee suspense file on May 16.

SB 1236 would have prohibited using an individual’s medical history to determine Medigap coverage. The bill would have also ensured Medicare beneficiaries have a reasonable opportunity to access Medigap coverage by creating an annual open enrollment period at the beginning of each year.

Mark Farouk

Job title:
VP State Advocacy
Phone number:
916-552-7673

Ben Johnson

Job title:
VP Policy
Phone number:
916-552-7620
Not Passed
SB 1268 (Nguyen, R-Huntington Beach)
Support
Failed to pass the Senate Health Committee by the April 26 deadline.

SB 1268 would have clarified and strengthened requirements that Medi-Cal managed care plans maintain network contracts with safety-net providers who serve a significant number of Medi-Cal or indigent patients. 

Pat Blaisdell

Job title:
VP Policy
Phone number:
916-552-7553
Pending
SB 1423 (Dahle, R-Bieber)
Sponsor
Passed the Assembly Health Committee on June 25. To be heard in the Assembly Appropriations Committee.

SB 1423 would establish a critical access hospital working group at the Department of Health Care Services (DHCS) to evaluate and make recommendations on the financial stability of critical access hospitals. The bill would require DHCS to submit a report to the Legislature with recommendations on improving the financial stability of rural hospitals. 

Mark Farouk

Job title:
VP State Advocacy
Phone number:
916-552-7673

Peggy Wheeler

Job title:
VP Policy
Phone number:
916-552-7689

Health Facilities 4

Pending
AB 1895 (Weber, D-La Mesa)
Concerns
Passed the Senate Health Committee on July 3. Aug. 5 hearing in the Senate Appropriations Committee.

AB 1895 would require general acute care hospitals whose perinatal unit expects challenges in the next six months that may result in a reduction or loss of perinatal services to report specified information to the Department of Health Care Access and Information (HCAI). This information would include, but would not be limited to, the number of medical staff and employees working in the perinatal unit and the number of deliveries per month over the past 12 months. The information provided by hospitals to HCAI would be forwarded to the California Department of Public Health (CDPH), the California Department of Health Care Services (DHCS), and the chairs of the Senate and Assembly Health committees. This information would be kept confidential to the extent applicable by law. The bill would also require HCAI, CDPH, and DHCS to assess the potential impact to the community if the perinatal unit closes. If the hospital closes its perinatal unit, the hospital would still be required to provide public notice of the closure as required by Health and Safety Code Section 1255.25. Additionally, hospitals would be required to post the results of the state’s community impact assessment on its internet website 90 days in advance of the proposed closure. The bill would also require hospitals to permit public comment on the closure for 60 days after the notice is given and hold at least one public hearing. CHA is continuing to work with the author and sponsors on amendments to address remaining concerns.

Vanessa Gonzalez

Job title:
VP State Advocacy
Phone number:
916-552-7670

Peggy Wheeler

Job title:
VP Policy
Phone number:
916-552-7689
Pending
AB 2300 (Wilson, D-Suisun City)
Follow
Passed the Senate Environmental Quality Committee on July 3. Pending a Senate floor vote.

AB 2300 would phase out the manufacture, sale, or distribution of IV bags and IV tubing made with intentionally added Di (2-ethylhexyl) phthalate (DEHP). Beginning Jan. 1, 2030, the manufacture, sale, or distribution of IV bags with intentionally added DEPH would be prohibited. Manufacturers would be able to extend this deadline to 2032 if they meet public disclosure criteria. Beginning Jan. 1, 2035, this prohibition would be extended to all IV tubing. Certain blood kits, bags, and tubing would be exempted from this prohibition.

Vanessa Gonzalez

Job title:
VP State Advocacy
Phone number:
916-552-7670

Savannah Tapia

Job title:
Policy Associate
Phone number:
916-552-7618
Pending
SB 1300 (Cortese, D-Campbell) 
Oppose Unless Amended
Passed the Assembly Appropriations Committee on July 2. Pending an Assembly floor vote.

SB 1300 would extend the notice period for proposed closures or eliminations of inpatient psychiatric or maternity services from 90 days to 120 days. It would also require the facilities to provide an impact analysis report (paid for by the hospital) to the Department of Health Care Access and Information. If the loss of beds would impact the community’s health, the bill would also require the California Department of Public Health to prioritize and expedite the licensing of additional beds as necessary to mitigate the negative impacts identified in the report.

Vanessa Gonzalez

Job title:
VP State Advocacy
Phone number:
916-552-7670

Trina Gonzalez

Job title:
VP Policy
Phone number:
916-552-7543
Not Passed
SB 1439 (Ashby, D-Sacramento) 
Support
Failed to pass the Housing and Community Development Committee on June 26.

SB 1439 would have expanded the legal definition of “exempt surplus land” to include specified sites within the city of Sacramento that are intended for the development of health facilities.

Vanessa Gonzalez

Job title:
VP State Advocacy
Phone number:
916-552-7670

Trina Gonzalez

Job title:
VP Policy
Phone number:
916-552-7543

Health Insurance 11

Pending
AB 236 (Holden, D-Pasadena)
Follow
Passed the Senate Health Committee on June 26. Aug. 5 hearing in the Senate Appropriations Committee.

AB 236 would require a health plan or insurer to annually audit and delete inaccurate listings from its provider directories, including deleting a provider from its directory if the plan or insurer has not financially compensated a provider in the prior year. It would also require the Department of Managed Health Care and the Department of Insurance to develop uniform formats for plans and insurers to use to request directory information from providers, and it would authorize the departments to establish methodology and processes to ensure accuracy of provider directories.

Pat Blaisdell

Job title:
VP Policy
Phone number:
916-552-7553
Pending
AB 1842 (Reyes, D-San Bernardino)
Support
Passed the Senate Appropriations Committee on June 10. Pending a Senate floor vote.

AB 1842 would ban prior authorization for medication-assisted treatment.

Pat Blaisdell

Job title:
VP Policy
Phone number:
916-552-7553
Pending
AB 3059 (Weber, D-La Mesa) 
Support
Passed the Senate Health Committee on June 26. Aug. 5 hearing in the Senate Appropriations Committee.

AB 3059 would clarify that donor milk is covered as part of essential health benefits for babies who have a medical necessity. The bill would exempt hospitals from having a tissue bank license in order to distribute donor milk to babies in the neonatal intensive care unit.

Vanessa Gonzalez

Job title:
VP State Advocacy
Phone number:
916-552-7670

Peggy Wheeler

Job title:
VP Policy
Phone number:
916-552-7689
Pending
AB 3221 (Pellerin, D-Santa Cruz)
Support
Passed the Senate Appropriations Committee without a hearing due to minimal fiscal impact. Pending a Senate floor vote.

AB 3221 would require records, books, and other documentation from health plans to be available for inspection, including in electronic form, by the Department of Managed Health Care.

Pat Blaisdell

Job title:
VP Policy
Phone number:
916-552-7553
Pending
AB 3260 (Pellerin, D-Santa Cruz)
Support
Passed the Senate Health Committee on June 26. Aug. 5 hearing in the Senate Appropriations Committee.

AB 3260 would require health plans to expedite reviews of urgent grievances and make determinations of urgency by enrollees’ health care providers binding. 

Pat Blaisdell

Job title:
VP Policy
Phone number:
916-552-7553
Pending
AB 3275 (Soria, D-Merced and R. Rivas, D-Salinas)
Support
Passed the Senate Health Committee on June 26. Aug. 5 hearing in the Senate Appropriations Committee.

AB 3275 would update and clarify requirements for health care service plans or health insurers to timely reimburse services provided by hospitals.

Mark Farouk

Job title:
VP State Advocacy
Phone number:
916-552-7673

Pat Blaisdell

Job title:
VP Policy
Phone number:
916-552-7553
Pending
SB 294 (Wiener, D-San Francisco)
Support
Placed on the Assembly Appropriations Committee suspense file on July 2.

SB 294 would require a health care service plan or disability insurer that provides coverage for mental health or substance use disorders (SUDs) to treat as a grievance any modification, delay, or denial issued in response to an authorization request for coverage of treatment for a mental health or SUD for an insured up to 26 years of age.   

Pat Blaisdell

Job title:
VP Policy
Phone number:
916-552-7553
Pending
SB 999 (Cortese, D-Campbell)
Support
Passed the Assembly Health Committee on June 11. To be heard in the Assembly Appropriations Committee.

SB 999 would impose certain requirements on health plans and insurers, including:

  • Having qualified health care providers in the relevant clinical specialty review appeals and make initial review determinations
  • Maintaining telephone and other direct communication access during normal business hours for health care providers to request authorization for mental health and substance use disorder care
  • Providing health care providers and enrollees the clinical citations used for denials of care

Pat Blaisdell

Job title:
VP Policy
Phone number:
916-552-7553
Pending
SB 1120 (Becker, D-Menlo Park)
Support
Passed the Assembly Privacy and Consumer Protection Committee on consent on July 2. To be heard in the Assembly Appropriations Committee.

SB 1120 would address a health plan’s use of artificial intelligence decision-making tools to inform authorization or coverage decisions, including specified requirements for oversight, disclosure, and fair and equitable application. 

Pat Blaisdell

Job title:
VP Policy
Phone number:
916-552-7553
Pending
SB 1180 (Ashby, D-Sacramento)
Support
Passed the Assembly Health Committee on June 18. To be heard in the Assembly Appropriations Committee.

SB 1180 would require a health care service plan contract issued, amended, or renewed on or after July 1, 2025, to establish a process to reimburse for services provided by a community paramedicine program, triage to alternate destination program, or mobile integrated health program. The bill would also require coverage of these programs under Medi-Cal, upon appropriation and receipt of any necessary federal approvals and the availability of federal financial participation.

Vanessa Gonzalez

Job title:
VP State Advocacy
Phone number:
916-552-7670

Pat Blaisdell

Job title:
VP Policy
Phone number:
916-552-7553
Passed
SB 1320 (Wahab, D-Fremont)
Support
Signed by the governor on July 15.

SB 1320 requires health plans and insurers to create a process to reimburse providers for mental health and substance use disorder treatment services that are integrated with primary care services.

Pat Blaisdell

Job title:
VP Policy
Phone number:
916-552-7553

HIT/Medical Records 2

Pending
AB 1331 (Wood, D-Healdsburg)
Concerns
Held on the Senate Appropriations Committee suspense file on Sept. 1.

AB 1331 would require the Center for Data Insights and Innovation to take over the establishment, implementation, and all functions related to the California Health and Human Services Agency (CalHHS) Data Exchange Framework. It would also require the center to establish the CalHHS Data Exchange Board to develop recommendations and to review, modify, and approve any changes to the framework’s data sharing agreement.

Mark Farouk

Job title:
VP State Advocacy
Phone number:
916-552-7673

Trina Gonzalez

Job title:
VP Policy
Phone number:
916-552-7543
Pending
AB 3030 (Calderon, D-City of Industry)
Neutral
Passed the Senate Health Committee on June 26. Aug. 5 hearing in the Senate Appropriations Committee.

AB 3030 would require hospitals, clinics, physicians, and other providers using generative artificial intelligence (AI) to generate patient communications to include a disclaimer on each communication that informs the patient that it was generated by AI if the communication concerns patient clinical information and is not reviewed by a medical professional. 

Mark Farouk

Job title:
VP State Advocacy
Phone number:
916-552-7673

Lois Richardson

Job title:
Vice President Legal Counsel
Phone number:
916-552-7611

Integration 1

Pending
AB 3129 (Wood, D-Healdsburg)
Oppose
Passed the Senate Judiciary Committee on July 2. Aug. 5 hearing in the Senate Appropriations Committee.

AB 3129 would require hedge funds and private equity groups to notify and receive prior approval from the attorney general when entering into a transaction with a health care facility or provider group.

Lois Richardson

Job title:
Vice President Legal Counsel
Phone number:
916-552-7611

Labor and Employment 8

Pending
AB 2319 (Wilson, D-Suisun City)
Follow
Passed the Senate Judiciary Committee on July 2. Aug. 5 hearing in the Senate Appropriations Committee.

AB 2319 would expand provisions of the California Dignity in Pregnancy and Childbirth Act (Chapter 533, Statutes of 2019). Specifically, it would require hospitals to provide implicit bias training to all employees regularly assigned to positions that interact with perinatal patients. Hospitals would be required to annually submit proof of compliance to the attorney general (AG). If a hospital’s proof of compliance shows a “systemic failure” of employees to complete the training, a facility would be liable for a fine of $5,000 for the first violation and $15,000 for each subsequent violation. Systemic failure means the lesser of the following:

  • 10% or more of providers failing to complete the training, provided that if only one or two providers did not receive the training, the facility was provided a reasonable opportunity to cure, or
  • 25 providers failing to complete the training. 

The bill also specifies that failure by a physician who is not directly employed by the facility is not counted toward the percentage of providers failing to complete the required training, provided that the facility offered the training to the physician. The AG would be authorized to post hospitals’ compliance records on its website. CHA has been working closely with the author and bill sponsors in securing amendments that recognize hospitals’ good faith efforts to implement the bill. 

Vanessa Gonzalez

Job title:
VP State Advocacy
Phone number:
916-552-7670

Peggy Wheeler

Job title:
VP Policy
Phone number:
916-552-7689
Pending
AB 2975 (Gipson, D-Gardena)
Oppose Unless Amended
Passed the Senate Health Committee on July 3. Aug. 5 hearing in the Senate Appropriations Committee.

AB 2975 would require the Division of Occupational Safety and Health (better known as Cal/OSHA) Standards Board to amend the existing Workplace Violence Prevention in Health Care regulation to require weapons detection screening monitored by trained non-patient care personnel at the hospital’s main public entrance, emergency department entrance, and labor and delivery entrance, if separately accessible to the public. CHA continues to work with the author and sponsors on amendments to address remaining concerns.

Kalyn Dean

Job title:
VP State Advocacy
Phone number:
916-552-7535

Erika Frank

Job title:
Vice President Legal Counsel
Phone number:
916-552-7622
Not Passed
ACA 6 (Haney, D-San Francisco)
Oppose
Failed to pass when reconsidered by the Senate Elections and Constitutional Amendments Committee on June 11.

ACA 6 would have required the University of California (UC) system to submit all service contracts to the State Personnel Board, in effect banning the UC health system from using registry nurses and temporary staff.

Erika Frank

Job title:
Vice President Legal Counsel
Phone number:
916-552-7622
Pending
ACA 14 (Ortega, D-Hayward)
Oppose
Passed the Assembly floor on May 23. Pending a Senate policy committee referral.

ACA 14 would require the University of California (UC) system to submit all service contracts to the State Personnel Board, in effect banning the UC health system from using registry nurses and temporary staff.

Erika Frank

Job title:
Vice President Legal Counsel
Phone number:
916-552-7622
Passed
PAGA REFORM
Support Through Coalition
AB 2288 and SB 92 were signed by the governor on July 1.

AB 2288 (Kalra, D-San Jose) and SB 92 (Umberg, D-Santa Ana) collectively represent agreed upon reforms to California’s Private Attorneys General Act (PAGA). AB 2288 includes provisions that reduce and cap penalties for violations of the Labor Code, new standing requirements, and steps employers may take to reduce their liability. SB 92 contains a new right to cure process for employers and increases judicial discretion.

Erika Frank

Job title:
Vice President Legal Counsel
Phone number:
916-552-7622
Passed
SB 828 (Durazo, D-Los Angeles)
Support
Signed by the governor on May 31.

SB 828 moves the initial health care minimum wage implementation date and all future wage adjustments from June 1 to July 1. This is needed to address state budget concerns.

Erika Frank

Job title:
Vice President Legal Counsel
Phone number:
916-552-7622
Not Passed
SB 1116 (Portantino, D-Glendale)
Oppose Through Coalition
Failed to pass the Assembly Insurance Committee on June 26.

SB 1116 would have allowed employees who are unable to work due to a lockout to receive unemployment insurance benefits after a two-week waiting period.

Erika Frank

Job title:
Vice President Legal Counsel
Phone number:
916-552-7622
Pending
SCA 8 (Durazo, D-Los Angeles)
Oppose
Introduced on Sept. 13. Pending referral to a Senate policy committee.

SCA 8 would require the University of California (UC) system to submit all service contracts to the State Personnel Board, in effect banning the UC health system from using registry nurses and temporary staff.

Erika Frank

Job title:
Vice President Legal Counsel
Phone number:
916-552-7622

Mental Health 10

Not Passed
AB 1001 (Haney, D-San Francisco)
Oppose
Failed to pass the Senate Health Committee by the July 3 deadline.

AB 1001 would have required general acute care hospitals to adopt behavioral health emergency service policies related to minimum staffing requirements, response times, and data management and reporting. This bill would have established the Behavioral Health Emergency Response and Training Fund to support staffing increases in public and non-profit general acute care hospitals.

Kirsten Barlow

Job title:
VP Policy
Phone number:
916-552-7573
Pending
AB 1316 (Irwin, D-Thousand Oaks; Ward, D-San Diego)
Sponsor
Passed the Senate Appropriations Committee without a hearing due to minimal fiscal impact. Pending a Senate floor vote.

AB 1316 would require that Medi-Cal managed care plans pay hospital emergency departments for serving Medi-Cal beneficiaries experiencing a mental health crisis. It would also ensure people who need access to a mental health inpatient bed are transferred promptly to the care they need.

Mark Farouk

Job title:
VP State Advocacy
Phone number:
916-552-7673

Kirsten Barlow

Job title:
VP Policy
Phone number:
916-552-7573
Pending
AB 2154 (Berman, D-Palo Alto)
Neutral
Passed the Senate Appropriations Committee without a hearing due to minimal fiscal impact. Pending a Senate floor vote on the consent calendar.

AB 2154 would require hospitals to provide a copy of the state-published Patients’ Rights Handbook to certain family members with the consent of individuals on involuntary psychiatric holds.

Kathryn Scott

Job title:
SVP State Relations & Advocacy
Phone number:
916-552-7540

Kirsten Barlow

Job title:
VP Policy
Phone number:
916-552-7573
Pending
AB 2161 (Arambula, D-Fresno)
Support
Placed on the Senate Appropriations Committee suspense file on July 1.

AB 2161 would promote the widespread availability of evidence-based services to treat the early signs of psychotic disorders, such as schizophrenia. The bill would require the Behavioral Health Services Oversight and Accountability Commission to create a strategic plan that would identify opportunities to improve California’s response to early psychosis.  It would also require the Department of Health Care Services to partner with the University of California to develop a Center for Mental Health Wellness and Innovations.

Kirsten Barlow

Job title:
VP Policy
Phone number:
916-552-7573
Not Passed
AB 2700 (Gabriel, D-Encino)
Support
Held on the Senate Appropriations Committee suspense file on May 16.

AB 2700 would have promoted expanded use of behavioral health facilities, rather than emergency departments (EDs), for individuals with behavioral health needs. It would have required the Emergency Medical Services Authority to publish descriptions of all local agencies that are serving as, or could serve as, alternatives to hospital EDs, including psychiatric health facilities, psychiatric hospitals, sobering centers, and crisis stabilization units. The bill would also have required each local emergency medical services agency to develop protocols for transporting individuals to alternate destinations.

Vanessa Gonzalez

Job title:
VP State Advocacy
Phone number:
916-552-7670

Kirsten Barlow

Job title:
VP Policy
Phone number:
916-552-7573
Not Passed
SB 1012 (Wiener, D-San Francisco)
Follow
Held on the Senate Appropriations Committee suspense file on May 16.

SB 1012 would have enacted the “Regulated Psychedelic Facilitators Act” and the “Regulated Psychedelic-Assisted Therapy Act” to establish a state-regulated program that provides adults safe access to psychedelic-assisted behavioral health therapy.

Kathryn Scott

Job title:
SVP State Relations & Advocacy
Phone number:
916-552-7540

Kirsten Barlow

Job title:
VP Policy
Phone number:
916-552-7573
Not Passed
SB 1017 (Eggman, D-Stockton)
Neutral
Held on the Senate Appropriations Committee suspense file on May 16.

SB 1017 would have required the Department of Public Health, Department of Health Care Services, and Department of Social Services to develop a solution to collect, aggregate, and display information about beds, including acute psychiatric beds, in 13 types of behavioral health treatment facilities. This bill would take effect Jan. 1, 2026.

Kathryn Scott

Job title:
SVP State Relations & Advocacy
Phone number:
916-552-7540

Kirsten Barlow

Job title:
VP Policy
Phone number:
916-552-7573
Not Passed
SB 1082 (Eggman, D-Stockton)
Support
Held on the Senate Appropriations Committee suspense file on May 16.

SB 1082 would have expanded the availability of home-like care settings for individuals living with a serious mental illness by establishing a new residential model called an Augmented Residential Care Facility. The bill would have strengthened the continuum of community-based care options for individuals living with the most significant mental health needs.

Kirsten Barlow

Job title:
VP Policy
Phone number:
916-552-7573
Pending
SB 1184 (Eggman, D-Stockton)
Follow
Passed the Assembly Judiciary Committee on June 25. Passed the Assembly Judiciary Committee on June 25. Although the bill was not originally considered to have a fiscal impact on the state and was not referred to the Assembly Appropriations Committee, that decision was reconsidered on June 27 and the bill will now be heard in that committee.

SB 1184 would authorize administration of antipsychotic medication to a person who is involuntarily detained for evaluation and treatment for the total duration of their treatment.

Kathryn Scott

Job title:
SVP State Relations & Advocacy
Phone number:
916-552-7540

Kirsten Barlow

Job title:
VP Policy
Phone number:
916-552-7573
Pending
SB 1238 (Eggman, D-Stockton)
Support
Passed the Assembly Health Committee on June 25. To be heard in the Assembly Appropriations Committee.

SB 1238 would expand the definition of a “designated facility” in the Lanterman-Petris-Short Act to include facilities that both (1) have appropriate services, personnel, and security to safely treat individuals being held involuntarily and (2) are licensed or certified as a skilled-nursing facility, mental health rehabilitation center, or a facility capable of providing medically monitored or managed intensive inpatient treatment for substance use disorders (SUDs). In addition, this bill would require the Department of Health Care Services (DHCS) to authorize licensed psychiatric health facilities and licensed mental health rehabilitation centers to admit individuals diagnosed only with a SUD. This bill would require DHCS to ensure that designated facilities are reimbursed for evaluation and treatment of stand-alone SUDs at rates equivalent to those provided for evaluation and treatment of mental health disorders.

Kathryn Scott

Job title:
SVP State Relations & Advocacy
Phone number:
916-552-7540

Kirsten Barlow

Job title:
VP Policy
Phone number:
916-552-7573

Nursing 8

Pending
AB 1577 (Low, D-Cupertino)
Concerns
Passed the Senate Health Committee on July 3. Aug. 5 hearing in the Senate Appropriations Committee.

AB 1577 would require health facilities and clinics, upon request of a community college or California state university with an approved nursing program, to meet and work in good faith to meet their clinical placement needs. If a health facility or clinic cannot provide additional clinical placement slots, it would be required to provide the Department of Health Care Access and Information with a written justification of its lack of capability or capacity within 30 days of the meeting. Failure to provide written justification within 30 days would be subject to a civil fine of $1000. CHA continues to work with the author and sponsor, the United Nurses Associations of California, to address concerns.

Vanessa Gonzalez

Job title:
VP State Advocacy
Phone number:
916-552-7670

Sheree Lowe

Job title:
VP Policy
Phone number:
916-552-7576
Pending
AB 1695 (Gipson, D-Gardena)
Support
Pending referral to a Senate policy committee.

AB 1695 would create the Nursing Pathway Pilot Program, which would reduce the barriers to enrolling in community college nursing programs, thereby increasing the training and retention of more nurses at all levels.

Vanessa Gonzalez

Job title:
VP State Advocacy
Phone number:
916-552-7670

Peggy Wheeler

Job title:
VP Policy
Phone number:
916-552-7689
Pending
AB 2015 (Schiavo, D-Santa Clarita)
Follow
Passed the Senate Appropriations Committee without a hearing due to minimal fiscal impact. Pending a Senate floor vote.

AB 2015, sponsored by the Board of Registered Nursing (BRN), would authorize the board to approve for five years a director, assistant director, or member of the faculty of an approved school of nursing or nursing program. The BRN would be required to display an individual’s faculty approval status through an online search tool.

Vanessa Gonzalez

Job title:
VP State Advocacy
Phone number:
916-552-7670

Sheree Lowe

Job title:
VP Policy
Phone number:
916-552-7576
Pending
AB 2104 (Soria, D-Merced)
Support
Passed the Senate Education Committee on July 3. Aug. 5 hearing in the Senate Appropriations Committee.

AB 2104, similar to Sen. Roth’s SB 895, would require the chancellor of the California Community Colleges to develop a Baccalaureate Degree in Nursing Pilot Program at 10 community college districts in order to offer a bachelor of science in nursing degree. In identifying eligible community college districts, the chancellor’s office would be required to prioritize community college districts in broadly recognized underserved nursing areas, as well as community college districts with persistent poverty. The pilot program would end Jan. 1, 2031. The bill would also require the Legislative Analyst’s Office, by Jan. 1, 2030, to evaluate the program’s effectiveness and whether it should be continued or expanded.

Vanessa Gonzalez

Job title:
VP State Advocacy
Phone number:
916-552-7670

Sheree Lowe

Job title:
VP Policy
Phone number:
916-552-7576
Pending
SB 895 (Roth, D-Riverside)
Co-sponsor
Passed the Assembly Higher Education Committee on July 2. To be heard in the Assembly Appropriations Committee.

SB 895 would require the California Community Colleges to develop a Baccalaureate Degree in Nursing Pilot Program at 15 community college districts in order to offer a bachelor of science in nursing degree. It would also require the Legislative Analyst’s Office to evaluate the effectiveness of the pilot, which would end on Jan. 1, 2034.

Vanessa Gonzalez

Job title:
VP State Advocacy
Phone number:
916-552-7670

Sheree Lowe

Job title:
VP Policy
Phone number:
916-552-7576
Pending
SB 1015 (Cortese, D-Campbell)
Follow
Placed on the Assembly Appropriations Committee suspense file on June 19.

SB 1015, sponsored by the California Nurses Association, would require the Board of Registered Nursing (BRN) to annually report information related to the management of clinical placements and coordination with clinical facilities by approved nursing programs. The report would be required to include information related to how approved nursing programs collaborate and coordinate with other approved schools of nursing or regional planning consortiums that utilize the same clinical facility. The report would be required to be posted on the BRN’s website and be submitted to the Legislature. Additionally, SB 1015 would require the BRN’s Nursing Education and Workforce Advisory Committee to study and recommend standards for how approved nursing programs should manage and coordinate clinical placements. The study must include various topics such as the necessity and feasibility of a statewide consortium to manage and coordinate clinical placements, as well as identifying and reporting violations of Business and Professions Code section 2786.4, related to the prohibition of payment to any clinical facility in exchange for clinical placement slots. The report detailing the committee’s findings would be submitted to the Legislature.

Vanessa Gonzalez

Job title:
VP State Advocacy
Phone number:
916-552-7670

Sheree Lowe

Job title:
VP Policy
Phone number:
916-552-7576
Pending
SB 1042 (Roth, D-Riverside)
Follow
Passed the Assembly Business and Professions Committee on June 25. To be heard in the Assembly Appropriations Committee.

SB 1042 would require health facilities, as defined in Health and Safety Code section 1250, and clinics, as defined in Health and Safety Code sections 1200 and 1204, to report to the Board of Registered Nursing (BRN) information on the number of clinical placements available. All approved nursing programs, public and private, would be required to report their clinical placement needs. Upon request of an approved nursing program, health facilities and clinics would be required to meet with representatives from the nursing program to work in good faith to meet the program’s needs related to educating and training nurses. The bill also allows the BRN, upon request by an approved nursing program, to assist in identifying clinical placement slots to meet the program’s clinical placements needs. Hospitals may elect to make existing or additional clinical placements slots available. CHA continues to work with the author’s office to address concerns.

Vanessa Gonzalez

Job title:
VP State Advocacy
Phone number:
916-552-7670

Sheree Lowe

Job title:
VP Policy
Phone number:
916-552-7576
Pending
SB 1451 (Ashby, D-Sacramento)
Support Through Coalition
Passed the Assembly Business and Professions Committee on June 25. To be heard in the Assembly Appropriations Committee.

SB 1451 is the Senate Business and Professions Committee omnibus bill. The bill includes clarifying guidance to provisions of AB 890 (Wood, 2019), which established a regulatory framework for nurse practitioners (NPs) to practice independently. Among the changes, SB 1451 clarifies experience requirements for transition to practice and the disclosures that NPs must provide to patients. 

Vanessa Gonzalez

Job title:
VP State Advocacy
Phone number:
916-552-7670

Sheree Lowe

Job title:
VP Policy
Phone number:
916-552-7576

Seismic 3

Pending
AB 869 (Wood, D-Healdsburg)
Support
Passed the Senate Health Committee on June 26. Aug. 5 hearing in the Senate Appropriations Committee.

AB 869 would prioritize certain smaller hospitals for the existing Small and Rural Hospital Relief Program, which is funded by the e-cigarette tax. This bill would also allow an extension of the 2030 deadline for certain smaller rural hospitals up to two years and a three-year extension for certain district hospitals.

Kathryn Scott

Job title:
SVP State Relations & Advocacy
Phone number:
916-552-7540

Trina Gonzalez

Job title:
VP Policy
Phone number:
916-552-7543
Pending
SB 1119 (Newman, D-Fullerton)
Support
Placed on the Assembly Appropriations Committee suspense file on July 2.

SB 1119 would extend the first seismic compliance deadline for three hospitals: Providence St. Jude Medical Center in Fullerton, Providence St. Joseph Hospital – Eureka, and Providence Cedars-Sinai Tarzana Medical Center.

Kathryn Scott

Job title:
SVP State Relations & Advocacy
Phone number:
916-552-7540

Trina Gonzalez

Job title:
VP Policy
Phone number:
916-552-7543
Pending
SB 1432 (Caballero, D-Merced)
Sponsor
Passed the Assembly Health Committee on June 25. To be heard in the Assembly Appropriations Committee.

SB 1432 is CHA’s proposal to address the 2030 seismic requirement. The bill would extend the 2030 deadline to 2033, with up to an additional five years depending on the project. The bill would also address additional post-earthquake disaster preparedness requirements for hospitals, assess opportunities for financial support, and require the state to assess the financial and access impacts of the 2030 requirement.  

Kathryn Scott

Job title:
SVP State Relations & Advocacy
Phone number:
916-552-7540

Trina Gonzalez

Job title:
VP Policy
Phone number:
916-552-7543

Substance Use Disorders 3

Pending
AB 1510 (Jones-Sawyer, D-Los Angeles)
Follow
Placed on the Senate Appropriations Committee suspense file on July 1.

AB 1510 would enact the “Fighting Fentanyl Bond Act of 2024” and place a general obligation bond on the November 2024 ballot to finance various substance use disorder treatment, harm reduction, research, and criminal justice programs.

Kathryn Scott

Job title:
SVP State Relations & Advocacy
Phone number:
916-552-7540

Kirsten Barlow

Job title:
VP Policy
Phone number:
916-552-7573
Pending
AB 1859 (Alanis, R-Modesto)
Support
Passed the Senate Health Committee on June 26. Aug. 5 hearing in the Senate Appropriations Committee.

AB 1859 would require coroners to test for xylazine if they suspect an individual may have died from an opioid overdose and to report positive test results to the state Department of Public Health for posting on its Overdose Surveillance Dashboard.

Kirsten Barlow

Job title:
VP Policy
Phone number:
916-552-7573
Pending
AB 2115 (Haney, D-San Francisco)
Support
Passed the Senate Health Committee on July 3. Aug. 5 hearing in the Senate Appropriations Committee.

AB 2115 would expand efforts to prevent overdose deaths by increasing access to methadone. At the federal level, clinics are authorized to dispense 72 hours of methadone to a patient during the referral and enrollment process for a methadone clinic (opioid treatment program). This extended dispensing authority provides methadone access while individuals are awaiting enrollment in a methadone clinic. Unfortunately, current California law does not fully align with this new authority. AB 2115 would address this issue by updating state law to allow clinics to dispense 72 hours of methadone during the referral and enrollment process for a methadone clinic.

Kirsten Barlow

Job title:
VP Policy
Phone number:
916-552-7573