Overview

Legislature: Action returns to policy committees, now in the second house. The last day for policy committees to meet is July 14, at which time the Legislature will adjourn for summer recess until Aug. 14. On the state budget front, negotiations continue, with the goal of sending the main budget bill to the governor by June 15. Several trailer bills are expected to be sent to the governor in late June and early August.

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Access 3

Pending
AB 4 (Arambula, D-Fresno)
Follow
Passed the Assembly on May 25. Pending a Senate policy committee referral.

AB 4 would expand access to Covered California to all Californians regardless of immigration status. 

Mark Farouk

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

Ben Johnson

Job title:
VP Policy
Phone number:
916-552-7620
Pending
AB 1481 (Boerner Horvath, D-Carlsbad)
Support
Passed the Assembly on May 25. Pending a Senate policy committee referral.

AB 1481  would ensure beneficiaries enrolled in Medi-Cal’s pregnancy-related presumptive eligibility program have access to the full range of health care services and prescriptions and can remain enrolled in the program while they await their full eligibility determination and enrollment into the standard Medi-Cal program.

Mark Farouk

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

Ben Johnson

Job title:
VP Policy
Phone number:
916-552-7620
Pending
AB 1690 (Kalra, D-San Jose)
Follow
Two-year bill

AB 1690 states the intent of the Legislature to create a universal single-payer health care program.

Mark Farouk

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

Ben Johnson

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

Aging and Disability 1

Pending
SB 302 (Stern, D-Calabasas)
Follow
Passed the Senate on May 24. Referred to Assembly Health Committee.

Currently, “Ryan’s Law” requires health care facilities — including hospitals, skilled-nursing facilities, and assisted living centers — to allow terminally ill patients to use medicinal cannabis within the facility, subject to specified requirements. SB 302 would add patients who are over 65 years of age with a chronic disease to the list of those who can use medicinal cannabis within these facilities. These patients would be subject to the same requirements that are applicable to terminally ill patients.   

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

Budget 3

Pending
Distressed Hospital Loan Program Budget Trailer Bill
Support

The Legislature took early budget action on AB 112, which would establish a distressed hospital loan program substantially similar to AB 412. The trailer bill would immediately appropriate $150 million to provide loans to distressed hospitals meeting specified criteria. The governor signed AB 112 on May 15.

Mark Farouk

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

Robert Ducay

Job title:
VP Policy
Phone number:
916-552-7643
Pending
Newborn Hospital Gateway Program Budget Trailer Bill
Support if Amended

The Newborn Hospital Gateway (Gateway) trailer bill proposal would require a hospital to report the birth of a baby by a Medi-Cal mother within 24 hours of the birth event. A significant issue with the 24-hour requirement is that there are many instances where the information that is needed to report to the Gateway would not be available or attainable within that time frame. For instance, for personal or cultural reasons, parents may not even have named their child within 24 hours or chosen which surname will be used. Similarly, if there were complications for a mother or her baby during the birth, it may not be possible to get the information needed to complete the Gateway process within 24 hours. CHA supports the bill if amended to allow hospitals to complete reporting in the Gateway system within 72 hours after the birth event or one business day after discharge, whichever is later.

Mark Farouk

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

Robert Ducay

Job title:
VP Policy
Phone number:
916-552-7643
Pending
State Budget Request
Sponsor

CHA continues to advocate for a one-time state budget relief package for struggling hospitals. It would provide emergency funding to mitigate the impacts of rising medical inflation and systematic underfunding in the Medi-Cal system. Assembly Member Soria (D-Merced) and Sen. Caballero (D-Merced) have each submitted letters to their respective budget committees supporting this request. Additionally, stakeholder discussions continue regarding the managed care organization tax to ensure that funding will go to provide long-term fiscal stability for hospitals.

Mark Farouk

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

Robert Ducay

Job title:
VP Policy
Phone number:
916-552-7643

Civil Actions/Tort Reform 2

Pending
AB 315 (Bauer-Kahan, D-San Ramon)
Follow
Held on Assembly Appropriations Committee suspense file on May 18.

AB 315 would prohibit and make an unfair business practice of making false or misleading advertisements or statements about the provision, or lack of provision, of abortion or pregnancy-related services.

Rony Berdugo

Job title:
VP State Advocacy
Phone number:
916-552-7674

Jackie Garman

Job title:
Vice President Legal Counsel
Phone number:
916-552-7636
Pending
SB 487 (Atkins, D-San Diego)
Support
Passed the Senate on May 24. Referred to Assembly Health and Judiciary committees.

SB 487 would prevent health plans and insurers — and the Medi-Cal program, conditional upon federal approval — from penalizing providers who deliver reproductive health care services.

Rony Berdugo

Job title:
VP State Advocacy
Phone number:
916-552-7674

Ben Johnson

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

Climate Change 1

Pending
SB 253 (Wiener, D-San Francisco)
Oppose Through Coalition
Passed the Senate on May 30. Pending an Assembly policy committee referral.

SB 253 would require businesses with annual revenue in excess of $1 billion to publicly disclose their direct and indirect greenhouse gas emissions annually to the California Air Resources Board starting in 2026.

Rony Berdugo

Job title:
VP State Advocacy
Phone number:
916-552-7674

Trina Gonzalez

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

Community Benefit 1

Pending
AB 403/AB 666 (Arambula, D-Fresno)
Oppose
Neither bill will move forward this year; AB 666 is a two-year bill.

AB 403/AB 666 would set forth new or expanded requirements for community benefits. They would require the Department of Health Care Access and Information to define “community,” redefine the term “community benefit,” and expand the definition of “vulnerable populations.” The bills would also require that a community health needs assessment include the needs of the vulnerable populations and include a description of which vulnerable populations are low or moderate income. Community health needs assessments would have to be updated at least once every two years, and hospitals would be required to coordinate with a local health department. AB 403/AB 666 would also increase the fine for not submitting a community benefit plan from $5,000 to $25,000.

Vanessa Gonzalez

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

Trina Gonzalez

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

Consent 1

Pending
AB 1094 (Wicks, D-Oakland)
Oppose Unless Amended
Two-year bill

AB 1094 would, except in an emergency, require hospitals and other healthcare providers to obtain verbal and written informed consent before testing a pregnant woman or newborn for drugs or alcohol. 

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

Continuum of Care 1

Pending
AB 48 (Aguiar-Curry, D-Winters)
Follow
Passed the Assembly on May 22. Referred to Senate Health and Judiciary committees.

AB 48 would establish new rights and procedures for obtaining informed consent from skilled-nursing facility residents before administering treatments or procedures involving psychotherapeutic drugs, except in an emergency. As part of this new process, before treatment is initiated, skilled-nursing facilities must verify that a consent form has been completed to ensure specified information has been shared with the patient prior to providing consent. The California Department of Public Health (CDPH) is charged with developing the consent for. Facilities will not be required to comply until CDPH has developed and disseminated the standardized consent form by Dec. 31, 2024. AB 48 is a reintroduction of AB 1809, a 2022 bill by the same author. That bill was vetoed. CHA, along with the California Association of Health Facilities, successfully worked with the author’s office to secure amendments in AB 1809 to remove language that could have led to additional criminal or civil penalties for skilled-nursing facilities.

Vanessa Gonzalez

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

Pat Blaisdell

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

Emergency Services 8

Pending
AB 40 (Rodriguez, D-Pomona)
Oppose Unless Amended
Passed the Assembly on May 25. Pending a Senate policy committee referral.

In Assembly Health Committee, the author agreed to amend AB 40 to remove the statewide, 20-minute ambulance patient offload time (APOT) standard and instead require local emergency medical services agencies to establish an APOT of no more than 30 minutes 90% of the time. Additional amendments would clarify that the Emergency Medical Services Authority will begin monitoring APOT once the California Emergency Medical Services Information System electronic signature tool is available. CHA is continuing to work with the author’s office on additional amendments to ensure that hospitals would not be subject to additional fines or penalties if the local standard is not met, since there are many factors that contribute to APOT that are outside of hospitals’ control. See APOT Advocacy Materials.

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 296 (Rodriguez, D-Pomona)
Support
Passed the Assembly on May 26. Pending a Senate policy committee referral.

AB 296 would establish the 911 Public Education Campaign to educate the public on when it is appropriate to call 911. Some of the goals of the campaign would include reducing the number of unnecessary calls to 911 and reducing delays in the 911 system caused by nonemergency calls.

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 482 (Wilson, D-Suisun City)
Support
Two-year bill

AB 482 would require the Department of Transportation to transfer $8 million annually from the Aeronautics Account in the State Transportation Fund to the Emergency Medical Air Transportation and Children’s Coverage Fund, enabling the Department of Health Care Services to continue to augment Medi-Cal reimbursement for emergency medical air transportation services.

Mark Farouk

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

Robert Ducay

Job title:
VP Policy
Phone number:
916-552-7643
Pending
AB 767 (Gipson, D-Gardena)
Follow
Passed the Assembly on May 25. Pending a Senate policy committee referral.

AB 767 would extend the Community Paramedicine or Triage to Alternate Destination Act of 2020 pilot program to Jan. 1, 2031. It is currently set to expire on Jan. 1, 2024.

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 977 (Rodriguez, D-Pomona)
Support
Two-year bill

AB 977 would extend the 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, employees, or volunteers 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
Pending
AB 1036 (Bryan, D-Culver City)
Follow
Two-year bill

AB 1036 would require a physician, upon an individual’s arrival at a hospital’s emergency department, to certify in the treatment record whether an emergency medical condition existed and required emergency medical transportation services. If a physician certifies that emergency medical transportation was needed, a health care service plan, disability insurance policy, or Medi-Cal managed care plan would be required to provide coverage for emergency medical transport, consistent with an individual’s plan or policy. The bill would specify that the indication by a physician pursuant to these provisions is limited to an assessment of the medical necessity of the emergency medical transport services. It would not apply or otherwise impact provisions regarding coverage for care provided following completion of the emergency medical transport. For Medi-Cal benefits, the bill would specify that these conditions do not apply to various specified provisions related to nonemergency transport services. Additionally, for Medi-Cal benefits, it would also not apply to any other law or regulation related to reimbursement or authorization requirements for services provided for emergencies and care.

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 1164 (Lowenthal, D-Long Beach)
Oppose
Held on Assembly Appropriations Committee suspense file on May 18.

AB 1164 would require hospitals to create a protocol for emergency department crowding. Hospitals would be required to determine the range of crowding scores that constitute each category of the crowding scale and — with some exceptions — calculate and record a crowding score every four hours, at a minimum. The bill would require implementation and filing of the protocol with the Department of Health Care Access and Information by Jan. 1, 2025.

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 1731 (Santiago, D-Los Angeles)
Support
Passed the Assembly on April 17. June 5 hearing in Senate Business, Professions and Economic Development Committee.

AB 1731 would remove the requirement for a health care practitioner to consult the Controlled Substance Utilization Review and Evaluation System (CURES) database before prescribing more than a seven-day supply of buprenorphine in an emergency department (ED) setting. Providing a buprenorphine exemption from CURES lookup requirements for health care practitioners in the ED will save time and will enable patients who require treatment for opioid overdose or addiction to receive timely treatment.

Vanessa Gonzalez

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

Sheree Lowe

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

Finance 3

Pending
AB 412 (Soria, D-Merced)
Support
Passed the Assembly on May 31. Pending a Senate policy committee referral.

AB 412 would create the Distressed Hospital Loan Program, until Jan. 1, 2032, for the purpose of providing loans to not-for-profit hospitals and public hospitals in significant financial distress, to prevent the closure or facilitate the reopening of a closed hospital.

Mark Farouk

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

Robert Ducay

Job title:
VP Policy
Phone number:
916-552-7643
Pending
AB 1131 (Garcia, D-Coachella)
Support
Held on Assembly Appropriations Committee suspense file on May 18.

AB 1131 would establish the Hospitals First Revolving Fund to offer grants and low-cost loans to hospitals in rural and medically underserved communities to prevent the closure of a hospital or facilitate the reopening of a closed hospital.

Mark Farouk

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

Robert Ducay

Job title:
VP Policy
Phone number:
916-552-7643
Pending
SB 870 (Caballero, D-Merced)
Support
Two-year bill

SB 870 would extend the managed care organization (MCO) tax to an unspecified date and would reorganize the taxing tiers of the MCO tax to fund the nonfederal share of Medi-Cal managed care rates.

Mark Farouk

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

Ben Johnson

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

Health Facilities 2

Pending
AB 1392 (Rodriguez, D-Pomona)
Oppose Unless Amended
Passed the Assembly on May 25. Pending a Senate policy committee referral.

AB 1392 would require hospitals with operating expenses of $50 million or more and hospitals that are part of a system with operating expenses of $25 million or more to submit annual plans to the Department of Health Care Access and Information (HCAI) detailing how the hospital plans to increase procurement from minority, women, LGBT, and disabled veteran businesses. The plans would be posted on HCAI’s website for public access. Failure to submit the plan would result in a civil penalty of $100 per day.

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 59 (Skinner, D-Oakland)
Follow
Two-year bill

SB 59 would require any building owned by the state, including a hospital that receives state funds, to provide menstrual products free of charge in all women’s and all-gender restrooms, as well as at least one men’s restroom. 

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 3

Pending
AB 236 (Holden, D-Pasadena)
Follow
Two-year bill

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.

Mark Farouk

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

Ben Johnson

Job title:
VP Policy
Phone number:
916-552-7620
Pending
AB 616 (Rodriguez, D-Pomona)
Follow
Passed the Assembly on May 31. Pending a Senate policy committee referral.

AB 616, the Medical Group Financial Transparency Act, would authorize the disclosure of audited financial reports of providers and physician organizations collected by the Office of Health Care Affordability.

Mark Farouk

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

Ben Johnson

Job title:
VP Policy
Phone number:
916-552-7620
Pending
SB 598 (Skinner, D-Oakland)
Follow
Passed the Senate on May 24. Referred to Assembly Health Committee.

SB 598 would prohibit a health care service plan or health insurer from requiring prior authorization by a health professional for a health care service if the plan or insurer approved or would have approved not less than 90% of the prior authorization requests they received in a one-year period. The bill would also require plans and insurers to establish an electronic prior authorization process.

Mark Farouk

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

Ben Johnson

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

Integration 2

Pending
AB 1091 (Wood, D-Healdsburg)
Oppose
Two-year bill

AB 1091 would give the attorney general the authority to approve, reject, or impose conditions on any transaction of assets or change in governance worth $15 million or more and that involve hospitals, health systems, health plans, health insurers, medical groups, or pharmacy benefit managers.

Rony Berdugo

Job title:
VP State Advocacy
Phone number:
916-552-7674

Lois Richardson

Job title:
Vice President Legal Counsel
Phone number:
916-552-7611
Pending
SB 774 (Jones, R-Escondido)
Support
Two-year bill

SB 774 would prohibit the California attorney general from putting conditions on nonprofit hospital transactions (such as mergers and acquisitions). The conditions include those that would limit those hospitals from freely entering into contracts and negotiating rates, have an adverse financial or operational impact on the seller, or are different from the conditions that other similar corporations must comply with.

Rony Berdugo

Job title:
VP State Advocacy
Phone number:
916-552-7674

Lois Richardson

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

Labor and Employment 5

Pending
AB 1007 (Ortega, D-Hayward)
Oppose Unless Amended
Passed the Assembly on May 31. Pending a Senate policy committee referral.

AB 1007 would require Cal/OSHA to submit a proposed regulation requiring hospitals to evacuate or use a plume scavenging system in any setting where techniques are used that create plume.

Rony Berdugo

Job title:
VP State Advocacy
Phone number:
916-552-7674

Gideon Baum

Job title:
VP Policy
Phone number:
916-552-7621
Pending
AB 1359 (Schiavo, D-Santa Clarita)
Oppose Unless Amended
Passed the Assembly on May 30. Pending a Senate policy committee referral.

AB 1359 would require accrued paid sick days for health care employees to be carried over to the following year. It would also prohibit health care facilities, including hospitals, from limiting an employee’s use of accrued paid sick days.

Rony Berdugo

Job title:
VP State Advocacy
Phone number:
916-552-7674

Gideon Baum

Job title:
VP Policy
Phone number:
916-552-7621
Pending
SB 27 (Durazo, D-Los Angeles)
Follow
Passed the Senate on May 30. Pending an Assembly policy committee referral.

SB 27 would require vendors to provide their employees with the total compensation rate in the vendor’s contract, as well as make other payroll information available to employees upon request. It would require that vendors provide payroll information to the University of California (UC) and UC employee unions that perform similar services. SB 27 would also prohibit vendors from contracting with the UC if they are supplying employees for services at a lower compensation rate than the UC’s policy on wages and benefits.

Rony Berdugo

Job title:
VP State Advocacy
Phone number:
916-552-7674

Gideon Baum

Job title:
VP Policy
Phone number:
916-552-7621
Pending
SB 525 (Durazo, D-Los Angeles)
Oppose
Passed the Senate on May 31. Pending an Assembly policy committee referral.

SB 525 was amended on May 25 and would now create a statewide $21 minimum wage for all health care workers in any health care setting, including contractors, starting June 1, 2024. It would rise to $25 on June 1, 2025. The minimum wage would also increase annually by 3.5% or the Consumer Price Index, whichever is lesser. During her May 31 presentation on the Senate floor, Sen. Durazo committed to her colleagues — without providing specific details — that she would amend the bill to address concerns around financially distressed and rural hospitals, the needs of clinics, and timing of the implementation.

Rony Berdugo

Job title:
VP State Advocacy
Phone number:
916-552-7674

Gideon Baum

Job title:
VP Policy
Phone number:
916-552-7621
Pending
SB 616 (Gonzalez, D-Long Beach)
Oppose Through Coalition
Passed the Senate on May 31. Pending an Assembly policy committee referral.

SB 616 would require employers to provide at least 56 hours or seven days of accrued sick leave or paid time off by the 280th calendar day of employment and would require that time to be allowed to be carried over into the following year. The bill would also increase the amount of paid sick leave or paid time off an employee can accrue from 48 hours or six days to 112 hours or 14 days.

Rony Berdugo

Job title:
VP State Advocacy
Phone number:
916-552-7674

Gideon Baum

Job title:
VP Policy
Phone number:
916-552-7621

Medical Staff 2

Pending
AB 242 (Wood, D-Healdsburg)
Support
Passed the Assembly on April 17. June 5 hearing in the Senate Business, Professions and Economic Development Committee. Also referred to the Senate Health Committee.

AB 242 would make the authority permanent for critical access hospitals to hire physicians directly by eliminating the sunset to the pilot program that was set to expire this year.

Rony Berdugo

Job title:
VP State Advocacy
Phone number:
916-552-7674

Peggy Wheeler

Job title:
VP Policy
Phone number:
916-552-7689
Pending
SB 784 (Becker, D-San Mateo)
Support
Two-year bill

SB 784 would authorize health care districts, as well as nonprofit corporations with a health care district as its sole corporate member, that own or control a general acute care hospital to directly employ physicians and surgeons.

Rony Berdugo

Job title:
VP State Advocacy
Phone number:
916-552-7674

Peggy Wheeler

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

Mental Health 6

Pending
AB 1001 (Haney, D-San Francisco)
Oppose Unless Amended
Passed the Assembly on May 31. Pending a Senate policy committee referral.

AB 1001 would require 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 establish 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)
Sponsor
Two-year bill

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 1451 (Jackson, D-Perris)
Support
Passed the Assembly on May 31. Pending a Senate policy committee referral.

AB 1451 would require health plans and insurers to cover and pay for treatment for urgent and emergency mental health and substance use disorders. The bill would prohibit plans and insurers from requiring prior authorization for these services.

Mark Farouk

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

Ben Johnson

Job title:
VP Policy
Phone number:
916-552-7620
Pending
SB 43 (Eggman, D-Stockton)
Follow
Passed the Senate on May 26. Pending an Assembly policy committee referral.

SB 43 would expand the definition of “gravely disabled” for purposes of either placing a person on an involuntary psychiatric hold or conservatorship. The new definition includes conditions that are currently or could result in substantial risk of serious harm to the physical or mental health of a person, due to a mental health or substance use disorder or both. Serious harm is defined as significant deterioration, debilitation, or illness.

Kirsten Barlow

Job title:
VP Policy
Phone number:
916-552-7573
Pending
SB 45 (Roth, D-Riverside)
Support
Passed the Senate on May 30. Pending an Assembly policy committee referral.

SB 45 would establish the California Acute Care Psychiatric Hospital Loan Fund. The fund would provide zero-interest loans to counties and cities for the purposes of constructing or renovating acute care psychiatric hospitals and psychiatric health facilities. Funds also would be provided for renovating or expanding general acute care hospitals to add or expand an inpatient psychiatric unit.

Kirsten Barlow

Job title:
VP Policy
Phone number:
916-552-7573
Pending
SB 363 (Eggman, D-Stockton)
Follow
Passed the Senate on May 24. Referred to Assembly Health Committee.

SB 363 would require the Department of Health Care Services to develop — by 2026 — an online database showing real-time availability of beds within behavioral health facilities. This bill would require facilities to submit accurate and timely information to the database or face plans of correction or monetary penalties from the state. CHA is among the stakeholders the bill would require the department to consult in developing the database.

Kirsten Barlow

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

Nursing 2

Pending
AB 1063 (Gabriel, D-Woodland Hills)
Oppose
Passed the Assembly on May 30. Pending a Senate policy committee referral.

AB 1063 would require the California Department of Public Health (CDPH) to conduct an annual review of its enforcement of regulations related to nurse-to-patient staffing ratios. The report must include data regarding the number of violations, steps that were taken in response to the reports, and outcome of investigations. CDPH would also be required to hold a public hearing to receive input from direct care nurses regarding the efficacy of the department’s enforcement of the regulations. The report would be required to be submitted to the Legislature. 

Vanessa Gonzalez

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

Trina Gonzalez

Job title:
VP Policy
Phone number:
916-552-7543
Pending
AB 1577 (Low, D-Cupertino)
Concerns
Passed the Assembly on May 31. Pending a Senate policy committee referral.

AB 1577 would require a general acute care hospital to report to the California Department of Public Health, on a quarterly basis, the number of nursing clinical placements filled by the hospital for that quarter. Community colleges with nursing programs would also be required to report on the number of clinical placements the community college will require for the next academic year. If a general acute care hospital fails to meet the placement needs of community college nursing programs, they may be subject to a fine or loss of licensure. CHA is working with United Nurses Associations of California on a more collaborative approach to ensure student nurses receive their clinical training and to remove the potential loss of licensure.

Vanessa Gonzalez

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

Sheree Lowe

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

Pharmacy 3

Pending
AB 317 (Weber, D-La Mesa)
Support
Passed the Assembly on April 27. June 7 hearing in Senate Health Committee.

AB 317 would improve access to preventive health care by ensuring that pharmacists are paid for the care they deliver. Specifically, AB 317 would require a health plan to pay or reimburse the cost of services authorized by law that are performed by a pharmacist.

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 1557 (Flora, R-Ripon)
Support
Passed the Assembly on May 4. June 5 hearing in Senate Business, Professions and Economic Development Committee.

AB 1557 make permanent the authority for a California-licensed pharmacist located in California to conduct medication chart order reviews outside of a licensed California hospital. The waiver that allows hospitals to remotely process prescriptions will expire on Aug. 9, 2023, and the passage of AB 1557 is needed so hospitals can continue to use this proven and safe practice.

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 786 (Portantino, D-Glendale)
Support
Passed the Senate on May 22. Referred to Assembly Health Committee.

SB 786 would prohibit pharmacy benefit managers from imposing requirements, conditions, or exclusions that prevent 340B-covered entities from retaining the benefit of discounted pricing because of their 340B status.

Mark Farouk

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

Robert Ducay

Job title:
VP Policy
Phone number:
916-552-7643

Research 1

Pending
SB 625 (Nguyen, R-Huntington Beach)
Oppose
Two-year bill

SB 625 would make significant changes to California’s nationally recognized Newborn Screening Program (NBS), which tests all newborn babies for life-threatening and seriously disabling diseases. Specifically, SB 625 would require every Californian giving birth to fill out a new California Department of Public Health (CDPH)-developed form consenting to the NBS. The form would also include four different signatures lines for parents to opt out of the screening, storage and/or research components of the program. The bill would also create an expensive administrative challenge for both hospitals and CDPH, as they would have to obtain, store, transmit, and coordinate several forms for each of the 500,000 babies born in California annually.

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

Rural Issues 1

Pending
AB 918 (Garcia, D-Coachella)
Follow
Passed the Assembly on May 22. Referred to Senate Governance and Finance Committee.

AB 918 would rename the Pioneers Memorial Healthcare District the Imperial Valley Healthcare District. It would also authorize, subject to voter approval, the expansion of the district to include all of Imperial County. The district would be required to submit a resolution of application to the Imperial County Local Agency Formation Commission to initiate proceedings to expand the district.

Mark Farouk

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

Peggy Wheeler

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

Seismic 3

Pending
AB 869 (Wood, D-Healdsburg)
Support if Amended
Passed the Assembly on May 30. Pending a Senate policy committee referral.

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 would allow them to get assessments for the cost of retrofitting their hospital and give certain smaller rural hospitals and certain district hospitals a five-year extension of the 2030 seismic deadline. It would also allow certain smaller rural and district hospitals, if they have experienced a financial hardship, an indefinite extension beyond 2035, until funds are appropriated by the state. Amendments taken on March 7 provide additional criteria that health care districts can meet to be eligible for the extensions under the bill.

Kathryn Scott

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

Kiyomi Burchill

Job title:
Group Vice President, Executive Operations
Phone number:
916-552-7575
Pending
AB 1471 (Pellerin, D-Santa Cruz)
Support
Passed the Assembly on May 25. Pending a Senate policy committee referral.

AB 1471 would extend — for Santa Clara Valley Medical Center — the Jan. 1, 2025, deadline for hospital buildings to be able to withstand an earthquake. Under the bill, the hospital would instead have until July 1, 2026, for all its buildings to meet these seismic requirements.

Kathryn Scott

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

Kiyomi Burchill

Job title:
Group Vice President, Executive Operations
Phone number:
916-552-7575
Pending
SB 759 (Grove, R- Bakersfield) 
Support
Two-year bill

SB 759 would extend the 2030 seismic deadline for hospitals to 2040.

Kathryn Scott

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

Kiyomi Burchill

Job title:
Group Vice President, Executive Operations
Phone number:
916-552-7575

Substance Use Disorders 2

Pending
AB 33 (Bains, D-Bakersfield)
Support
Passed the Assembly on May 25. Pending a Senate policy committee referral.

AB 33 would establish the Fentanyl Addiction and Overdose Prevention Task Force to undertake various actions related to fentanyl abuse. These actions include collecting and organizing fentanyl abuse data and evaluating approaches to increase public awareness. The task force would be co-chaired by the attorney general and the surgeon general and would be required to report its findings and recommendations to the governor and the Legislature by July 1, 2025.

Kirsten Barlow

Job title:
VP Policy
Phone number:
916-552-7573
Pending
SB 19 (Seyarto, R-Murrieta)
Support
Passed the Senate on May 25. Pending an Assembly policy committee referral.

SB 19 would establish the Anti-Fentanyl Abuse Task Force. This task force would assemble stakeholders to collect and organize data on the extent of fentanyl abuse in California. The data would be used to identify the resources necessary to respond to this new form of synthetic opioid abuse.

Kirsten Barlow

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

Tax Issues 1

Pending
ACA 1 (Aguiar-Curry, D-Winters)
Follow
Referred to Assembly Local Government and Appropriations committees.

ACA 1 would lower the voter threshold from a two-thirds majority to a 55% majority to approve local bonds and certain special taxes for affordable housing, public infrastructure, and permanent supportive housing projects.

Mark Farouk

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

Robert Ducay

Job title:
VP Policy
Phone number:
916-552-7643

Workers' Compensation 1

Pending
AB 1156 (Bonta, D-Oakland)
Oppose
Two-year bill

AB 1156 would create a rebuttable presumption in the workers’ compensation system that an infectious disease, respiratory disease, cancer, PTSD, musculoskeletal injury, or respiratory disease, including COVID-19 and its variants, arose out of work for any hospital direct patient care worker.

Rony Berdugo

Job title:
VP State Advocacy
Phone number:
916-552-7674

Gideon Baum

Job title:
VP Policy
Phone number:
916-552-7621

Workforce 2

Pending
AB 689 (W. Carrillo, D-Los Angeles)
Co-sponsor
Passed the Assembly on May 31. Pending a Senate policy committee referral.

AB 689 is CHA/SEIU’s co-sponsored bill to help address the health care workforce crisis. The proposal would provide health care employees with priority registration when enrolling in community college courses and would also require that community colleges set aside at least 15% of slots in their impacted courses for current health care employees. This would ensure that health care employees have full access to the courses they need to complete their training as quickly as possible.

Vanessa Gonzalez

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

Gideon Baum

Job title:
VP Policy
Phone number:
916-552-7621
Pending
SB 352 (Padilla, D-El Centro)
Follow
Held on Senate Appropriations Committee suspense file on May 18.

SB 352 would direct the California Workforce Development Board, along with the secretary of the Labor and Workforce Development Agency and the director of the Department of Housing and Community Development, to examine housing costs by county, regionally, and in the state. They must then create a formula to determine how much the local minimum wage must be for a full-time worker to afford a decent standard of living, including appropriate housing, in that county. Beginning in 2024 and by Dec. 15 of each year, the board must recommend to the Legislature the minimum wage for a full-time minimum wage earner to afford a decent standard of living in each county, regionally, and in the state. The board must also recommend a method to annually adjust figures to account for housing cost inflation, as well as inflation broadly.

Vanessa Gonzalez

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

Peggy Wheeler

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