(1) The Dental Practice Act establishes the Dental Board of California to license and regulate the practice of dentistry. Existing law requires the board to license and regulate dental auxiliaries, including, among others, dental assistants, as defined, and sets forth duties and functions that those dental auxiliaries are authorized to perform. Existing law requires an unlicensed dental assistant not enrolled in a board-approved program for registered dental assisting or an alternative dental assisting program to complete an infection control certification course, as specified. In this regard, existing law allows the unlicensed dental assistant to complete a board-approved 8-hour course, with 6 hours being didactic instruction and 2 hours being laboratory instruction, as specified. This bill would allow an unlicensed dental assistant to complete the Dental Assisting National Board's Infection Control examination instead of completing an infection control course. The bill would also revise the requirements for those infection control courses to allow an unlicensed dental assistant to complete one of specified courses approved by the board or a course with at least 4 hours of didactic instruction and at least 2 hours of laboratory instruction using video or a series of video training tools, as specified. Existing law makes the employer of a dental assistant responsible for ensuring that the dental assistant has successfully completed a board-approved 8-hour course in infection control before performing any basic supportive dental procedures involving potential exposure to blood, saliva, or other potentially infectious material. This bill would instead require the employer to ensure the dental assistant has successfully completed a course or examination in infection control, as described above, before performing those procedures. (2) Existing law establishes the Licensed Physicians from Mexico Program under which the Medical Board of California is required to issue a physician and surgeon's license to a licensed physician from Mexico who meets specific education, language, experience, and other requirements. Existing law limits the number of program applicants and the dates they may apply. This bill would make changes to those application deadlines, requiring applicants for the program to submit an application to the board between October 1, 2025, and July 1, 2026, and authorizing the board to accept up to 15 applications after July 1, 2026, and before January 1, 2028. (3) The Veterinary Medicine Practice Act establishes the California Veterinary Medical Board to license and regulate veterinarians, veterinarian technicians, and the practice of veterinary medicine. Under existing law, the board is composed of 9 members, of which 4 are licensed veterinarians, 2 are registered veterinary technicians, and 3 are public members. Existing law requires the Governor to appoint the 4 veterinarian members, one registered veterinary technician member, and one public member to the board. Under existing law, the Senate Committee on Rules and the Speaker of the Assembly each appoint a public member. The act also specifies the educational requirements, among other requirements, to become a registered veterinary technician. This bill would require the Governor to appoint the additional registered veterinary technician member to the board and would make nonsubstantive changes to provisions relating to the board. The bill would modify the educational requirements to become a registered veterinary technician to include education accredited by a California public school, as specified. (4) The Private Investigator Act provides for the licensure and regulation of private investigators by the Director of Consumer Affairs and requires an agreement to provide a service under the act to be in writing and contain, among other things, the approximate start and completion dates of the work to be provided. Under this bill, a master agreement for frequently contracted services over a specified period of time would be exempt from the above-described requirement to include the approximate start and completion dates of the work, if the agreement includes the beginning and termination dates. (5) This bill would declare that it is to take effect immediately as an urgency statute.
Existing law defines a request regarding resuscitative measures to mean a written document, signed by an individual with capacity or legally recognized health care decisionmaker and the individual's physician that directs a health care provider regarding resuscitative measures, as prescribed. Existing law includes a prehospital "do not resuscitate" form, as developed by the Emergency Medical Services Authority or other substantially similar form, and Physician Orders for Life Sustaining Treatment form (POLST form) , as approved by the Emergency Medical Services Authority as requests regarding resuscitative measures. This bill would replace the term "Physician Orders for Life Sustaining Treatment" with "POLST," or "Portable Orders Listing Scope of Treatment." The bill would authorize a request regarding resuscitative measures to be entered into by an individual with capacity or a health care agent, conservator with health care decisionmaking authority, or surrogate, as defined, and a physician, nurse practitioner, or physician assistant, as specified. The bill would specify that a request regarding resuscitative measures is entirely voluntary and the provision of care or admission to a facility cannot be conditioned on completion of or refusal to complete a POLST or prehospital "do not resuscitate" order. Existing law prescribes requirements for forms for requests regarding resuscitative measures, including, among other things, that the form be signed by the executing parties. The bill would specify that an electronic signature, as defined, is sufficient for any signature required for a request regarding resuscitative measures. Under this bill, a request regarding resuscitative measures executed in another state or jurisdiction that complies with the laws of that state or jurisdiction or the laws of California is considered valid and enforceable in California to the same extent as a request regarding resuscitative measures validly executed in California. The bill would specify that, in the absence of knowledge to the contrary, a physician or other health care provider may presume that a request regarding resuscitative measures, whether executed in another state or jurisdiction or in California, is valid and unrevoked. The bill would make conforming changes.
Existing law, the Community Assistance, Recovery, and Empowerment (CARE) Act, authorizes specified adult persons to petition a civil court to create a voluntary CARE agreement or a court-ordered CARE plan and implement services, to be provided by county behavioral health agencies, to provide behavioral health care, including stabilization medication, housing, and other enumerated services, to adults who are currently experiencing a severe mental illness and have a diagnosis identified in the disorder class schizophrenia and other psychotic disorders, and who meet other specified criteria. Existing law authorizes specified individuals to file a petition to commence the CARE process, including, but not limited to, a spouse, parent, sibling, child, grandparent, or an individual who stands in loco parentis to the respondent. Existing law requires the court to issue an order relieving the original petitioner if the petitioner is someone other than the director of a county behavioral health agency or their designee and appoint the director or their designee as the successor petitioner. Existing law requires the original petitioner to have specified rights to notice of proceedings if the petitioner is a parent or specified family member or the person with whom the respondent resides. Existing law authorizes the court to allow the original petitioner to participate in the respondent's CARE proceedings to the extent the respondent consents. This bill would authorize the original petitioner to provide specified information regarding the respondent, including the respondent's condition, treatment history, and housing status. The bill would require the CARE team to review specified parts of the provided information, including that relevant to the respondent's care and treatment, and would authorize the court to consider that information in evaluating the respondent's progress and compliance, among other things. The bill would specify that the respondent's consent is not required to receive this information from the original petitioner and that submission of this information does not confer party status on the original petitioner or create a right to direct treatment decisions, obtain discovery, access confidential records, receive protected health information, attend confidential proceedings, or otherwise participate in the proceedings without the respondent's consent, except as expressly provided by law.
Existing law, the Speech-Language Pathologists and Audiologists and Hearing Aid Dispensers Licensure Act, until January 1, 2027, establishes the Speech-Language Pathology and Audiology and Hearing Aid Dispensers Board within the Department of Consumer Affairs for the licensure and regulation of speech-language pathologists, speech-language pathology aides, speech-language pathology assistants, audiologists, dispensing audiologists, and hearing aid dispensers. Existing law, until January 1, 2027, authorizes the board to appoint a person designated as the executive officer to perform duties delegated by the board and vested in them in the act. Existing law makes a violation of the act a misdemeanor. This bill would extend the operation of the board and authorization to appoint an executive officer until January 1, 2031. Existing law specifies that a person holds themselves out to the public as a speech-language pathologist or audiologist by using specified titles. This bill would specify a person also holds themselves out to the public as a speech-language pathologist or audiologist by using a business name with those titles. Existing law requires a supervising speech-language pathologist or supervising audiologist to submit to the board a description of the proposed professional responsibilities of an applicant who is issued a temporary license as a speech-language pathologist or audiologist, as applicable, working under their supervision. This bill would delete that requirement. Existing law requires a speech-language pathologist or audiologist supervising speech-language pathology or audiology aides to register with the board the name of each aide working under their supervision. This bill would prohibit a speech-language pathology or audiology aide from advertising or representing that they hold a license as a speech-language pathologist, speech-language pathology assistant, or audiologist. The bill would prohibit a speech-language pathology or audiology aide, a professional experience license holder, or a speech-language pathology assistant from being the sole proprietor of, or managing or independently operating, a business that engages in the practice of speech-language pathology or audiology. Existing law grants to the board the full authority to investigate and evaluate each applicant applying for a license to practice speech-language pathology or audiology, to determine the admission of the applicant to the examination, or to issue a license. Existing law requires the board to perform all examination functions, to determine the subject matter and scope of the examinations, and to keep recordings of any oral examination for at least 2 years. This bill would delete those provisions and would instead require an applicant to pass an examination approved by the board, which may be conducted by the board or by an organization specified by the board. Existing law requires the board to issue, suspend, and revoke licenses and approvals to practice speech-language pathology and audiology. This bill would also require the board to issue, suspend, and revoke registrations, and would make various provisions in the act applicable to registrants, including requiring registrants to pay a fee not to exceed $25 for issuance of a registration status. Existing law establishes requirements for licensure as a speech-language pathologist or audiologist, including possession of at least a master's degree in speech-language pathology or audiology from an educational institution approved by the board or qualifications deemed equivalent by the board. This bill would expand the list of degrees that would satisfy that requirement to include at least a master's degree in communication disorders, communication sciences and disorders, communicative disorders, or speech, language, or hearing sciences. Existing law, until January 1, 2027, deems a person who holds one of specified clinical competence certificates issued by certain entities to have met certain educational and experience requirements for licensure as a speech-language pathologist or audiologist, as specified. This bill would extend the operation of that provision until January 1, 2031. Existing law establishes continuing education requirements for licensees and requires continuing professional development services to be obtained from accredited institutions of higher learning or organizations approved as continuing education providers, as specified. This bill would revise the list of authorized continuing education providers to include organizations approved as continuing education providers by the California Academy of Audiology, the California Speech-Language-Hearing Association, or the American Medical Association, and continuing professional development services obtained by a federal, state, or local governmental entity. This bill would require the board, upon payment of a $75 fee, to issue a retired license to a licensed speech-language pathologist, speech-language pathology assistant, audiologist, hearing aid dispenser, or dispensing audiologist who holds a license that is current and active or a license that is inactive, and the license is not suspended, revoked, surrendered, or subject to disciplinary action, as specified, subject to satisfaction of specified requirements. Existing law authorizes the board to suspend, revoke, or impose terms and conditions upon the license of any licensee for specified acts, including violating or attempting to violate any provisions of the act. This bill would make those provisions applicable to registrants. Existing law authorizes a person whose license has been revoked or suspended, or who has been placed on probation, to petition the board for reinstatement or modification of penalty, as specified. This bill would make those provisions applicable to a person whose license has been surrendered, as specified. Existing law requires the board to adopt regulations, in collaboration with the State Department of Education, the Commission on Teacher Credentialing, and the Advisory Commission on Special Education, that set forth standards and requirements for the adequate supervision of speech-language pathology assistants, including minimum continuing professional development requirements. This bill would prohibit coursework from a master's degree that would qualify an applicant for licensure as a speech-language pathologist from being used, as specified, to satisfy those continuing professional development requirements. Existing law establishes educational requirements for applicants for approval as a speech-language pathology assistant, and specifies that a person who has successfully graduated from a board-approved bachelor's degree program in speech-language pathology or communication disorders is deemed to have satisfied those requirements. This bill would expand the list of degrees that would satisfy those requirements to include a bachelor's degree in communication disorders, speech-language and hearing sciences, communication sciences and disorders, or communicative disorders. Existing law prohibits provisions regulating hearing aid dispensers from being construed to limit the use of a speech aide or other personnel employed by a public school working under the supervision of a speech-language pathologist. This bill would specify that construction applies so long as the speech aide or other personnel is not performing the responsibilities, duties, and functions of a speech-language pathology assistant. This bill would prohibit a person who is not registered as a speech-language pathology assistant from using the title "SLP assistant" or the letters "SLPA," and would prohibit a speech-language pathology assistant from advertising or otherwise representing that they hold a license as a speech-language pathologist. Existing law authorizes hearing aids to be sold by catalog or direct mail, subject to satisfaction of specified requirements. The bill would authorize hearing aids to be sold online. Existing law makes it unlawful for an individual to engage in the practice of fitting or selling hearing aids without a license, except as specified. This bill would specify that some of those provisions apply to hearing aid dispensers instead of licensees, and would change some of those provisions so they apply to an address or addresses instead of a place of business. Relative to the regulation of hearing aid dispensers, existing law requires a licensee to apply for and procure a duplicate license if the licensee maintains more than one place of business, as specified. Existing law authorizes a hearing aid dispenser to engage on a temporary basis in the practice of fitting or selling hearing aids at the primary or branch location of another licensee's business without obtaining a duplicate license if certain requirements are satisfied. This bill would instead require a hearing aid dispenser engaged in the practice of fitting or selling hearing aids at more than one place of business to apply for and procure a branch office license, as specified. The bill would define "temporary basis" for purposes of the provisions described above. Existing law imposes certain restrictions and requirements on licensed hearing aid dispensers related to the scope of their duties, including prohibiting a licensed hearing aid dispenser from selling a hearing aid to a person 16 years of age or younger, except as specified, and exempts from those restrictions and requirements a licensed dispensing audiologist, as specified. This bill would expand the list of restrictions and requirements applicable to licensed hearing aid dispensers that licensed dispensing audiologists are exempt from to include, among other things, provisions prohibiting a licensed hearing aid dispenser from making or seeking referrals for testing, fitting, or dispensing of hearing aids in connection with the conduction of hearing screenings, as specified. Existing law establishes a fee of $100 for an initial temporary license, and a fee of $100 for renewal of a temporary license for hearing aid dispensers. This bill would instead establish that fee for an initial temporary or trainee licensee, and a fee of $100 for renewal of a trainee license. The bill would revise and recast certain provisions related to temporary licenses. The bill would also change some provisions related to hearing aid dispensers so they apply to an address or addresses instead of a place of business. Existing law provides for the licensure and regulation of dispensing audiologists by the board. This bill would revise and recast certain of those provisions and would require a dispensing audiologist to submit documentation to the board that they have satisfied specified continuing education requirements. The bill would provide that a dispensing audiologist license expires on its assigned renewal date, unless licensee applies to the board for renewal, as specified, and would establish requirements for the renewal of an expired license. The bill would specify that a suspended dispensing audiologist license is subject to expiration and shall be renewed, as provided, but renewal does not entitle the holder of the license to engaging in the fitting or selling of hearing aids until it is reinstated. The bill would specify that a license that has been revoked is subject to expiration and shall not be renewed, and would establish requirements for reinstatement. Existing law prohibits a licensed audiologist from selling hearing aids to a person 16 years of age or younger, except if specified conditions are satisfied. This bill would delete that provision. Existing law defines certain terms for the purposes of the Act, including, among others, "hearing aid dispenser" to mean a person engaged in the practice of fitting or selling hearing aids to an individual with impaired hearing. The bill would make other definitional, technical, and conforming changes, including defining "hearing aid dispenser" as a person who is issued a permanent license pursuant to these provisions, revising the definitions of "license" and "licensee." By imposing additional requirements and prohibitions on persons subject to the act, a violation of which is a crime, the bill would expand the scope of a crime thereby imposing a state-mandated local program. The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement. This bill would provide that no reimbursement is required by this act for a specified reason.
Existing law establishes, within the California Health and Human Services Agency, the State Department of Public Health, which has authority over various programs promoting public health, including the California Tobacco Control Program. Existing law requires the department to, among other things, establish a program on tobacco use and health to reduce tobacco use in California by conducting health education interventions and behavior change programs at the state level, in the community, and other nonschool settings. Existing law also requires the department to conduct statewide surveillance of tobacco-related behaviors, knowledge, and attitudes and evaluate the department's local and state tobacco control programs. Under existing law, the department funds the Kick It California program, which is a tobacco cessation program. Existing law, the California Cigarette and Tobacco Products Licensing Act of 2003, provides for the licensure by the California Department of Tax and Fee Administration of manufacturers, distributors, wholesalers, importers, and retailers of cigarette or tobacco products that are engaged in business in California. The act authorizes the department to suspend or revoke a retailer's license or impose a civil penalty for a violation of the act's provisions and requires all moneys collected under the act to be deposited in the Cigarette and Tobacco Products Compliance Fund to be available for expenditure, upon appropriation by the Legislature, for specified uses. Existing law requires a retailer to conspicuously display its license to engage in the sale of cigarettes or tobacco products at each retail location in a manner visible to the public. This bill would require the State Department of Public Health, no later than July 1, 2027, to make available signage to raise lung cancer screening awareness, as specified, which would include, among other things, eligibility criteria for lung cancer screening and the toll-free telephone number of the Kick It California tobacco cessation program. The bill would require the sign to be available at no cost on the department's internet website. The bill would require, beginning January 1, 2028, a retailer, as defined, to conspicuously display the signage at each retail location. The bill would make a retailer who violates that requirement liable for a civil penalty of $500 for each offense at a retail location and would require those penalties to be deposited into the Cigarette and Tobacco Products Compliance Fund.
Existing law, until January 1, 2028, and to the extent funds are made available for these purposes, requires the State Department of Public Health to establish a system for the collection of information determining the incidence and prevalence of neurodegenerative diseases, including, but not limited to, amyotrophic lateral sclerosis (ALS) , also known as Lou Gehrig's disease. Existing law requires a hospital, facility, physician and surgeon, or other health care provider diagnosing or providing treatment to a patient for a neurodegenerative disease to report each case of a neurodegenerative disease to the department, as prescribed. Existing law requires the department to designate the specified neurodegenerative diseases required to be reported in the state or any part of the state. Existing law specifies that for this purpose, "neurodegenerative disease" may include, but need not be limited to, Alzheimer's disease, multiple sclerosis, and Huntington's disease. This bill would require the department to establish a system for the collection of information determining the incidence and prevalence of frontotemporal degeneration (FTD) . This bill would specify that "neurodegenerative disease" may also include other dementias. The bill would extend the requirements of these provisions until January 1, 2032.
Existing law requires the California Health and Human Services Agency (CHHSA) to enter into partnerships resulting in the production of generic prescription drugs, including at least one form of insulin made available at production and dispensing costs, if one does not already exist in the market. Existing law additionally authorizes CHHSA to enter into partnerships to increase competition, lower prices, and address supply shortages for generic or brand name drugs to address emerging health concerns. This bill, the Preventive Treatment Health Care Act, would authorize CHHSA to enter into partnerships, if needed and subject to an appropriation, to increase competition, lower prices, and address supply shortages for at least one glucagon-like peptide-1 (GLP-1) antiobesity medication approved by the United States Food and Drug Administration (FDA) . The bill would require CHHSA to establish distribution partners, if needed, and make its best effort to negotiate pricing at or lower than the cost to Medi-Cal beneficiaries in 2025.
Existing law establishes the Medi-Cal program, which is administered by the State Department of Health Care Services and under which qualified low-income individuals receive health care services. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Under existing law, to the extent required by the federal government and effective no sooner than required by the federal government, behavioral health treatment (BHT) is a covered service under the Medi-Cal program for individuals under 21 years of age. This bill would require the department, by July 1, 2027, to ensure that certain individuals providing BHT services under Medi-Cal undergo criminal background checks. The bill would require the department to utilize existing stakeholder forums to seek stakeholder feedback and offer stakeholder comment opportunities to inform changes to coverage and billing policy for BHT services. The bill would encourage the department to affirmatively reach out to specified stakeholders as appropriate based on the topic at issue to ensure adequate feedback. Under the bill, stakeholder feedback would include, among other topics, clinical guidelines for the provision of BHT services, treatment plan requirements, requirements for the provision of center-based services compared to services provided elsewhere, and supervision of unlicensed and uncertified professionals, as specified. The bill would require the department to maintain clear billing and coverage guidance for BHT services, as specified. The bill would require the department, on or before January 1, 2029, to publish on its internet website utilization data for BHT services, a synopsis of changes made as a result of stakeholder feedback, and recommendations for actions necessary to ensure that Medi-Cal reimbursement practices align with federal Medicaid program integrity requirements.
Existing law establishes the University of California Kern County Medical Education Endowment Fund. Upon appropriation by the Legislature, existing law requires moneys in the endowment fund to be allocated to the University of California to support the annual operating costs for the development, operation, and maintenance of a branch campus of an existing University of California School of Medicine in the County of Kern, and to conduct a feasibility study related to that campus. This bill would require the University of California, on or before January 1, 2028, to complete a feasibility study, and reasonably attempt to consult with local stakeholders, to determine the steps necessary to establish a branch campus of an existing University of California medical school in the County of Kern, and to submit the feasibility study, including detailed findings, recommendations, and an implementation timeline, to the Governor and Legislature, as provided. The bill would require the feasibility study to include a comprehensive analysis of the requirements, challenges, and opportunities related to establishing a branch campus of an existing University of California medical school in the County of Kern, as provided. This bill would declare that it is to take effect immediately as an urgency statute.
Existing federal law, the Indian Gaming Regulatory Act of 1988, provides for the negotiation and execution of tribal-state gaming compacts for the purpose of authorizing certain types of gaming on Indian lands within a state. The California Constitution authorizes the Governor to negotiate and conclude tribal-state gaming compacts, subject to ratification by the Legislature. Existing law expressly ratifies a number of tribal-state gaming compacts, and amendments of tribal-state gaming compacts, between the State of California and specified Indian tribes. The California Environmental Quality Act (CEQA) requires a lead agency to prepare, or cause to be prepared, and certify the completion of, an environmental impact report on a project, as defined, that it proposes to carry out or approve that may have a significant effect on the environment, as defined, or to adopt a negative declaration if it finds that the project will not have that effect. This bill would ratify the amendment to the tribal-state gaming compact entered into between the State of California and the Yuhaaviatam of San Manuel Nation executed on June 23, 2026. The bill would provide that, in deference to tribal sovereignty, certain actions related to that amended compact are not projects for purposes of CEQA. This bill would declare that it is to take effect immediately as an urgency statute.
