CA AB 1312

enacted

Hospital pricing.

California · 2025-2026 Regular Session · lower

Description

Existing law requires a hospital to provide patients with a written notice containing information about the availability of the hospital's discount payment and charity care policies, including information about eligibility and the contact information for a hospital employee or office from which a person may obtain further information about these policies. Existing law defines "charity care" and "discount payment" for these purposes. Existing law requires a hospital to provide to the Department of Health Care Access and Information a copy of its discount payment policy, charity care policy, eligibility procedures for those policies, review process, and the application for charity care or discounted payment programs, among other information. A violation of these provisions results in an administrative penalty, as specified. This bill would, commencing July 1, 2027, require a hospital to screen a patient to determine if they meet specific criteria, including that the patient is enrolled in CalFresh or CalWORKs, and, if they do, presumptively determine that a patient is eligible for participation under the hospital's charity care policy and discount payment policy. The bill would require a hospital to screen a patient for eligibility if the patient meets other specified criteria, including, among others, that the patient is uninsured. The bill would prohibit a hospital from requiring a patient to apply for the federal Medicare program, the Medi-Cal program, or other coverage before the patient is screened for or provided with discounted payment, as specified. The bill would require a hospital to provide patients with the ability to opt out of the screening process through a specified form. The bill would authorize a hospital, at its discretion or as established in its charity care policy or discount payment policy, to make presumptive determinations of eligibility or to conduct screening for patients that do not meet the criteria described above. The bill would authorize certain procedures and tools for screening, including, among others, allowing a hospital to use third-party software tools or services or to contract with a third party under specified conditions. The bill would require a hospital to provide a specified written notice to those patients determined to be eligible, presumptively or otherwise, under these provisions and would prohibit any billing statements from being sent prior to the written notice. The bill would require the billing statements to reflect the adjustments made to the patient's hospital charges under the hospital's charity care policy or discount payment policy.

Introduced: 2025-02-21
Status date: —
Latest action: 2025-10-07 — Chaptered by Secretary of State - Chapter 450, Statutes of 2025.
Bill type: bill
Last updated: —

Subjects

Hospitalpricing

Committees

Not provided by source.

Action timeline

2025-02-21
Introduced. To print.
introduction
2025-02-22
From printer. May be heard in committee March 24.
2025-02-24
Read first time.
reading-1
2025-03-13
Referred to Com. on HEALTH.
referral-committee
2025-04-30
From committee: Amend, and do pass as amended and re-refer to Com. on APPR. (Ayes 12. Noes 3.) (April 29).
amendment-introduction,amendment-passage,committee-passage,referral-committee
2025-05-01
Read second time and amended.
amendment-passage,reading-1,reading-2
2025-05-05
Re-referred to Com. on APPR.
referral-committee
2025-05-14
In committee: Set, first hearing. Referred to APPR. suspense file.
referral-committee
2025-05-23
From committee: Do pass. (Ayes 11. Noes 3.) (May 23).
committee-passage,committee-passage-favorable
2025-05-27
Read second time. Ordered to third reading.
reading-1,reading-2,reading-3
2025-06-02
Read third time. Passed. Ordered to the Senate. (Ayes 51. Noes 16. Page 1933.)
passage,reading-1,reading-3
2025-06-03
In Senate. Read first time. To Com. on RLS. for assignment.
reading-1,referral-committee
2025-06-11
Referred to Com. on HEALTH.
referral-committee
2025-07-08
From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on HEALTH.
amendment-introduction,amendment-passage,committee-passage,reading-1,reading-2,referral-committee
2025-07-21
From committee: Amend, and do pass as amended and re-refer to Com. on APPR. (Ayes 8. Noes 0.) (July 16).
amendment-introduction,amendment-passage,committee-passage,referral-committee
2025-07-21
Read second time and amended. Re-referred to Com. on APPR.
amendment-passage,reading-1,reading-2,referral-committee
2025-08-18
In committee: Referred to suspense file.
referral-committee
2025-08-29
From committee: Do pass. (Ayes 5. Noes 2.) (August 29).
committee-passage,committee-passage-favorable
2025-08-29
Read second time. Ordered to third reading.
reading-1,reading-2,reading-3
2025-09-03
Read third time and amended. Ordered to second reading.
amendment-passage,reading-1,reading-2,reading-3
2025-09-04
Read second time. Ordered to third reading.
reading-1,reading-2,reading-3
2025-09-08
Read third time. Passed. Ordered to the Assembly. (Ayes 27. Noes 8. Page 2625.).
passage,reading-1,reading-3
2025-09-08
In Assembly. Concurrence in Senate amendments pending.
2025-09-09
Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 62. Noes 16. Page 3123.).
amendment-passage,committee-passage,committee-passage-favorable
2025-09-16
Enrolled and presented to the Governor at 2 p.m.
executive-receipt
2025-10-07
Approved by the Governor.
executive-signature
2025-10-07
Chaptered by Secretary of State - Chapter 450, Statutes of 2025.
became-law

Versions

02/21/25 - Introduced — 2025-02-21Compare
05/01/25 - Amended Assembly — 2025-05-01Compare
07/08/25 - Amended Senate — 2025-07-08Compare
07/21/25 - Amended Senate — 2025-07-21Compare
09/03/25 - Amended Senate — 2025-09-03Compare
09/11/25 - Enrolled — 2025-09-11Compare
10/07/25 - Chaptered — 2025-10-07Compare
AB1312Compare
(document, no version)Compare

Documents

Votes

Do pass as amended and be re-referred to the Committee on [Appropriations]
2025-04-29 · pass · 12-3
Member-level votes (16)
- Celeste Rodriguez: yes
- Mark González: yes
- Sharp-Collins: yes
- Schiavo: yes
- Bonta: yes
- Aguiar-Curry: yes
- Stefani: yes
- Carrillo: yes
- Krell: yes
- Arambula: yes
- Patel: yes
- Addis: yes
- Sanchez: no
- Flora: no
- Chen: no
- Patterson: other
Do pass.
2025-05-23 · pass · 11-3
Member-level votes (15)
- Calderon: yes
- Elhawary: yes
- Hart: yes
- Mark González: yes
- Arambula: yes
- Pacheco: yes
- Solache: yes
- Caloza: yes
- Wicks: yes
- Pellerin: yes
- Fong: yes
- Ta: no
- Dixon: no
- Tangipa: no
- Sanchez: other
AB 1312 Schiavo Assembly Third Reading
2025-06-03 · pass · 51-16
Member-level votes (79)
- Addis: yes
- Garcia: yes
- Lee: yes
- Rivas: yes
- Rogers: yes
- Bryan: yes
- Wicks: yes
- Irwin: yes
- Arambula: yes
- Caloza: yes
- Ahrens: yes
- Krell: yes
- Stefani: yes
- Harabedian: yes
- Mark González: yes
- Ward: yes
- Nguyen: yes
- Muratsuchi: yes
- Patel: yes
- Solache: yes
- McKinnor: yes
- Bonta: yes
- Lowenthal: yes
- Papan: yes
- Schiavo: yes
- Gabriel: yes
- Aguiar-Curry: yes
- Ransom: yes
- Connolly: yes
- Celeste Rodriguez: yes
- Fong: yes
- Quirk-Silva: yes
- Soria: yes
- Wallis: yes
- Pellerin: yes
- Elhawary: yes
- Davies: yes
- Kalra: yes
- Alanis: yes
- Haney: yes
- Gipson: yes
- Sharp-Collins: yes
- Boerner: yes
- Alvarez: yes
- Bauer-Kahan: yes
- Schultz: yes
- Berman: yes
- Jackson: yes
- Zbur: yes
- Bennett: yes
- Ortega: yes
- Hoover: no
- Gallagher: no
- Chen: no
- Lackey: no
- Ta: no
- Tangipa: no
- Ellis: no
- Flora: no
- Patterson: no
- Jeff Gonzalez: no
- Hadwick: no
- Macedo: no
- Castillo: no
- Ávila Farías: no
- DeMaio: no
- Sanchez: no
- Carrillo: other
- Blanca Rubio: other
- Petrie-Norris: other
- Michelle Rodriguez: other
- Pacheco: other
- Ramos: other
- Wilson: other
- Hart: other
- Valencia: other
- Bains: other
- Dixon: other
- Calderon: other
Do pass as amended, but first amend, and re-refer to the Committee on [Appropriations]
2025-07-16 · pass · 8-0
Member-level votes (11)
- Limón: yes
- Padilla: yes
- Rubio: yes
- Gonzalez: yes
- Durazo: yes
- Menjivar: yes
- Wiener: yes
- Richardson: yes
- Valladares: other
- Weber Pierson: other
- Grove: other
Placed on suspense file
2025-08-18 · pass · 7-0
Member-level votes (7)
- Richardson: yes
- Seyarto: yes
- Caballero: yes
- Cabaldon: yes
- Dahle: yes
- Wahab: yes
- Grayson: yes
Do pass
2025-08-29 · pass · 5-2
Member-level votes (7)
- Richardson: yes
- Grayson: yes
- Wahab: yes
- Caballero: yes
- Cabaldon: yes
- Dahle: no
- Seyarto: no
3rd Reading AB1312 Schiavo By Pérez
2025-09-08 · pass · 27-8
Member-level votes (40)
- Wahab: yes
- Laird: yes
- Rubio: yes
- McGuire: yes
- Cortese: yes
- Richardson: yes
- Reyes: yes
- Grayson: yes
- Limón: yes
- McNerney: yes
- Wiener: yes
- Padilla: yes
- Umberg: yes
- Hurtado: yes
- Blakespear: yes
- Menjivar: yes
- Cervantes: yes
- Ashby: yes
- Durazo: yes
- Smallwood-Cuevas: yes
- Allen: yes
- Arreguín: yes
- Pérez: yes
- Archuleta: yes
- Caballero: yes
- Gonzalez: yes
- Becker: yes
- Niello: no
- Jones: no
- Alvarado-Gil: no
- Seyarto: no
- Strickland: no
- Ochoa Bogh: no
- Grove: no
- Dahle: no
- Choi: other
- Stern: other
- Cabaldon: other
- Weber Pierson: other
- Valladares: other
AB 1312 Schiavo Concurrence in Senate Amendments
2025-09-10 · pass · 62-16
Member-level votes (80)
- Ahrens: yes
- Mark González: yes
- Quirk-Silva: yes
- Gipson: yes
- Rogers: yes
- Addis: yes
- Ward: yes
- Haney: yes
- Fong: yes
- Calderon: yes
- Elhawary: yes
- Wilson: yes
- Carrillo: yes
- Bains: yes
- Ransom: yes
- Soria: yes
- Michelle Rodriguez: yes
- Berman: yes
- Valencia: yes
- Wicks: yes
- Celeste Rodriguez: yes
- Arambula: yes
- Connolly: yes
- Schultz: yes
- Bauer-Kahan: yes
- Bennett: yes
- Papan: yes
- Schiavo: yes
- Bonta: yes
- Ávila Farías: yes
- Aguiar-Curry: yes
- Pacheco: yes
- Boerner: yes
- Alvarez: yes
- Lee: yes
- Alanis: yes
- Wallis: yes
- Stefani: yes
- Caloza: yes
- Sharp-Collins: yes
- Nguyen: yes
- Ortega: yes
- Solache: yes
- Lowenthal: yes
- Blanca Rubio: yes
- Jackson: yes
- Bryan: yes
- Petrie-Norris: yes
- Harabedian: yes
- Gabriel: yes
- Zbur: yes
- Davies: yes
- McKinnor: yes
- Pellerin: yes
- Muratsuchi: yes
- Krell: yes
- Irwin: yes
- Ramos: yes
- Patel: yes
- Kalra: yes
- Rivas: yes
- Garcia: yes
- Johnson: no
- Dixon: no
- Hoover: no
- Hadwick: no
- Tangipa: no
- Lackey: no
- Macedo: no
- Gallagher: no
- Sanchez: no
- Ta: no
- Chen: no
- Castillo: no
- Ellis: no
- Flora: no
- Patterson: no
- DeMaio: no
- Hart: other
- Jeff Gonzalez: other

Related bills

No related bills recorded for this bill.

Official source

http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202520260AB1312

Attribution

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