Bill Commons

CA AB 1415

enacted

California Health Care Quality and Affordability Act.

California · 2025-2026 Regular Session · lower

Quick answers

Did CA AB 1415 pass?

Yes. CA AB 1415 has been enacted into law as of 2025-10-11. Latest recorded action (2025-10-11): Chaptered by Secretary of State - Chapter 641, Statutes of 2025.

What is CA AB 1415 about?

Existing law, the California Health Care Quality and Affordability Act, establishes within the Department of Health Care Access and Information the Office of Health Care Affordability to analyze the health care market for cost trends and drivers of spending, develop data-informed policies for lowering health care costs for consumers and purchasers, set and enforce cost targets, and create a state strategy for controlling the cost of health care and ensuring affordability for consumers and purchasers. Existing law requires the office to conduct ongoing research and evaluation on payers, fully integrated delivery systems, and providers to determine whether the definitions or other provisions of the act include those entities that significantly affect health care cost, quality, equity, and workforce stability. Existing law defines multiple terms relating to these provisions, including a health care entity to mean a payer, provider, or a fully integrated delivery system and a provider to mean specified entities delivering or furnishing health care services. This bill would update the definitions applying to these provisions, including defining a provider to mean specified entities delivering or furnishing health care services. The bill would include additional definitions, including, but not limited to, a hedge fund to mean a pool of funds managed by investors for the purpose of earning a return on those funds, regardless of strategies used to manage the funds, subject to certain exceptions. The bill would require the office to conduct ongoing research and evaluation on management services organizations, as specified, and to establish requirements for management services organizations to submit data and other information as necessary to carry out the functions of the office. Existing law requires a health care entity to provide the Office of Health Care Affordability with written notice of agreements or transactions that do specified actions, including sell or transfer, among other things, a material amount of its assets to one or more entities. The bill would similarly require a noticing entity, as defined, to provide the office written notice of agreements or transactions between the noticing entity and a health care entity or management services organization, or an entity that owns, or controls the health care entity or management services organization that perform the same specified actions described above. The bill would additionally require a management services organization to provide the office with written notice of any agreement or transaction between the organization and any other entity.

Who sponsors CA AB 1415?

Bonta is the primary sponsor of CA AB 1415, joined by 1 cosponsor.

Description

Existing law, the California Health Care Quality and Affordability Act, establishes within the Department of Health Care Access and Information the Office of Health Care Affordability to analyze the health care market for cost trends and drivers of spending, develop data-informed policies for lowering health care costs for consumers and purchasers, set and enforce cost targets, and create a state strategy for controlling the cost of health care and ensuring affordability for consumers and purchasers. Existing law requires the office to conduct ongoing research and evaluation on payers, fully integrated delivery systems, and providers to determine whether the definitions or other provisions of the act include those entities that significantly affect health care cost, quality, equity, and workforce stability. Existing law defines multiple terms relating to these provisions, including a health care entity to mean a payer, provider, or a fully integrated delivery system and a provider to mean specified entities delivering or furnishing health care services. This bill would update the definitions applying to these provisions, including defining a provider to mean specified entities delivering or furnishing health care services. The bill would include additional definitions, including, but not limited to, a hedge fund to mean a pool of funds managed by investors for the purpose of earning a return on those funds, regardless of strategies used to manage the funds, subject to certain exceptions. The bill would require the office to conduct ongoing research and evaluation on management services organizations, as specified, and to establish requirements for management services organizations to submit data and other information as necessary to carry out the functions of the office. Existing law requires a health care entity to provide the Office of Health Care Affordability with written notice of agreements or transactions that do specified actions, including sell or transfer, among other things, a material amount of its assets to one or more entities. The bill would similarly require a noticing entity, as defined, to provide the office written notice of agreements or transactions between the noticing entity and a health care entity or management services organization, or an entity that owns, or controls the health care entity or management services organization that perform the same specified actions described above. The bill would additionally require a management services organization to provide the office with written notice of any agreement or transaction between the organization and any other entity.

Introduced
2025-02-21
Latest action
2025-10-11 — Chaptered by Secretary of State - Chapter 641, Statutes of 2025.
Bill type
bill
Last updated

Subjects

Sponsors

  • Bontaauthor
  • Schiavocoauthor

Committees

Not provided by source.

Action timeline

  1. 2025-02-21

    Introduced. To print.

    introduction

  2. 2025-02-22

    From printer. May be heard in committee March 24.

  3. 2025-02-24

    Read first time.

    reading-1

  4. 2025-03-13

    Referred to Com. on HEALTH.

    referral-committee

  5. 2025-04-03

    In committee: Hearing postponed by committee.

  6. 2025-04-23

    From committee: Amend, and do pass as amended and re-refer to Com. on APPR. (Ayes 11. Noes 3.) (April 22).

    amendment-introduction,amendment-passage,committee-passage,referral-committee

  7. 2025-04-24

    Read second time and amended.

    amendment-passage,reading-1,reading-2

  8. 2025-04-28

    Re-referred to Com. on APPR.

    referral-committee

  9. 2025-05-07

    From committee: Do pass. (Ayes 11. Noes 4.) (May 7).

    committee-passage,committee-passage-favorable

  10. 2025-05-08

    Read second time. Ordered to third reading.

    reading-1,reading-2,reading-3

  11. 2025-05-15

    Read third time. Passed. Ordered to the Senate. (Ayes 42. Noes 16. Page 1547.)

    passage,reading-1,reading-3

  12. 2025-05-15

    In Senate. Read first time. To Com. on RLS. for assignment.

    reading-1,referral-committee

  13. 2025-05-28

    Referred to Com. on HEALTH.

    referral-committee

  14. 2025-06-18

    In committee: Set, first hearing. Hearing canceled at the request of author.

  15. 2025-06-26

    From committee: Amend, and do pass as amended and re-refer to Com. on APPR. (Ayes 9. Noes 2.) (June 25).

    amendment-introduction,amendment-passage,committee-passage,referral-committee

  16. 2025-06-27

    Read second time and amended. Re-referred to Com. on APPR.

    amendment-passage,reading-1,reading-2,referral-committee

  17. 2025-07-02

    From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on APPR.

    amendment-introduction,amendment-passage,committee-passage,reading-1,reading-2,referral-committee

  18. 2025-08-19

    From committee: Be ordered to second reading pursuant to Senate Rule 28.8.

    committee-passage,reading-1,reading-2

  19. 2025-08-20

    Read second time. Ordered to third reading.

    reading-1,reading-2,reading-3

  20. 2025-08-21

    Read third time and amended. Ordered to second reading.

    amendment-passage,reading-1,reading-2,reading-3

  21. 2025-08-25

    Read second time. Ordered to third reading.

    reading-1,reading-2,reading-3

  22. 2025-09-04

    Read third time. Passed. Ordered to the Assembly. (Ayes 26. Noes 10. Page 2506.).

    passage,reading-1,reading-3

  23. 2025-09-04

    In Assembly. Concurrence in Senate amendments pending.

  24. 2025-09-08

    Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 51. Noes 19. Page 3038.).

    amendment-passage,committee-passage,committee-passage-favorable

  25. 2025-09-15

    Enrolled and presented to the Governor at 4:30 p.m.

    executive-receipt

  26. 2025-10-11

    Approved by the Governor.

    executive-signature

  27. 2025-10-11

    Chaptered by Secretary of State - Chapter 641, Statutes of 2025.

    became-law

Versions

  • 02/21/25 - Introduced — 2025-02-21Compare
  • 04/24/25 - Amended Assembly — 2025-04-24Compare
  • 06/27/25 - Amended Senate — 2025-06-27Compare
  • 07/02/25 - Amended Senate — 2025-07-02Compare
  • 08/21/25 - Amended Senate — 2025-08-21Compare
  • 09/10/25 - Enrolled — 2025-09-10Compare
  • 10/11/25 - Chaptered — 2025-10-11Compare
  • AB1415Compare
  • (document, no version)Compare

Documents

Votes

  • Do pass as amended and be re-referred to the Committee on [Appropriations]

    2025-04-22 · pass · 11-3

    Member-level votes (16)
    • Patel: yes
    • Rogers: yes
    • Sharp-Collins: yes
    • Krell: yes
    • Carrillo: yes
    • Celeste Rodriguez: yes
    • Bonta: yes
    • Mark González: yes
    • Aguiar-Curry: yes
    • Stefani: yes
    • Addis: yes
    • Chen: no
    • Sanchez: no
    • Patterson: no
    • Schiavo: other
    • Flora: other
  • Do pass.

    2025-05-07 · pass · 11-4

    Member-level votes (15)
    • Calderon: yes
    • Elhawary: yes
    • Arambula: yes
    • Fong: yes
    • Wicks: yes
    • Mark González: yes
    • Pacheco: yes
    • Hart: yes
    • Caloza: yes
    • Pellerin: yes
    • Solache: yes
    • Tangipa: no
    • Sanchez: no
    • Ta: no
    • Dixon: no
  • AB 1415 Bonta Assembly Third Reading

    2025-05-15 · pass · 42-16

    Member-level votes (79)
    • Gabriel: yes
    • Ortega: yes
    • McKinnor: yes
    • Gipson: yes
    • Fong: yes
    • Ransom: yes
    • Bonta: yes
    • Garcia: yes
    • Schultz: yes
    • Patel: yes
    • Wilson: yes
    • Connolly: yes
    • Boerner: yes
    • Aguiar-Curry: yes
    • Rogers: yes
    • Bryan: yes
    • Addis: yes
    • Krell: yes
    • Solache: yes
    • Bauer-Kahan: yes
    • Celeste Rodriguez: yes
    • Elhawary: yes
    • Ward: yes
    • Jackson: yes
    • Papan: yes
    • Mark González: yes
    • Harabedian: yes
    • Wicks: yes
    • Zbur: yes
    • Caloza: yes
    • Rivas: yes
    • Schiavo: yes
    • Lowenthal: yes
    • Kalra: yes
    • Muratsuchi: yes
    • Ahrens: yes
    • Bennett: yes
    • Berman: yes
    • Sharp-Collins: yes
    • Haney: yes
    • Pellerin: yes
    • Lee: yes
    • Hoover: no
    • Chen: no
    • Tangipa: no
    • Ta: no
    • Sanchez: no
    • DeMaio: no
    • Gallagher: no
    • Wallis: no
    • Hadwick: no
    • Davies: no
    • Macedo: no
    • Dixon: no
    • Jeff Gonzalez: no
    • Ellis: no
    • Lackey: no
    • Patterson: no
    • Alvarez: other
    • Alanis: other
    • Petrie-Norris: other
    • Nguyen: other
    • Carrillo: other
    • Calderon: other
    • Bains: other
    • Michelle Rodriguez: other
    • Hart: other
    • Ramos: other
    • Ávila Farías: other
    • Flora: other
    • Irwin: other
    • Valencia: other
    • Arambula: other
    • Quirk-Silva: other
    • Soria: other
    • Blanca Rubio: other
    • Pacheco: other
    • Castillo: other
    • Stefani: other
  • Do pass as amended, but first amend, and re-refer to the Committee on [Appropriations]

    2025-06-25 · pass · 9-2

    Member-level votes (11)
    • Menjivar: yes
    • Rubio: yes
    • Richardson: yes
    • Weber Pierson: yes
    • Wiener: yes
    • Gonzalez: yes
    • Padilla: yes
    • Limón: yes
    • Durazo: yes
    • Grove: no
    • Valladares: no
  • 3rd Reading AB1415 Bonta et al. By Menjivar

    2025-09-04 · pass · 26-10

    Member-level votes (40)
    • Stern: yes
    • Durazo: yes
    • Cabaldon: yes
    • McGuire: yes
    • Laird: yes
    • Limón: yes
    • Menjivar: yes
    • Wahab: yes
    • Rubio: yes
    • Pérez: yes
    • Cortese: yes
    • Gonzalez: yes
    • Allen: yes
    • Smallwood-Cuevas: yes
    • Richardson: yes
    • Blakespear: yes
    • Arreguín: yes
    • Hurtado: yes
    • Padilla: yes
    • Weber Pierson: yes
    • Ashby: yes
    • Archuleta: yes
    • Grayson: yes
    • Wiener: yes
    • Cervantes: yes
    • McNerney: yes
    • Niello: no
    • Grove: no
    • Jones: no
    • Ochoa Bogh: no
    • Alvarado-Gil: no
    • Valladares: no
    • Dahle: no
    • Seyarto: no
    • Strickland: no
    • Choi: no
    • Umberg: other
    • Reyes: other
    • Caballero: other
    • Becker: other
  • AB 1415 Bonta Concurrence in Senate Amendments

    2025-09-08 · pass · 51-19

    Member-level votes (80)
    • Ahrens: yes
    • Mark González: yes
    • Quirk-Silva: yes
    • Gipson: yes
    • Rogers: yes
    • Addis: yes
    • Ward: yes
    • Haney: yes
    • Fong: yes
    • Elhawary: yes
    • Calderon: yes
    • Wilson: yes
    • Bains: yes
    • Ransom: yes
    • Soria: 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
    • Aguiar-Curry: yes
    • Boerner: yes
    • Alvarez: yes
    • Lee: yes
    • Stefani: yes
    • Caloza: yes
    • Sharp-Collins: yes
    • Ortega: yes
    • Solache: yes
    • Lowenthal: yes
    • Jackson: yes
    • Bryan: yes
    • Harabedian: yes
    • Gabriel: yes
    • Zbur: yes
    • McKinnor: yes
    • Pellerin: yes
    • Muratsuchi: yes
    • Krell: yes
    • Irwin: yes
    • Patel: yes
    • Kalra: yes
    • Rivas: yes
    • Garcia: yes
    • Johnson: no
    • Dixon: no
    • Ávila Farías: no
    • Jeff Gonzalez: no
    • Castillo: no
    • Alanis: no
    • Wallis: no
    • Patterson: no
    • Ta: no
    • Hoover: no
    • Gallagher: no
    • Macedo: no
    • Ellis: no
    • Davies: no
    • DeMaio: no
    • Tangipa: no
    • Lackey: no
    • Sanchez: no
    • Chen: no
    • Michelle Rodriguez: other
    • Nguyen: other
    • Hadwick: other
    • Ramos: other
    • Blanca Rubio: other
    • Petrie-Norris: other
    • Hart: other
    • Pacheco: other
    • Carrillo: other
    • Flora: other

Related bills

No related bills recorded for this bill.

Official source

Attribution

Data from openstates_bulk_csv, retrieved 2026-07-24T01:34:27.960412Z

Inspect retained evidence for changes recorded after evidence tracking began:

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