Bill Commons

CA SB 1400

enacted

Alameda Health System: hospital authority.

California · 2025-2026 Regular Session · upper

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Quick answers

Did CA SB 1400 pass?

Yes. CA SB 1400 has been enacted into law. Latest recorded action (2026-09-27): Chaptered by Secretary of State. Chapter 710, Statutes of 2026.

What is CA SB 1400 about?

Existing law authorizes the Board of Supervisors of the County of Alameda to establish a hospital authority for the purpose of effecting a transfer of the management, administration, and control of the Alameda Health System. Existing law requires the hospital authority to be governed by a board that is appointed, both initially and continually, by the board of supervisors. Existing law requires the enabling ordinance to specify the membership of the hospital authority governing board, the qualifications for individual members, the manner of appointment, selection, or removal of governing board members, their terms of office, and all other matters that the board of supervisors deems necessary or convenient for the conduct of the hospital authority's activities. Existing law specifies that a hospital authority established pursuant to these provisions, but that does not obtain the administration, management, and control of the medical center or has those duties and responsibilities revoked by the board of supervisors, is not empowered with the powers provided to an independent hospital authority, as specified. This bill would specify that the board of supervisors is authorized to amend the enabling ordinance. The bill would require the enabling ordinance to authorize the membership of the governing board to include, with the approval of the board of supervisors, a representative of any local public entity that contributes financial or other support to the hospital authority, as specified. The bill would authorize, at the board of supervisors' discretion and as specified in the enabling ordinance, the governing board to consist entirely of members of the board of supervisors or to include any number of the members of the board of supervisors or county officers or employees appointed to represent the interests of the county. The bill would prohibit the inclusion of members of the board of supervisors or county employees on the governing board from being a basis to determine that the hospital authority is not an independent entity or that the hospital authority has not obtained the administration, management, and control of the medical center. This bill would also authorize the governing board to delegate day-to-day operational responsibilities to one or more subsidiary bodies it establishes, consisting of members possessing relevant expertise, and requires that delegation to involve reasonable safeguards to ensure that the governing board retains ultimate control over the hospital authority. The bill would authorize the hospital authority to affiliate with, or acquire ownership or control of, additional public or private hospitals, clinics, or programs to further its mission, at the discretion of the governing board. After a hospital authority is created as specified, the bill would authorize the board of supervisors to change the composition of the governing board and to revoke the duties and responsibilities of the hospital authority and transfer the hospital authority back to the county.

Who sponsors CA SB 1400?

Arreguín is the primary sponsor of CA SB 1400, joined by 3 cosponsors.

Description

Existing law authorizes the Board of Supervisors of the County of Alameda to establish a hospital authority for the purpose of effecting a transfer of the management, administration, and control of the Alameda Health System. Existing law requires the hospital authority to be governed by a board that is appointed, both initially and continually, by the board of supervisors. Existing law requires the enabling ordinance to specify the membership of the hospital authority governing board, the qualifications for individual members, the manner of appointment, selection, or removal of governing board members, their terms of office, and all other matters that the board of supervisors deems necessary or convenient for the conduct of the hospital authority's activities. Existing law specifies that a hospital authority established pursuant to these provisions, but that does not obtain the administration, management, and control of the medical center or has those duties and responsibilities revoked by the board of supervisors, is not empowered with the powers provided to an independent hospital authority, as specified. This bill would specify that the board of supervisors is authorized to amend the enabling ordinance. The bill would require the enabling ordinance to authorize the membership of the governing board to include, with the approval of the board of supervisors, a representative of any local public entity that contributes financial or other support to the hospital authority, as specified. The bill would authorize, at the board of supervisors' discretion and as specified in the enabling ordinance, the governing board to consist entirely of members of the board of supervisors or to include any number of the members of the board of supervisors or county officers or employees appointed to represent the interests of the county. The bill would prohibit the inclusion of members of the board of supervisors or county employees on the governing board from being a basis to determine that the hospital authority is not an independent entity or that the hospital authority has not obtained the administration, management, and control of the medical center. This bill would also authorize the governing board to delegate day-to-day operational responsibilities to one or more subsidiary bodies it establishes, consisting of members possessing relevant expertise, and requires that delegation to involve reasonable safeguards to ensure that the governing board retains ultimate control over the hospital authority. The bill would authorize the hospital authority to affiliate with, or acquire ownership or control of, additional public or private hospitals, clinics, or programs to further its mission, at the discretion of the governing board. After a hospital authority is created as specified, the bill would authorize the board of supervisors to change the composition of the governing board and to revoke the duties and responsibilities of the hospital authority and transfer the hospital authority back to the county.

Introduced
2026-02-20
Latest action
2026-09-27 — Chaptered by Secretary of State. Chapter 710, Statutes of 2026.
Bill type
bill
Last updated
—

Subjects

Sponsors

  • Arreguínauthor
  • Graysoncoauthor
  • McNerneycoauthor
  • Ortegacoauthor

Committees

Not provided by source.

Action timeline

Newest first

  1. 2026-09-27

    Chaptered by Secretary of State. Chapter 710, Statutes of 2026.

    became-law

  2. 2026-09-27

    Approved by the Governor.

    executive-signature

  3. 2026-08-24

    Enrolled and presented to the Governor at 3 p.m.

    executive-receipt

  4. 2026-08-19

    Read third time. Passed. Ordered to the Senate.

    passage,reading-1,reading-3

  5. 2026-08-19

    In Senate. Ordered to engrossing and enrolling.

    committee-passage

  6. 2026-08-19

    Read third time. Passed. (Ayes 66. Noes 1. Page 6259.) Ordered to the Senate.

    passage,reading-1,reading-3

  7. 2026-06-22

    Read second time. Ordered to third reading.

    reading-1,reading-2,reading-3

  8. 2026-06-18

    From committee: Do pass. (Ayes 10. Noes 0.) (June 17).

    committee-passage,committee-passage-favorable

  9. 2026-06-08

    Referred to Com. on L. GOV.

    referral-committee

  10. 2026-05-19

    In Assembly. Read first time. Held at Desk.

    reading-1

  11. 2026-05-18

    Read third time. Passed. (Ayes 33. Noes 1. Page 4314.) Ordered to the Assembly.

    passage,reading-1,reading-3

  12. 2026-04-27

    Read second time and amended. Ordered to third reading.

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

  13. 2026-04-23

    From committee: Do pass as amended. (Ayes 11. Noes 0. Page 4011.) (April 22).

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

  14. 2026-04-16

    Set for hearing April 22.

  15. 2026-04-16

    From committee with author's amendments. Read second time and amended. Re-referred to Com. on HEALTH.

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

  16. 2026-04-15

    From committee: Do pass and re-refer to Com. on HEALTH. (Ayes 5. Noes 1. Page 3904.) (April 15). Re-referred to Com. on HEALTH.

    committee-passage,committee-passage-favorable,referral-committee

  17. 2026-04-02

    Set for hearing April 15.

  18. 2026-03-04

    Referred to Coms. on L. GOV. and HEALTH.

    referral-committee

  19. 2026-02-23

    Read first time.

    reading-1

  20. 2026-02-23

    From printer. May be acted upon on or after March 23.

  21. 2026-02-20

    Introduced. To Com. on RLS. for assignment. To print.

    introduction,referral-committee

Versions

  • 02/20/26 - Introduced — 2026-02-20Compare
  • 04/16/26 - Amended Senate — 2026-04-16Compare
  • 04/27/26 - Amended Senate — 2026-04-27Compare
  • 08/20/26 - Enrolled — 2026-08-20Compare
  • 09/27/26 - Chaptered — 2026-09-27Compare
  • SB1400Compare
  • (document, no version)Compare

Documents

Votes

  • Do pass, but first be re-referred to the Committee on [Health]

    2026-04-15 · pass · 5-1

    Member-level votes (7)
    • Cervantes: yes
    • Durazo: yes
    • Ashby: yes
    • Laird: yes
    • Arreguín: yes
    • Choi: no
    • Seyarto: other
  • Do pass as amended

    2026-04-22 · pass · 11-0

    Member-level votes (11)
    • Gonzalez: yes
    • Padilla: yes
    • Valladares: yes
    • Weber Pierson: yes
    • Smallwood-Cuevas: yes
    • Grove: yes
    • Rubio: yes
    • Pérez: yes
    • Durazo: yes
    • Menjivar: yes
    • Caballero: yes
  • 3rd Reading SB1400 Arreguín et al.

    2026-05-18 · pass · 33-1

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

    2026-06-17 · pass · 10-0

    Member-level votes (10)
    • Alanis: yes
    • Stefani: yes
    • Pacheco: yes
    • Fong: yes
    • Carrillo: yes
    • Wilson: yes
    • Ward: yes
    • Ta: yes
    • Blanca Rubio: yes
    • Ransom: yes

Related bills

No related bills recorded for this bill.

Official source

Attribution

Data from openstates_api_sync, retrieved 2026-09-29T23:17:26.091056Z

Inspect retained evidence for changes recorded after evidence tracking began:

Session-wide evidence can include changes to other bills:

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