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AB-2746 • 2026

Consumer debt: medical credit cards and medical debt.

Consumer debt: medical credit cards and medical debt.

Crime Education Healthcare
Passed Legislature

This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.

Sponsor
Schiavo
Last action
2026-04-23
Official status
In committee: Set, first hearing. Hearing canceled at the request of author.
Effective date
Not listed

Plain English Breakdown

The official source material does not provide details on the enforcement mechanisms or penalties for violations.

Medical Credit Cards and Medical Debt

AB-2746 regulates medical credit cards, requiring clear disclosures about interest rates and written consent from users. It also changes how 'medical debt' is defined for consumer reports and restricts reporting of information related to medical credit cards at certain facilities.

What This Bill Does

  • Defines a 'medical credit card' as a credit card specifically issued under an open-end or closed-end plan offered for the payment of medical services, products, or devices.
  • Requires companies offering medical credit cards to clearly tell customers that the product is a credit card with an interest rate and not a payment plan.
  • Needs users of medical credit cards to sign a form saying they understand it's a credit card and not a payment plan.
  • Changes how 'medical debt' is defined for consumer reports, making it broader than before.
  • Prohibits consumer reporting agencies from including information about medical credit cards in certain types of medical facilities on their reports.

Who It Names or Affects

  • People who use or are offered medical credit cards
  • Companies that offer medical credit cards
  • Consumer reporting agencies

Terms To Know

Medical Credit Card
A type of credit card used specifically for paying for medical services, products, or devices.
Annual Percentage Rate (APR)
The yearly cost of borrowing money on a credit card, expressed as a percentage.

Limits and Unknowns

  • Does not specify when the new rules will start.
  • Does not provide details about how medical debt is treated in consumer reports after the changes.
  • Does not explain what happens if someone violates these new rules.

Bill History

  1. 2026-04-23 California Legislative Information

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

  2. 2026-04-22 California Legislative Information

    Measure version as amended on April 16 corrected.

  3. 2026-04-20 California Legislative Information

    Re-referred to Com. on B. & F.

  4. 2026-04-16 California Legislative Information

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

  5. 2026-04-15 California Legislative Information

    From committee: Do pass and re-refer to Com. on B. & F. (Ayes 12. Noes 4.) (April 14). Re-referred to Com. on B. & F.

  6. 2026-04-15 California Legislative Information

    Coauthors revised.

  7. 2026-04-06 California Legislative Information

    Re-referred to Coms. on HEALTH and B. & F. pursuant to Assembly Rule 96.

  8. 2026-04-03 California Legislative Information

    In committee: Hearing postponed by committee.

  9. 2026-03-16 California Legislative Information

    Referred to Coms. on B. & F. and HEALTH.

  10. 2026-02-21 California Legislative Information

    From printer. May be heard in committee March 23.

  11. 2026-02-20 California Legislative Information

    Read first time. To print.

Official Summary Text

AB 2746, as amended, Schiavo.
Consumer debt:
medical credit cards and
medical debt.
Existing law regulates the issuance, use, and processing of credit cards and credit card transactions. Existing law, the Areias Credit Card Full Disclosure Act of 1986, requires a credit card issuer, with each billing statement provided to a cardholder in this state, to provide certain information on the front of the first page of the billing statement.
This bill would regulate offers for a medical credit card, which the bill would define as a credit card issued under an open-end or closed-end plan offered specifically for the payment of medical services, products, or devices. Specifically, the bill would require an entity that offers a medical credit card to
provide a clear and conspicuous disclosure to an individual stating that the product is a credit card and not a payment plan. The bill would require the disclosure to include the annual percentage rate applicable to the medical credit card. The bill would require the entity to obtain the individual’s express written consent, as evidenced by a signature, acknowledging that the individual has received the disclosure and understands that the medical credit card is a credit card and is not a payment plan.
Existing law, the Consumer Credit Reporting Agencies Act, defines and regulates consumer credit reports and consumer credit reporting agencies. Existing law regulates the treatment of medical debt in this regard by, among other things, prohibiting a consumer credit reporting agency from making any consumer credit report containing medical debt information, prohibiting a person who uses a consumer credit report in connection with a credit
transaction from using medical debt as a negative factor when making a credit decision, and prohibiting a person from furnishing information regarding a medical debt to a consumer credit reporting agency. Existing law makes a violation of certain provisions related to medical debt by a person holding a license or permit issued by the state to be deemed a violation of the law governing that license or permit.
Existing law, the Investigative Consumer Reporting Agencies Act, defines and regulates investigative consumer reports and investigative consumer reporting agencies. Existing law prohibits an investigative consumer reporting agency from making or furnishing any investigative consumer report containing specified items of information, including medical debt.
Existing law defines “medical debt” for the purposes of the Consumer Credit Reporting Agencies Act and the Investigative Consumer Reporting Agencies Act as a debt owed
by a consumer to a person whose primary business is providing medical services, products, or devices, or to the person’s agent or assignee, for the provision of medical services, products, or devices, as specified.
This bill would, instead, define “medical debt” for these purposes as a debt related to, in whole or in part, a transaction, account, or balance arising from a medical service, product, or device, except as provided. By changing the scope of what is considered medical debt, and because certain violations of the Consumer Credit Reporting Agencies Act are deemed a violation of a licensing statute and the violation of some licensing statutes is a crime, this bill would impose a state-mandated local program.
This bill would prohibit a consumer credit reporting agency from making a consumer credit report that contains information from a
medical credit card for a purchase made at specified medical facilities, including a general acute care hospital, a special hospital, or a pharmacy.
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.

Current Bill Text

Read the full stored bill text
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