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AB-481 • 2026

Healing arts: clinical laboratories: personnel.

Healing arts: clinical laboratories: personnel.

Crime Education Labor
Passed Legislature

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

Sponsor
Blanca Rubio
Last action
2025-08-29
Official status
In committee: Held under submission.
Effective date
Not listed

Plain English Breakdown

The official source does not provide specific information about potential changes in employment numbers or consequences of rule violations.

Clinical Laboratory Personnel Rules

AB-481 allows unlicensed laboratory workers to assist in moderate or high complexity tests under strict supervision and control, while defining what 'supervision and control' means.

What This Bill Does

  • Allows people who meet specific training requirements to help with moderate or high complexity tests in a clinical lab.
  • Requires these helpers to show they can do the job well before starting work.
  • Defines 'supervision and control' as direct oversight by a licensed professional who must be physically present in the lab during testing.

Who It Names or Affects

  • Unlicensed laboratory workers
  • Clinical laboratories performing moderate or high complexity tests

Terms To Know

CLIA
The Clinical Laboratory Improvement Amendments, a federal law that sets standards for clinical labs.
Supervision and control
Direction, management, and awareness of the activity by a licensed professional who must be physically present in the lab during testing.

Limits and Unknowns

  • The bill does not specify how to handle costs related to training or supervision.
  • It is unclear if this will change how many people can work in clinical labs.

Bill History

  1. 2025-08-29 California Legislative Information

    In committee: Held under submission.

  2. 2025-08-18 California Legislative Information

    In committee: Referred to suspense file.

  3. 2025-07-07 California Legislative Information

    From committee: Do pass and re-refer to Com. on APPR. (Ayes 7. Noes 0.) (July 7). Re-referred to Com. on APPR.

  4. 2025-06-18 California Legislative Information

    Referred to Com. on B. P. & E.D.

  5. 2025-06-05 California Legislative Information

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

  6. 2025-06-04 California Legislative Information

    Read third time. Passed. Ordered to the Senate. (Ayes 54. Noes 1. Page 2082.)

  7. 2025-05-27 California Legislative Information

    Read second time. Ordered to third reading.

  8. 2025-05-23 California Legislative Information

    From committee: Do pass. (Ayes 14. Noes 0.) (May 23).

  9. 2025-04-23 California Legislative Information

    In committee: Set, first hearing. Referred to suspense file.

  10. 2025-04-03 California Legislative Information

    Re-referred to Com. on APPR.

  11. 2025-04-02 California Legislative Information

    Read second time and amended.

  12. 2025-04-01 California Legislative Information

    From committee: Amend, and do pass as amended and re-refer to Com. on APPR. (Ayes 15. Noes 0.) (April 1).

  13. 2025-02-24 California Legislative Information

    Referred to Com. on B. & P.

  14. 2025-02-11 California Legislative Information

    From printer. May be heard in committee March 13.

  15. 2025-02-10 California Legislative Information

    Read first time. To print.

Official Summary Text

AB 481, as amended, Blanca Rubio.
Healing arts: clinical laboratories: personnel.
Existing law prohibits, except as specified, a person from performing a clinical laboratory test or examination classified as of moderate or high complexity under the federal Clinical Laboratory Improvement Amendments of 1988 (CLIA) unless the test or examination is performed under the overall operation and administration of the laboratory director, as specified. A violation of these provisions is a crime.
Existing law authorizes unlicensed laboratory personnel who have earned a high school diploma or its equivalent and who meet specified training requirements to perform specified activities under the supervision and control of a physician and surgeon or licensed person.
This bill would
authorize a person to assist, as defined, in the performance of moderate or high complexity testing in a clinical laboratory if the
person
person, in addition to the above requirements,
meets the requirements under CLIA for moderate or high complexity testing.
Prior to assisting in the performance of the specified activities, the bill would require the person, under direct and constant supervision, to demonstrate the skills and ability to satisfactorily perform the task. The bill would require the laboratory director to designate the supervisor and to maintain overall responsibility for the supervision and performance of the unlicensed laboratory personnel.
By expanding
the application of an existing crime, this bill would create a state-mandated local program.
Existing law authorizes
unlicensed laboratory personnel who have earned a high school diploma or its equivalent and who meet specified training requirements to perform specified activities under the supervision and control of a physician and surgeon or licensed person.
This bill would define supervision and control, as used above, to mean direction, management, and awareness of the activity of unlicensed laboratory personnel by a physician and surgeon or licensed person, who must be physically present in the laboratory and readily available for consultation during the entire time that the unlicensed laboratory personnel are engaged in the duties.
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
Download Bill PDF