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SB-43 • 2026

Substance use disorder: addiction treatment referral agencies.

Substance use disorder: addiction treatment referral agencies.

Crime Education
Passed Legislature

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

Sponsor
Umberg
Last action
2026-02-02
Official status
Returned to Secretary of Senate pursuant to Joint Rule 56.
Effective date
Not listed

Plain English Breakdown

The official source material does not provide specifics about the fee system, including exact amounts or criteria.

Rules for Addiction Treatment Referral Agencies

The bill sets rules for addiction treatment referral agencies, requiring them to get a certificate of compliance from the State Department of Health Care Services and submit annual reports on financial transactions.

What This Bill Does

  • Requires certified programs and licensed facilities to report money transfers with recovery residences annually.
  • Makes it illegal to operate an addiction treatment referral agency without a certificate of compliance from the department.
  • Sets up a fee system for applying for and renewing certificates of compliance.
  • Prohibits referral agencies from having financial interests in treatment programs or facilities they refer people to.
  • Restricts group advertising and referral services unless certain conditions are met, including filing contracts with the department.

Who It Names or Affects

  • Addiction treatment referral agencies
  • Certified programs and licensed facilities for addiction treatment

Terms To Know

Certificate of Compliance
A document issued by the State Department of Health Care Services that allows a referral agency to operate legally.
Recovery Residence
A place where people recovering from addiction live and receive support services.

Limits and Unknowns

  • The bill does not apply to local public agencies providing free referral services.
  • It is unclear how the new rules will affect existing referral agencies.

Bill History

  1. 2026-02-02 California Legislative Information

    Returned to Secretary of Senate pursuant to Joint Rule 56.

  2. 2025-05-23 California Legislative Information

    May 23 hearing: Held in committee and under submission.

  3. 2025-05-16 California Legislative Information

    Set for hearing May 23.

  4. 2025-05-12 California Legislative Information

    May 12 hearing: Placed on APPR. suspense file.

  5. 2025-05-02 California Legislative Information

    Set for hearing May 12.

  6. 2025-04-30 California Legislative Information

    From committee: Do pass and re-refer to Com. on APPR. (Ayes 13. Noes 0. Page 938.) (April 29). Re-referred to Com. on APPR.

  7. 2025-04-22 California Legislative Information

    Re-referred to Com. on JUD.

  8. 2025-04-22 California Legislative Information

    Withdrawn from committee.

  9. 2025-04-21 California Legislative Information

    April 23 hearing postponed by committee.

  10. 2025-04-21 California Legislative Information

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

  11. 2025-04-09 California Legislative Information

    Set for hearing April 29 in JUD. pending receipt.

  12. 2025-04-02 California Legislative Information

    Set for hearing April 23.

  13. 2025-04-01 California Legislative Information

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

  14. 2025-04-01 California Legislative Information

    April 9 hearing postponed by committee.

  15. 2025-03-28 California Legislative Information

    Set for hearing April 9.

  16. 2025-03-06 California Legislative Information

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

  17. 2025-03-05 California Legislative Information

    Re-referred to Coms. on HEALTH and JUD.

  18. 2025-02-25 California Legislative Information

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

  19. 2025-01-29 California Legislative Information

    Referred to Com. on RLS.

  20. 2025-01-06 California Legislative Information

    Read first time.

  21. 2024-12-06 California Legislative Information

    From printer. May be acted upon on or after January 5.

  22. 2024-12-05 California Legislative Information

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

Official Summary Text

SB 43, as amended, Umberg.
Substance use disorder:
certified programs and licensed facilities.
addiction treatment referral agencies.
Existing law requires the State Department of Health Care Services to regulate and certify alcohol or other drug programs, as defined. Existing law also requires the department to regulate and license adult alcohol or other drug recovery or treatment facilities, and requires a licensee to provide specified nonmedical services. Existing law requires all programs certified and facilities licensed by the department to make specified disclosures to the department regarding, among other things, ownership or control of, or financial interest in, a recovery residence, as defined.
This bill, in addition to existing disclosure requirements, would require all programs certified and all facilities licensed, no later than July 15, 2026, and annually each July 15 thereafter, to submit to the department a report of all money transfers between the program
or facility and a recovery residence during the previous fiscal year.
Existing law prohibits a licensed facility, a certified program, or other specified persons, programs, and entities from giving or receiving remuneration or anything of value for the referral of a person who is seeking alcohol or other drug recovery or treatment services. Existing law generally prohibits referrals for remuneration to any skilled nursing home or other specified types of care facilities without first obtaining a written license from the Director of Public Health or from an inspection service approved by the director, as specified.
Existing law establishes the Attorney General as the head of the Department of Justice (department), with charge of all legal matters in which the state is interested, except as specified. Existing law imposes
various requirements on the Attorney General related to consumer protection, including, among others, the supervision of charitable trusts, the enforcement of antitrust laws, and the permitting of check cashing businesses.
This bill would
require
make it unlawful for
a person, association, or corporation,
before establishing, conducting, or maintaining
to establish, conduct, or maintain
a referral agency or referring any person for remuneration to an alcoholism or drug abuse treatment program certified by or a facility licensed by the
department to
State Department of Health Care Services without
first
obtain
obtaining
a
license
certificate of compliance
from the department, as
specified.
specified, and would require the department to issue a certificate of compliance, as prescribed.
The bill would require the department to impose a fee for
license
the certificate of compliance
application
and renewal
and would specify the information required to be included on the application. The bill, among other provisions, would prohibit a
licensee
referral agency
from having a direct or indirect financial interest in a program or facility doing business with the
licensee.
referral agency.
The bill would not apply to a local public agency performing referral services without cost to recipients of adult alcoholism or drug abuse recovery or treatment services when otherwise authorized by law.
This bill would make it unlawful for a referral agency
holding a certificate of compliance
to participate in or operate a group advertising and referral service for addiction treatment services unless specified conditions are
met.
met, including that the referral agency files with the department a copy of the standard form contract that regulates its relationship with member programs. The bill would provide that the contract shall be kept
confidential and is not open to public inspection.
The bill would authorize the department or 5 or more individual or member programs to petition the superior court of any county for the issuance of an injunction restraining conduct that is a violation of that provision.
The bill would make it a misdemeanor for any individual, association, partnership, corporation, or otherwise to operate a group advertising and referral service without providing its name and address to the department. By creating new crimes, the bill would impose a state-mandated local program.
This bill would authorize the department to suspend or revoke the
license of a program or facility that fails
certificate of compliance for failure
to comply with the provisions of the bill, and to impose a civil penalty, as specified. The bill also would authorize the
department
Attorney General
to
impose a civil penalty
bring a civil action
against a person, association, or corporation referring persons without a
license
certificate of compliance
in violation of the bill,
and would make those individuals liable for a civil penalty
in the amount of the remuneration illegally received, as specified.
The bill would authorize a district attorney, county counsel, city attorney, or any person who has suffered any injury or damages, as specified, to bring a claim that an act or practice violates the bill’s provisions and seek, among other things, declaratory relief, as provided.
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.
Existing constitutional provisions require that a statute that limits the right of access to the meetings of public bodies or the writings of public officials and agencies be adopted with findings demonstrating the interest protected by the limitation and the need for protecting that interest.
This bill would make legislative findings to that effect.

Current Bill Text

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