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SB-862 • 2026

Health.

Health.

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Enacted

This bill passed the Legislature and reached final enactment based on the latest official action.

Sponsor
Committee on Health (S) - (Senators Menjivar (Chair), Durazo, Gonzalez, Grove, Limón, Padilla, Richardson, Rubio, Valladares, Weber Pierson, and Wiener)
Last action
2025-10-01
Official status
Chaptered by Secretary of State. Chapter 243, Statutes of 2025.
Effective date
Not listed

Plain English Breakdown

The bill's impact on local health care providers is not fully detailed in the summary.

Health Care Improvements

The bill updates health-related regulations by renaming a commission, changing patient safety plan submission requirements, updating nurse assistant training, allowing electronic notice for hospital discount and charity care policies (except in emergency rooms), making technical corrections to syndromic surveillance programs, and requiring insurance coverage for infertility diagnosis and treatment.

What This Bill Does

  • Changes the name of the Mental Health Services Oversight and Accountability Commission to the Behavioral Health Services Oversight and Accountability Commission.
  • Requires health facilities to submit a patient safety plan every two years instead of annually.
  • Updates nurse assistant training requirements to include more hours focused on Alzheimer’s disease and related dementias.
  • Allows hospitals to provide discount payment and charity care policy notices electronically, except for emergency room visits which must be in hard copy.
  • Makes technical corrections to the syndromic surveillance program run by the State Department of Public Health.
  • Requires large group health insurance policies and small group health insurance policies to offer coverage for infertility diagnosis and treatment.

Who It Names or Affects

  • Health facilities that need to submit patient safety plans.
  • Nurse assistants who must complete training programs.
  • Hospitals providing discount payment and charity care notices.
  • Insurance companies offering large group health insurance policies and small group health insurance policies.

Terms To Know

Behavioral Health Services Act (BHSA)
A law that updates the Mental Health Services Act to include broader behavioral health services.
Patient Safety Plan
A plan developed by a health facility to improve patient safety and reduce preventable events.

Limits and Unknowns

  • The bill does not specify the exact changes made to syndromic surveillance programs.
  • Some provisions may require additional regulations or guidelines from state agencies for implementation.

Bill History

  1. 2025-10-01 California Legislative Information

    Chaptered by Secretary of State. Chapter 243, Statutes of 2025.

  2. 2025-10-01 California Legislative Information

    Approved by the Governor.

  3. 2025-09-16 California Legislative Information

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

  4. 2025-09-08 California Legislative Information

    Assembly amendments concurred in. (Ayes 39. Noes 0. Page 2607.) Ordered to engrossing and enrolling.

  5. 2025-09-03 California Legislative Information

    In Senate. Concurrence in Assembly amendments pending.

  6. 2025-09-03 California Legislative Information

    Read third time. Passed. (Ayes 79. Noes 0. Page 2873.) Ordered to the Senate.

  7. 2025-08-25 California Legislative Information

    Ordered to third reading.

  8. 2025-08-25 California Legislative Information

    Read third time and amended.

  9. 2025-08-19 California Legislative Information

    Ordered to third reading.

  10. 2025-08-19 California Legislative Information

    Read third time and amended.

  11. 2025-08-18 California Legislative Information

    Read second time. Ordered to third reading.

  12. 2025-07-17 California Legislative Information

    Read second time and amended. Ordered to second reading.

  13. 2025-07-16 California Legislative Information

    From committee: Do pass as amended. (Ayes 13. Noes 0.) (July 16).

  14. 2025-06-26 California Legislative Information

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

  15. 2025-06-25 California Legislative Information

    From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 15. Noes 0.) (June 24).

  16. 2025-06-10 California Legislative Information

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

  17. 2025-06-05 California Legislative Information

    Referred to Com. on HEALTH.

  18. 2025-05-29 California Legislative Information

    In Assembly. Read first time. Held at Desk.

  19. 2025-05-29 California Legislative Information

    Read third time. Passed. (Ayes 38. Noes 0. Page 1330.) Ordered to the Assembly.

  20. 2025-05-27 California Legislative Information

    Ordered to special consent calendar.

  21. 2025-05-23 California Legislative Information

    Read second time. Ordered to third reading.

  22. 2025-05-23 California Legislative Information

    From committee: Do pass. (Ayes 6. Noes 0. Page 1215.) (May 23).

  23. 2025-05-16 California Legislative Information

    Set for hearing May 23.

  24. 2025-05-12 California Legislative Information

    May 12 hearing: Placed on APPR. suspense file.

  25. 2025-05-02 California Legislative Information

    Set for hearing May 12.

  26. 2025-05-01 California Legislative Information

    From committee: Do pass and re-refer to Com. on APPR. with recommendation: To consent calendar. (Ayes 11. Noes 0. Page 966.) (April 30). Re-referred to Com. on APPR.

  27. 2025-04-22 California Legislative Information

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

  28. 2025-04-21 California Legislative Information

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

  29. 2025-04-11 California Legislative Information

    Set for hearing April 30.

  30. 2025-04-10 California Legislative Information

    April 23 hearing postponed by committee.

  31. 2025-04-02 California Legislative Information

    Set for hearing April 23.

  32. 2025-03-26 California Legislative Information

    Referred to Com. on HEALTH.

  33. 2025-03-18 California Legislative Information

    From printer. May be acted upon on or after April 17.

  34. 2025-03-17 California Legislative Information

    Introduced. Read first time. To Com. on RLS. for assignment. To print.

Official Summary Text

SB 862, Committee on Health.
Health.
(1) Existing law, the Mental Health Services Act (MHSA), an initiative measure enacted by the voters as Proposition 63 at the November 2, 2004, statewide general election, established the Mental Health Services Oversight and Accountability Commission to oversee the implementation of the MHSA. Existing law specifies the composition of the 16-member commission, including the Attorney General or their designee, the Superintendent of Public Instruction or their designee, specified members of the Legislature, and 12 members appointed by the Governor, as prescribed.
Existing law, the Behavioral Health Services Act (BHSA), an initiative measure enacted by the voters as Proposition 1 at the March 5, 2024, statewide primary election, recast the MHSA by, among other things, renaming the commission to the Behavioral Health Services
Oversight and Accountability Commission and changing its composition and duties.
This bill would make technical changes to reflect the correct name of the commission.
(2) Existing law provides for the licensure and regulation of health facilities by the State Department of Public Health. Existing law requires a health facility to develop, implement, and comply with a patient safety plan to improve the health and safety of patients and to reduce preventable patient safety events. Existing law requires a patient safety plan to contain specified elements, including, but not limited to, a reporting system for patient safety events that allows anyone involved to make a report of a patient safety event to the health facility and a process for a team of facility staff to conduct analyses related to root causes of patient safety events. Existing law, commencing January 1, 2026, and biannually thereafter,
requires a health facility to submit a patient safety plan to the department. A violation of these provisions is a crime.
This bill would instead require a health facility to submit a patient safety plan to the department biennially. The bill would also make technical corrections to those provisions.
(3) Existing law establishes the State Department of Public Health and sets forth its powers and duties to license and administer health facilities, as defined, including skilled nursing facilities and intermediate care facilities. Existing law requires the department to prepare and maintain a list of approved training programs for nurse assistant certification, which are required to include a precertification training program consisting of at least 60 classroom hours of training on basic nursing skills, patient safety and rights, the social and psychological problems of patients, and elder abuse
recognition and reporting and at least 100 hours of supervised and on-the-job training clinical practice. Existing law requires at least 2 hours of the 60 hours of classroom training and at least 4 hours of the 100 hours of the supervised clinical training to address the special needs of persons with developmental and mental disorders, including intellectual disability, Alzheimer’s disease, cerebral palsy, epilepsy, dementia, Parkinson’s disease, and mental illness. A violation of these provisions is a crime.
This bill would require that at least 2 of the 60 hours of classroom training address the special needs of persons with Alzheimer’s disease and related dementias. By changing the definition of a crime, this bill would impose a state-mandated local program.
(4) Existing law requires a hospital, as defined, to maintain an understandable written policy regarding discount payments for financially
qualified patients as well as a written charity care policy, and requires a hospital to negotiate the terms of a discount payment plan with an eligible patient, as specified. Existing law requires each hospital to provide patients with written notice, provided at the time of service, about the availability of the hospital’s discount payment and charity care policies, and other additional information.
This bill would authorize, with the exception of emergency room visits, a hospital to provide the written notice in either hard copy or, if the patient has previously consented to receive electronic communications, using the patient’s preferred electronic notification method. The bill would require the written notice related to an emergency room visit to be provided in hard copy. The bill would require, if the notice is provided electronically, the notice to be sent separately from any other electronic communications and to prominently indicate in the subject line that
the notice is related to the hospital’s discount and charity care policies.
(5) Existing law authorizes the State Department of Public Health to develop and administer a syndromic surveillance program and, subject to an appropriation, to either designate an existing system or to create a new system that would be required, at a minimum, to provide public health practitioners access to an electronic health system to rapidly collect, evaluate, share, and store syndromic surveillance data, as specified.
This bill would make technical corrections to related provisions.
(6) Existing law provides for the regulation of health insurers by the Department of Insurance. Existing law requires a large group disability insurance policy and a small group disability insurance policy, except as specified, issued, amended, or renewed on or after January 1,
2026, to provide coverage for the diagnosis and treatment of infertility and fertility services, as specified.
This bill would instead require a large group health insurance policy and a small group health insurance policy, except as specified, to offer the above-described services.
(7) Existing law requires an insurer to provide an insured with an annual written or electronic notice regarding the benefits of a behavioral health and wellness screening, as defined, for children and adolescents 8 to 18 years of age.
This bill would make technical changes to those provisions.
(8) Existing law establishes the Medi-Cal program, which is administered by the State Department of Health Care Services and under which qualified low-income individuals receive health care services. The Medi-Cal program is, in
part, governed and funded by federal Medicaid program provisions. Existing law requires, commencing January 1, 2022, that Community-Based Adult Services (CBAS) continue to be available as a capitated benefit for a qualified Medi-Cal beneficiary under a comprehensive risk contract with an applicable Medi-Cal managed care plan.
This bill would make a technical correction to this provision.
(9) Existing law, subject to any necessary federal approvals, sets forth various Medi-Cal provisions relating to complex rehabilitation technology (CRT), which is a form of durable medical equipment, including, but not limited to, complex rehabilitation manual and power wheelchairs. Existing law requires a CRT provider to comply with certain standards, including requiring a qualified rehabilitation technology professional to be physically present for the evaluation.
This
bill would make a technical correction to this provision.
(10) Existing law, the Sherman Food, Drug, and Cosmetic Law, provides for the regulation of various subjects relating to the manufacturing, processing, labeling, advertising, and sale of food, drugs, and cosmetics under the administration and enforcement of the State Department of Public Health. Existing law requires a manufacturer of baby food, as defined, for sale or distribution in this state to test a representative sample of each production aggregate of the manufacturer’s final baby food product, at a proficient laboratory meeting certain criteria, for toxic elements, as specified. Existing law defines baby food as food packaged in jars, pouches, tubs, and boxes represented or purported to be specifically for babies and young children less than 2 years of age and excludes infant formula.
This bill would clarify that baby food does not
include dietary supplements, as defined.
(11) 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

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