Health omnibus.

A section (formerly SEC. 2) was removed from the bill, and all subsequent sections were renumbered down by one (old SEC. 3 through SEC. 16 became new SEC. 2 through SEC. 15). The content of the removed section is not visible in the diff context.

The deadline for local health departments to have capacity to transmit syndromic surveillance data into the state system was changed from July 1, 2027 to December 31, 2028. This affects multiple provisions in Section 131370 (now renumbered), including when specified entities may decline to report directly to the state and when the department must provide guidance and technical assistance to local health departments.

Gendered language 'he or she completes' was changed to 'they complete' in the CNA certificate renewal provision, and a duplicate word 'program program' was corrected to 'program.'

New Section 1337.6 establishes CNA certificate renewal requirements: 48 hours of in-service training every two years (at least 12 hours per year), with up to 24 hours via approved online computer programs. Until December 31, 2028, live online instructor-led training is also permitted. Online courses must include interactive feedback, personal identification verification, and a signed completion statement retained for three years. Criminal record clearance is required for renewal. Certificates expire on the holder's birthday, with 90-day advance renewal notice. Expired certificates can be renewed within two years; after that, a 75-hour competency evaluation program and passing a competency test are required.

Sections 113949.1 and 113949.2 were removed from the bill. These sections addressed foodborne illness reporting: 113949.1 required local health officers to investigate when notified of food-transmitted illness and allowed exclusion of employees or closure of facilities; 113949.2 required owners or certified food safety employees to instruct food employees on hygiene and require them to report diagnosed illnesses (salmonella typhi, salmonella spp., shigella spp., E. coli, hepatitis A, norovirus) and certain wounds. The previously proposed removal of entamoeba histolytica from the reportable list is no longer in the bill.

Syndromic surveillance reporting now includes specific deadlines: entities must report to the state system no later than December 31, 2028, or within one year of official department notification. Entities may decline to report if their local health department's own system will have the capacity to transmit data to the department by December 31, 2028, or within one year of official notification. Existing law already allowed declining if the local system had capacity by July 1, 2027.

Temperature notation in Section 114020 changed from '41 degrees F' and '70 degrees F' to simply '41 degrees' and '70 degrees.' Section numbering was resequenced throughout due to the insertion of new Section 1337.6 as SEC. 2.

The mandate reimbursement provision was rewritten. The Senate version stated no reimbursement would be made but local agencies could pursue available remedies. The Assembly version now distinguishes between 'certain mandates' for which no reimbursement is required and 'any other mandates' for which the Commission on State Mandates can determine reimbursement is owed, creating a clearer two-tier framework.

The category of facilities deemed in compliance pending renovation was changed from 'limited service charitable feeding operation facilities' to 'existing nonprofit charitable feeding organization facilities whose food service is solely for providing charity,' narrowing and clarifying which organizations qualify for the structural exemption.

Temperature thresholds in Section 114020 were restated from '41 degrees F' and '70 degrees F' to '41 degrees' and '70 degrees,' removing the degree-Fahrenheit symbol. This is a stylistic change with no substantive effect.

Sections 9 through 12 were renumbered as Sections 7 through 10, indicating that sections earlier in the bill (not visible in this truncated diff) were added or removed, shifting the numbering of subsequent provisions.

Entamoeba histolytica was removed from the list of infectious agents that trigger mandatory illness reporting by food employees to the person in charge of a food facility (Sections 113949.1 and 113949.2). This narrows the scope of reportable conditions.

The syndromic surveillance system is now required to provide access to both public health practitioners AND local health departments, expanding who can use the electronic health data system for rapid collection and sharing of surveillance data.

The change regarding charitable feeding organization facilities was clarified to apply specifically 'for purposes of the above-described provision' (the deemed compliance provision for existing facilities pending renovation), rather than as a general definitional change.

The reference to the CDC Public Health Information Network Messaging Guide for Syndromic Surveillance now includes 'or any subsequent versions, under the federal Centers for Disease Control and Prevention,' ensuring the standard stays current as the CDC updates its guidance.

The egg definition (Section 113769) was cleaned up: the redundant 'except a balut and an turkey' phrase was removed from the main definition (balut is already excluded in subdivision (b)), and a drafting error in the egg product exclusion line was corrected.

The thawing requirements section (114020) had redundant double-lettering (e.g., (a)(a), (b)(b)) corrected to simple numbered items (1) through (4).

In the food transfer provision (Section 114079(b)), 'catsup' was removed from the list of condiments alongside ketchup, eliminating a duplicate.

The definition of 'catering operation' was restructured from 'a food service that is conducted by a permanent food facility approved for food preparation' to simply 'a permanent food facility approved for food preparation where food is served.' This shifts the definition from describing an activity to describing the facility itself.

A new sentence was added to the fiscal analysis stating that no reimbursement is required by the act for a specified reason, in addition to the existing language about local agencies pursuing available remedies.