End of Life Option Act: sunset.

Removed the requirement that the State Department of Public Health meet with relevant stakeholders by April 1, 2026 to seek input on including additional information in its annual report.

Removed the requirement that, starting with the July 1, 2026 report and each report thereafter, the department include additional data in its annual report based on stakeholder input received.

The bill's scope was narrowed from two actions (repealing the sunset date AND amending reporting requirements) to a single action (repealing only the sunset date of Section 443.215).

Section numbering was corrected: the previous version had two entries labeled 'SEC. 2' and a standalone 'SECTION 1.' The Assembly version reorders these so that the repeal of Section 443.215 is properly designated as SECTION 1, followed by SEC. 2 (reimbursement) and SEC. 3.

The short title line was altered and now contains a drafting error: 'to repeal Section 443.215 of, repeal Section 443.215 of the Health and Safety Code' duplicates the repeal language.

Page count changed from 97 to 96 pages throughout the document due to reformatting.

Replaced Senate and Assembly passage signature blocks with the official 'STATE OF CALIFORNIA AUTHENTICATED ELECTRONIC LEGAL MATERIAL' header and assigned Chapter 315.

Added the gubernatorial approval date: October 3, 2025, and filing date with the Secretary of State: October 3, 2025.

New Section 443.19(d) requires CDPH to meet with relevant stakeholders by April 1, 2026 to seek input on including additional information (already available to the department) in the annual aid-in-dying report.

Starting with the report due July 1, 2026 and each year after, CDPH must include additional data in the annual report as determined by the department based on stakeholder input received.

The standalone 'legislative intent' section (former Section 1) stating it is the Legislature's intent to enact further amendments to the End of Life Option Act was removed.

Bill title expanded from simply repealing Section 443.215 to also amending Section 443.19, reflecting the new reporting obligations added to the department.

State-mandated local program designation changed from 'no' to 'yes,' indicating the bill now imposes costs on local agencies beyond what was previously acknowledged.

The bill changed from a non-operative statement of legislative intent to an operative repeal of Section 443.215 of the Health and Safety Code, which contained the January 1, 2031 sunset date for the End of Life Option Act. This makes the aid-in-dying law permanent rather than temporary.

A new Section 2 was added providing that no state reimbursement is required under Article XIII B of the California Constitution, because any local agency costs arise solely from the creation or modification of crimes (the criminal penalties within the End of Life Option Act).

The fiscal notes changed: 'Fiscal committee' went from 'no' to 'yes' and 'State-mandated local program' went from 'no' to 'yes,' reflecting that extending the act's criminal provisions indefinitely triggers state-mandated local program obligations.