SB 490 California Senate · 2025-2026 Regular Session

Alcohol and drug programs.

Summary
Existing law provides for the licensure and regulation of adult alcohol or other drug recovery or treatment facilities by the State Department of Public Health and prohibits the operation of one of those facilities without a current valid license. Existing law requires the department, if a facility is alleged to be in violation of that prohibition, to conduct a site visit to investigate the allegation. Existing law requires, if the department's employee or agent finds evidence that the facility is providing services without a license, the employee or agent to take specified actions, including, among others, submitting the findings of the investigation to the department and issuing a written notice to the facility that includes the date by which the facility is required to cease providing services. 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, through fee-for-service or managed care delivery systems. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Existing law establishes the Drug Medi-Cal Treatment Program (Drug Medi-Cal) and authorizes the department to enter into a Drug Medi-Cal contract with each county for the provision of alcohol and drug use services within the county service area. This bill would require the department, if it determines it has jurisdiction over the allegation, to assign the complaint to an analyst within 10 days of receiving the allegation and, except as specified, complete the investigation within 120 days of assigning the complaint. The bill would require the department, if it receives a complaint that does not fall under its jurisdiction, to notify, to the extent feasible, the complainant that it does not investigate that type of complaint. The bill would require the employee or agent to provide their findings to the department and would require the department to issue the notice described above within 10 days of the employee or agency submitting their findings and to conduct a followup site visit to determine whether the facility has ceased providing services as required. The bill would authorize, in counties that elect to administer the Drug Medi-Cal organized delivery system and that provide optional recovery housing services, the county behavioral health agency to request approval from the department to conduct a site visit of a recovery residence that the county contracts with that is alleged to be operating without a license. The bill would permit the department to approve that request in certain circumstances, including that the department has sufficient evidence to substantiate the allegation. Existing law requires licensed adult alcohol or other drug recovery or treatment facilities and certified alcohol or other drug programs to disclose to the department whether any of its agents, partners, directors, officers, or owners has a specified interest in a recovery residence and requires the department to take action against an unlicensed facility that is disclosed as a recovery residence. This bill would require the department, if it takes action against a recovery residence pursuant to that provision, to conduct a site visit of a certified program or licensed facility that has disclosed the specified interest in the recovery residence. The bill would also require, no later than July 15, 2027, and by July 15 each year thereafter, that all programs certified or facilities licensed by the department submit to the department a report of all money transfers between the program or facility and a recovery residence during the previous fiscal year, in order to detect patient brokering, illicit kickbacks, or unethical inducements that harm patients. The bill would require the department to analyze that data and develop guidelines for permissible and impermissible transfers.
Bill status passed both 4 of 5 stages cleared
Introduction
Feb 2025
Committee Review
Aug 2026
Senate Passage
Jan 2026
Assembly Passage
Aug 2026
Governor
Introduced Feb 19, 2025 Last action Aug 27, 2026
Maddy AI version diff · 6 comparisons

What changed between versions

08/30/26 - Enrolled SB490 · 2 edits
MINOR
The changes are entirely formatting and presentation-related. The bill text was converted from a formal enrolled document layout (with signature blocks, page numbers, and traditional legislative formatting) to a web page layout on the California Legislature website. No substantive policy language was added, removed, or modified.
TECHNICAL

The bill was reformatted from an enrolled document with signature blocks, page headers/footers, and traditional legislative layout into a web page format with navigation menus, search bars, version history links, and status tracking elements.

Website navigation elements were added including home, FAQ, feedback, sitemap, login, quick search, bill information links, and share options.

Floor votes · Senate Jan 26, 2026 · Assembly Aug 25, 2026

How they voted

390
Passed · 1 other
Total votes 40
Jan 26, 2026
D Democratic30
29 Yea 1
96% Yea
R Republican10
10 Yea
100% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
35
Key actions
11
Committee
7
Amendments
7
Aug 27, 2026
Upper · Passed
Assembly amendments concurred in. (Ayes 40. Noes 0.) Ordered to engrossing and enrolling.
upper
Aug 25, 2026
Introduced
In Senate. Concurrence in Assembly amendments pending.
upper
Aug 25, 2026
Lower · Passed
Read third time. Passed. Ordered to the Senate.
lower
Aug 21, 2026
Lower · Passed
Read third time and amended.
lower
Aug 13, 2026
Lower · Passed
From committee: Do pass. (Ayes 15. Noes 0.) (August 13).
lower
Jul 2, 2026
Lower · Passed
Read second time and amended. Re-referred to Com. on APPR.
lower
Jul 1, 2026
Lower · Passed
From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 16. Noes 0.) (June 30).
lower
Jun 18, 2026
Committee
Referred to Com. on HEALTH.
lower
Jan 26, 2026
Upper · Passed
Read third time. Passed. (Ayes 39. Noes 0. Page 3283.) Ordered to the Assembly.
upper
Jan 22, 2026
Upper · Passed
From committee: Do pass. (Ayes 7. Noes 0. Page 3269.) (January 22).
upper
Jan 15, 2026
Upper · Passed
From committee: Do pass and re-refer to Com. on APPR. (Ayes 9. Noes 0. Page 3224.) (January 14). Re-referred to Com. on APPR.
upper
Jan 5, 2026
Committee
Re-referred to Com. on HEALTH.
upper
Jan 5, 2026
Committee
Re-referred to Com. on RLS.
upper
Jan 5, 2026
Upper · Passed
From committee with author's amendments. Read second time and amended. Re-referred to Com. on PUB. S.
upper
Mar 26, 2025
Upper · Passed
From committee with author's amendments. Read second time and amended. Re-referred to Com. on PUB. S.
upper
Feb 26, 2025
Committee
Referred to Com. on PUB. S.
upper
Feb 19, 2025
Introduced
Introduced. Read first time. To Com. on RLS. for assignment. To print.
upper
1 primary · 2 co-sponsors

Sponsors