California Overdose Death and Addiction Reduction Act of 2025.

The entire toxic household products amendment (Section 108770 of the Health and Safety Code) was removed. The bill is now solely focused on overdose death and addiction reduction.

The bill was restructured from a single new section (Section 1347) into an entirely new Division 10.3 of the Health and Safety Code (Sections 11720 through 11726), giving it a more permanent and organized statutory home.

Instead of requiring the agency to convene a new state advisory group, the bill now directs the existing Behavioral Health Task Force (or successor group) to create the recommendations. This leverages an already-established body rather than creating a new one.

The goal deadline for reducing addiction deaths by 50 percent was extended from 2031 to 2033. The implementation plan is now defined as five years from when the task force provides recommendations, capped at January 1, 2033. The report to the Governor and Legislature is due on or before July 1, 2033.

The advisory group composition was changed from a fixed list of required members to a flexible structure where the task force 'may include additional members as deemed appropriate by the agency.' The Behavioral Health Services Oversight and Accountability Commission was added as a potential member entity.

A new definitions section (Section 11720) was added, defining 'Agency' as the California Health and Human Services Agency and 'Task force' as the Behavioral Health Task Force or any successor group.

Updated statistical findings: overdose deaths changed from 'approximately 12,710' to 'more than 11,000,' and the age-adjusted death rate was updated from 26.9 to 29.4 per 100,000, with the reference year changing from 2021 to 2023.

Added a requirement that the report submitted to the Legislature must comply with Section 9795 of the Government Code (legislative report formatting requirements).

The fiscal committee designation changed from 'no' to 'yes,' indicating the bill now carries identified budgetary implications requiring fiscal review.

Entirely new 'California Overdose Death and Addiction Reduction Act of 2025' added, expanding the bill from a technical toxic household product fix to a comprehensive overdose reduction strategy with a 50 percent death reduction goal by 2031.

New Section 1347 requires the California Health and Human Services Agency to create recommendations by January 1, 2028 for a five-year implementation plan to reduce alcohol- and drug-related addiction deaths by 50 percent by 2031.

A state advisory group must be convened with representatives from the State Department of Health Care Services, Covered California, CalPERS, DHCAI, State Department of Public Health, EMS Authority, consumer stakeholders, treatment experts, primary care providers, individuals with lived experience, and diverse community representatives.

The agency must adopt the advisory group's recommendations and consider quality and performance measures including access to low barrier care models, pharmacies providing addiction medication, trained providers, comorbidities, and disparate outcomes by race, ethnicity, gender, sexual orientation, language, age, income, and disability.

A report to the Governor and Legislature is required on whether the 2031 goal was met, including recommendations for continued reduction beyond 2031, with specific quality measures such as HEDIS, CMS Child and Adult Core Set, CalPERS Quality Alignment Measure Set, and social determinants of health.

Legislative findings establish that approximately 12,710 Californians died from fentanyl and other overdoses in 2023 (up over 160 percent since 2017), nearly 20,000 died from excessive alcohol use, and only 28.6 percent of Medi-Cal members who visited an ED for overdose received follow-up care within 30 days.

Fiscal committee review changed from 'no' to 'yes,' indicating the amendment triggered a fiscal impact analysis that was not required in the introduced version.

The original Section 1 amending Health and Safety Code Section 108770 (toxic household products) is renumbered and retained with the same nonsubstantive grammatical corrections (e.g., 'any a person' to 'a person,' 'he or she' to 'they').