Healthcare

Existing law, the Knox-Keene Health Care Service Plan Act of 1975, provides for the licensure and regulation of health care service plans by the Department of Managed Health Care and makes a violation of the act by a health care service plan a misdemeanor. Existing law provides for the regulation of health insurers by the Department of Insurance. Existing law defines "unreasonable rate increase," for these purposes, to have the same meaning as in the federal Patient Protection and Affordable Care Act, which is that an unreasonable rate increase exists when the federal Centers for Medicare and Medicaid Services makes a determination that a rate increase is excessive, unjustified, or unfairly discriminatory, among other things. This bill would instead define "unreasonable rate increase," for the above-described purposes, to mean a rate increase that the Director of the Department of Managed Health Care or the Insurance Commissioner, as applicable, determines is excessive, unjustified, unfairly discriminatory, or otherwise unreasonable. Existing law requires a health care service plan or health insurer to submit rates to their regulating entity for review and to demonstrate the impact of any changes in the rate of growth of health care costs resulting from health care cost targets. This bill would instead require a health care service plan or health insurer to demonstrate the impact of health care cost targets and to demonstrate whether a health care service plan's or health insurer's annual rate growth exceeds or will exceed the cost target for the rating period. The bill would require, if a health care service plan's or health insurer's rate growth is expected to exceed the cost target for a rating period, the health care service plan or health insurer to include specified information in its rate filing, including, among other things, a detailed list of any proactive steps it is taking, or plans to take, for annual rate growth to meet the cost targets. Because a willful violation of these provisions by a health care service plan would be a crime, the bill would impose a state-mandated local program. Existing law requires the director or the commissioner, as applicable, in determining if a rate is unreasonable or not justified for purposes of the above-described review, to consider the impact on changes in health care costs as a result of the health care cost targets described above. This bill would delete those provisions and instead require the Department of Managed Health Care and the Department of Insurance to report on if rates, by plan or policy and in aggregate, meet the affordability standard, as defined, for an individual, a couple, and a family of four. The bill would require the report to include the annual change in premiums and cost sharing for the prior 5 years. The bill would, as part of the existing rate submission process, require a health care service plan or health insurer to provide information on premiums, deductibles, cost sharing, and any other factors specified by the department as necessary to complete the reports. 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.

Existing law establishes the California Community Colleges, under the administration of the Board of Governors of the California Community Colleges, the California State University, under the administration of the Trustees of the California State University, and the University of California, under the administration of the Regents of the University of California, as the 3 segments of public postsecondary education in the state. Existing law grants the University of California exclusive jurisdiction in public higher education over, among other things, graduate instruction in the profession of medicine. Existing law establishes the University of California Kern County Medical Education Endowment Fund in the State Treasury. Upon appropriation by the Legislature, existing law requires moneys in the endowment fund to be allocated to the University of California to support the annual operating costs for the development, operation, and maintenance of a branch campus of an existing University of California School of Medicine in the County of Kern, to conduct a feasibility study related to that campus, and to generate funding through investment earnings for the support of medical education in the San Joaquin Valley. Existing law also requires moneys in the endowment fund to be used, upon appropriation by the Legislature and a determination by the Controller of sufficient funds in the endowment fund, to cover the University of California's estimated costs of applying for and obtaining approval and accreditation from the Liaison Committee on Medical Education, as provided. This bill would, if the office of the President of the University of California has not taken formal, verifiable steps to establish a school of medicine in the County of Kern by July 1, 2027, additionally authorize the Trustees of the California State University, acting through California State University, Bakersfield, and the Board of Trustees of the Kern Community College District to establish a school of medicine in the County of Kern, as provided. The bill would authorize the establishment of a unit of local government, known as the Kern Medical Education Authority, to facilitate the establishment of this medical school in the County of Kern. The bill would require the authority to governed by a Board of Governors of unspecified size, and require the California State University, Bakersfield, and the Kern Community College District to each appoint an unspecified number of members to the board. The bill would, among other things, grant the authority specified powers and duties of a local unit of government within the state, as provided. The bill would authorize the authority to hire employees, as provided, and would require the authority to establish salary schedules, health benefits, and retirement plans that are no less favorable than those offered to comparable employees within the California State University system. The bill would authorize employees of the authority to form, join, and participate in the activities of employee organizations of their own choosing for the purpose of representation on all matters of employer-employee relations, as provided, and subject the authority to the jurisdiction of the Public Employment Relations Board. The bill would, among other employment rules, extend due process protections to authority employees. The bill would make employees of the authority eligible to participate in the California Public Employees' Retirement System (CalPERS) or the California State Teachers' Retirement System (CalSTRS) , as applicable to their classification. The bill would authorize the authority to incur indebtedness and to borrow money and issue notes and revenue bonds in principal amounts that the authority determines to be necessary to provide sufficient funds for achieving any of its purposes, as provided. The bill would establish that an obligation of the authority is not an obligation of the California State University or the Kern Community College District, unless otherwise agreed to by the authority and the California State University or the Kern Community College District. The bill would authorize the authority, upon obtaining accreditation form the Liaison Committee on Medical Education, to develop curricula and grant the degree of Doctor of Medicine. Existing law, the Ralph M. Brown Act, generally requires that all meetings of a legislative body of a local agency be open and public and that all persons be permitted to attend and participate. The California Public Records Act requires state and local agencies to make their records available for public inspection, unless an exemption from disclosure applies. The bill would subject the authority to the Ralph M. Brown Act and the California Public Records Act, with specified exemptions related to trade secrets. Existing constitutional provisions require that a statute that limits the right of access to the meetings of public bodies or the writings of public officials and agencies be adopted with findings demonstrating the interest protected by the limitation and the need for protecting that interest. This bill would make legislative findings to that effect. This bill would make legislative findings and declarations as to the necessity of a special statute for the County of Kern.

Existing law, the Knox-Keene Health Care Service Plan Act of 1975, provides for the licensure and regulation of health care service plans by the Department of Managed Health Care. Existing law requires a health care service plan contract that includes terms requiring binding arbitration for dispute settlement to provide a specified disclosure to subscribers or enrollees. Existing law, the California Arbitration Act, provides a statutory framework for the enforcement of contractual arbitration under California law. Existing law establishes standards for arbitration, and requires a court to vacate an arbitration award if it makes certain findings. This bill would require the Attorney General to oversee compliance by health care service plans with specified provisions regulating the use of binding arbitration to settle disputes. The bill would authorize the Attorney General to require reports from health care service plans for this purpose. The bill would also require the Attorney General to notify the director of the department of any corrective action taken pursuant to these provisions.

Existing law, the Community Assistance, Recovery, and Empowerment (CARE) Act, authorizes specified persons, including a person with whom the respondent resides, family members, and first responders, among others, to petition a civil court to create a voluntary CARE agreement or a court-ordered CARE plan and implement services, to be provided by county behavioral health agencies, to provide behavioral health care, including stabilization medication, housing, and other enumerated services, to adults who are currently experiencing a severe mental illness and have a diagnosis identified in the disorder class schizophrenia and other psychotic disorders, and who meet other specified criteria. This bill would authorize a first responder to contact the county behavioral health agency in the county in which the individual resides or is found to request the agency file a petition to commence the CARE process. The bill would require the agency to review the request and determine whether to file a petition within 30 business days. The bill would require the agency, upon completion of the review, to notify the first responder that made the referral of specified information, including whether or not a petition was filed. Because the bill would require a higher level of service from county agencies, this bill would create a state-mandated local program. This bill would require the department to create a referral form to be used by the first responders and would require the department to issue guidance on the procedure to request that the agency file a petition to commence the CARE process. The bill would also require the agency to include specified data in their annual report to the department. 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, if the Commission on State Mandates determines that the bill contains costs mandated by the state, reimbursement for those costs shall be made pursuant to the statutory provisions noted above.

Existing law prohibits the Department of Corrections Rehabilitation from allowing any lack of care that would injure or impair the health of an incarcerated person. Existing law prohibits the department from modifying or canceling the medical treatment of an incarcerated person if a physician certifies that the medical treatment is required to prevent certain violations of law or to prevent serious and imminent harm to the health of an incarcerated person, as specified. This bill would prohibit a supervisor, administrator, or employee of the department from interfering with or refusing to implement prescribed health care, as specified, that results in substantial emotional distress or serious bodily injury, as defined.

Senate Resolution 82 declares February 2026 as Children's Dental Health Month in California to raise awareness about the importance of oral health. The resolution highlights that tooth decay is a major public health issue affecting many children, particularly those from disadvantaged backgrounds, and notes that untreated dental problems can lead to missed school days and learning difficulties. While acknowledging recent improvements in access to Medi-Cal dental services, the bill emphasizes the need for continued efforts to prevent cavities through education and preventive care. This measure serves as a symbolic recognition rather than establishing new laws or funding, aiming to encourage policymakers and the public to focus on childhood oral health.

Existing law, the Physical Therapy Practice Act, establishes the Physical Therapy Board of California to license and regulate physical therapists and the practice of physical therapy. A violation of the act is a crime. Existing law defines the terms "physical therapist," "physical therapist assistant," and "physical therapy" and sets forth the scope of practice of a physical therapist. Existing law authorizes only a licensed physical therapist to use the title "physical therapist" or the letters "P.T." or any other words, letters, or figures indicating that the person is a licensed physical therapist. Existing law requires the board to define those doctoral degrees that are in a related health science for specified provisions of the Physical Therapy Practice Act. Existing law authorizes a licensed physical therapist who has received a doctoral degree in physical therapy or, after the adoption of the above-described definition by the board, a doctoral degree in a related health science to, among other things, use the initials "DPT," "PhD," or "EdD", as applicable, in a written communication following the licensee's name. Existing regulations define a physical therapy related health science for the purpose of the above-described authorization to include, among other things, biology, biomechanics, and exercise physiology. This bill, among other changes to the act, would redefine "physical therapy," "physical therapist," and "physical therapist assistant" for purposes of the act, as specified. The bill would, among other things, prohibit the use of any words, abbreviation, or insignia implying that physical therapy is provided unless those services are provided by or under the direction of a licensed physical therapist. The bill would delete the requirement on the board to define the doctoral degrees that are in a related health science described above and would update those provisions to, instead, specify that the doctoral degrees in a related health science are those specified by the board in regulation. The bill would additionally authorize a licensed physical therapist who has received a doctoral degree in physical therapy or a related health science to use the initials "DSc", as applicable, following the licensee's name. This bill would delete existing requirements for the performance of tissue penetration by a physical therapist and instead would include within the practice of physical therapy the use of electrode needles to perform tissue penetration for the purpose of evaluating and interpreting performance of the neuromusculoskeletal system. Existing law prohibits a physical therapist from supervising more than 2 physical therapist assistants at one time and establishes conditions for the initiation of services by a physical therapist directly, including providing a specified notice, orally and in writing, to a patient that is signed by the patient. This bill would increase the number of physical therapist assistants a physical therapist is authorized to supervise from 2 to 3. The bill would require a physical therapist to refer a patient to a physician and surgeon or other appropriately licensed health care provider when the situation or condition of the patient is beyond the scope of the education and training of the physical therapist. The bill would repeal the notice and other requirements for the provision of direct physical therapy treatment services. Because the bill would expand the scope of a crime, the bill would impose a state-mandated local program. 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.

Existing law requires the State Department of Public Health to develop a coordinated state strategy for addressing the health-related needs of women, as specified. This bill, the Rural Farmworker Women's Health Act of 2026, would require the department to, beginning January 1, 2028, and upon appropriation by the Legislature for this purpose, establish a program to work with local nonprofit organizations who have a history of serving farmworker communities to provide free menstrual products in rural or agricultural communities. The bill would require the department to prioritize those communities with the highest rates of poverty.

This Senate Resolution designates the week of June 14 to June 20, 2026, as Familial Adenomatous Polyposis Awareness Week in California. The measure aims to raise public understanding of hereditary conditions that cause numerous colon and rectum polyps, which significantly increase the risk of colorectal and other cancers. During this week, the Senate encourages California residents to review their family health history and share it with healthcare providers to facilitate early screening and prevention. The resolution is a symbolic proclamation that does not alter laws or allocate funding, but rather promotes awareness of the condition and the importance of genetic counseling.

Existing law provides for the licensure and regulation of health facilities, including general acute care hospitals, by the State Department of Public Health. Existing law authorizes a general acute care hospital to be approved to offer special services, including, among others, cardiac surgery. Existing regulation requires, when a general acute care hospital is providing cardiovascular operative service, that a minimum of 3 surgeons constitute a surgical team if the procedure requires extracorporeal bypass. This bill would require the department, on or before January 1, 2030, to update that regulation to reflect current professional standards of care relating to extracorporeal bypass surgery.