Sen. Akilah Weber Pierson

Existing law, the Medical Practice Act, establishes the Medical Board of California and the Osteopathic Medical Board of California to license and regulate the practice of medicine, and establishes examination, training, and other requirements for licensure as a physician and surgeon. A violation of the act is a misdemeanor. This bill, through November 30, 2024, would authorize a physician licensed to practice medicine in Arizona who meets certain requirements to practice medicine in California for the purpose of providing abortions and abortion-related care to patients who are Arizona residents traveling from Arizona, upon application for registration with the Medical Board of California or the Osteopathic Medical Board of California, as applicable. The bill would prohibit the physician from providing care or consultation for other purposes or to other patients, except under specified circumstances. The bill would require an Arizona physician, before practicing in California, to submit specified information to the Medical Board of California or the Osteopathic Medical Board of California, as applicable, including, among other information, written verification from the Arizona Medical Board or the Arizona Board of Osteopathic Examiners in Medicine and Surgery, or documentation printed from an online licensing system, that the physician's Arizona license to practice medicine is in good standing and confers on the physician the authority to practice abortions and abortion-related care. The bill would require the applicant to provide an affidavit attesting that, among other things, the applicant meets all of the requirements for registration, as specified, and would make it a misdemeanor for a person to provide false information. The bill would limit the information the California boards are required to disclose about a registrant. The bill would deem a physician registered pursuant to the bill's provisions a licensee of the applicable board, would authorize the applicable board to take enforcement against a person registered pursuant to the bill's provisions, and would prohibit the applicable boards from collecting any fees for registration. By creating a new crime, the bill would impose a state-mandated local program. The bill would repeal the bill's provisions on January 1, 2025. 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. This bill would declare that it is to take effect immediately as an urgency statute. 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.

Maddy summaryThis bill designates May 17, 2024, as Bike to School Day in California to encourage students to ride bicycles or electric bikes to their schools. The resolution highlights the environmental, health, and recreational benefits of cycling while acknowledging the state's existing bike-friendly infrastructure and recent cycling events. It serves as a commemorative measure rather than a law that changes regulations or funding, and it directs the Assembly's Chief Clerk to distribute copies of the text for public awareness.

Maddy summaryThis bill establishes April 27 as Harvey Milk Day to honor the first openly gay man elected to public office in a major U.S. city. The resolution recognizes Milk's legacy as a civil rights leader who fought against discrimination and advocated for LGBTQ+ visibility and unity among minority communities. It recounts key events in his life, including his assassination in 1978 and the subsequent legal proceedings against his killer. The measure serves as a commemorative acknowledgment of Milk's impact on California and national history rather than creating new laws or policies.

Existing law establishes the Department of Motor Vehicles, tasked with issuance and renewal of licenses to drivers. Existing law requires the department to prescribe and provide suitable forms of applications, certificates of ownership, registration cards, driver's licenses, and all other forms that are deemed necessary. This bill would, by January 1, 2026, require the department, in consultation with relevant stakeholders, to develop a Blue Envelope Program. Under the program, the bill would require the blue envelope to contain specified information for requesters with a condition or disability, as specified. The bill would also authorize others, including a parent or legal guardian of a passenger with a disability, to request a blue envelope.

Under existing law, the California Child Day Care Facilities Act, the State Department of Social Services licenses and regulates various types of child care facilities, including, but not limited to, family daycare homes. Existing law authorizes a small family daycare home to provide care for up to 8 children, and a large family daycare home to provide care for up to 14 children, as specified. Existing law makes a willful or repeated violation of the act a misdemeanor, and also authorizes the department to levy civil penalties against a family daycare home for failure to comply with applicable laws and regulations, as specified. Existing law requires a family daycare home to comply with specified safety requirements, including, but not limited to, requiring the facility to contain a fire extinguisher or smoke detector device, or both, as specified, that meet standards established by the State Fire Marshal, and a carbon monoxide detector. This bill would require a licensed family daycare home to only serve water to children in the care of the family daycare home or use water in food preparation for children in the care of the family daycare home that has been filtered with a point-of-use water filtration device certified to meet specified standards for water safety, as specified. The bill would require, on or before January 1, 2026, the department to adopt regulations to implement the above requirements, including requiring the family daycare home to maintain records and receipts demonstrating that the water filtration device has been maintained, and its filters replaced, as specified, and requiring the department to take specified action if a family daycare home does not comply with the regulations. The bill would require the department to submit a report to the Legislature that includes specified information related to compliance with the regulations and test results from family daycare homes with lead in drinking water above specified levels. The bill would authorize funds from a specified grant program to be used to provide lead-removing water filters to family daycare homes. Because a violation of this requirement by a family daycare home would be 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 vests the Public Utilities Commission with regulatory authority over public utilities, including electrical corporations. Existing law authorizes the commission to adopt new, or expand existing, fixed charges, as defined, for the purpose of collecting a reasonable portion of the fixed costs of providing electrical service to residential customers. Under existing law, the commission may authorize fixed charges for any rate schedule applicable to a residential customer account. Existing law requires the commission, no later than July 1, 2024, to authorize a fixed charge for default residential rates. Existing law requires these fixed charges to be established on an income-graduated basis, with no fewer than 3 income thresholds, so that low-income ratepayers in each baseline territory would realize a lower average monthly bill without making any changes in usage. This bill would prohibit modifications to the amount of the income-graduated fixed charge from exceeding changes in inflation, as provided. The bill would make the provisions authorizing the income-graduated fixed charge inoperative on July 1, 2028. The bill, commencing July 1, 2028, would instead permit the commission to authorize fixed charges that, as of January 1, 2015, do not exceed $5 per residential customer account per month for low-income customers enrolled in the California Alternate Rates for Energy (CARE) program and that do not exceed $10 per residential customer account per month for customers not enrolled in the CARE program. The bill would authorize these maximum allowable fixed charges to be adjusted by no more than the annual percentage increase in the Consumer Price Index for the prior calendar year, beginning January 1, 2016. The bill would require the commission to adopt any modification to an existing fixed charge for the collection of a reasonable portion of the fixed costs of providing electrical service to residential customers in a stand-alone proceeding. The bill would prohibit a fixed charge from resulting in an increase to an electrical corporation's revenue requirement. The bill would require the commission, on or before July 1, 2027, but no sooner than 2 years after the adoption of the income-graduated fixed charge, to submit a public report to the relevant policy committees of both houses of the Legislature on the electrical corporations' implementation of the income-graduated fixed charge and other cost-saving options, as specified. Under existing law, a violation of the Public Utilities Act or any order, decision, rule, direction, demand, or requirement of the commission is a crime. Because the provisions of this bill would be a part of the act and therefore a violation of the bill's requirements or of a commission action implementing its requirements would be 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.

Maddy summaryThis bill designates October 2024 as Menopause Awareness Month in California to highlight the health and societal impacts of menopause on women. It acknowledges that millions of women face symptoms that can affect their daily lives and work, noting that women of color are at higher risk for complications like premature menopause and heart disease. The resolution encourages the state to provide better health information and services to support women's well-being before, during, and after this transition. While the text outlines these goals, the bill itself is a formal recognition rather than a law that creates new funding or mandates specific programs.

Existing law generally prohibits a person who manufactures a prescription drug from offering in California any discount, repayment, product voucher, or other reduction in an individual's out-of-pocket expenses associated with the individual's health insurance, health care service plan, or other health coverage, including, but not limited to, a copayment, coinsurance, or deductible, for any prescription drug if a lower cost generic drug is covered under the individual's health insurance, health care service plan, or other health coverage on a lower cost-sharing tier that is designated as therapeutically equivalent to the prescription drug manufactured by that person or if the active ingredients of the drug are contained in products regulated by the federal Food and Drug Administration, are available without prescription at a lower cost, and are not otherwise contraindicated for the condition for which the prescription drug is approved. 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 willful violation of the act a crime. Existing law provides for the regulation of health insurers by the Department of Insurance. This bill would require a health care service plan, health insurance policy, or pharmacy benefit manager that administers pharmacy benefits for a health care service plan or health insurer to apply any amounts paid by the enrollee, insured, or a third-party patient assistance program for prescription drugs toward the enrollee's or insured's cost-sharing requirement, and would only apply those requirements with respect to enrollees or insureds who have a chronic disease or terminal illness. The bill would limit the application of the section to health care service plans and health insurance policies issued, amended, delivered, or renewed on or after January 1, 2025. The bill would repeal those provisions on January 1, 2035. The bill would require the Department of Managed Health Care and the Department of Insurance, by March 31, 2034, to provide a report to the appropriate policy committees of the Legislature on the impact of the provisions on drug prices and health care premium rates, including a recommendation whether the repeal date should be deleted. Existing law requires a health care service plan or health insurer that files certain rate information to report to the appropriate department specified cost information regarding covered prescription drugs, including generic drugs, brand name drugs, and specialty drugs, dispensed as provided. This bill, until January 1, 2035, additionally would require health care service plans and health insurers to report the 25 most frequently prescribed drugs with a patient assistance program, as described in the bill, and the 25 most costly drugs, by total annual plan spending, with a prescription assistance program, as described in the bill. The bill also would require the health care service plan or health insurer to report the aggregate dollar amount of all patient assistance programs that the health care service plan, health insurer, or their designee collected from all third-party entities in connection with the bill's cost-sharing requirements that are attributable to drug utilization by enrollees or insureds during that calendar year. Because a willful violation of the bill's requirements by a health care service plan would be a crime, this 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 provides various programs and funding to prevent and mitigate the impacts of cancer and other diseases in this state. Existing law defines the duties of the Treasurer, which include, but are not limited to, keeping an account of all money received and disbursed. This bill would establish, upon appropriation by the Legislature, the Novel Allogeneic Adipose Cell-Based Viral Therapies Clinical Trials Grant Program to provide funding for clinical trials of novel allogeneic adipose cell-based viral therapies for cancer treatment. The program would be administered by the Treasurer, who would be required to award competitive grants to health facilities that meet specific requirements, including providing the Treasurer with specific patient safety data. The bill would require the Treasurer to award a significant amount of grant money to clinical trials conducted in low-income communities, traditionally excluded from leading-edge clinical trials. The bill would require the Treasurer to submit a report to the Legislature on the progress of clinical trials funded pursuant to the program, as specified. This bill would repeal these provisions on January 1, 2031. The bill would make related findings and declarations.

Existing law vests the Public Utilities Commission with regulatory authority over public utilities, including electrical corporations. Existing law requires every electric utility, defined to include electrical corporations, local publicly owned electric utilities, and electrical cooperatives, to develop a standard contract or tariff for net energy metering, as defined, for generation by a renewable electrical generation facility, as defined, and to make this contract or tariff available to eligible customer-generators, as defined, upon request on a first-come-first-served basis until the time that the total rated generating capacity used by eligible customer-generators exceeds 5% of the electric utility's aggregate customer peak demand. Existing law requires the commission to have developed a 2nd standard contract or tariff for each large electrical corporation, as defined, to provide net energy metering to additional eligible customer-generators in the electrical corporation's service territory and imposes no limitation on the number of new eligible customer-generators entitled to receive service pursuant to this 2nd standard contract or tariff. Existing law authorizes the commission to revise the 2nd standard contract or tariff as appropriate. Pursuant to that authorization, the commission has instituted rulemakings and issued decisions relating to the 2nd standard contract or tariff. This bill would require the commission to conduct an independent cost-of-service analysis evaluating the standard contract or tariff developed by the commission in a specified decision.