Revises provisions governing health care. (BDR 38-156)
AB 461 updates California’s health care decision-making laws by adopting remaining provisions of the Uniform Health-Care Decisions Act. It clarifies who can make health care decisions (including capacity standards), establishes priority for default surrogates if no agent is named, and allows separate mental health care directives. The bill requires health care providers to follow advance directives, validates electronic signatures for these documents, and ensures directives created in other states are recognized. This directly affects adults creating health care plans, their appointed agents, and health care providers managing care decisions.
Bill status
signed
all 5 stages cleared
Introduction
Mar 2025
Committee Review
May 2025
Assembly Passage
May 2025
Senate Passage
May 2025
Signed into Law
Jun 2025
Introduced Mar 17, 2025
Signed Jun 5, 2025
Maddy AI version diff · 3 comparisons
What changed between versions
Reprint 2
→
As Enrolled
·
1 edit
·
Jun 5, 2025
MINOR
The bill text was converted from a 'Reprint' draft into the final 'As Enrolled' version, which includes the official title, chapter designation, and the formal enactment language. The substantive policy content regarding the long-term care education program and the request to the Guardianship Commission remains identical to the previous version.
TECHNICAL
The document structure was updated to reflect the final legislative format, including the addition of the official title, chapter header, and the formal 'People of the State of Nevada' enactment clause, while removing draft metadata and page headers.
Floor votes · Assembly Apr 22, 2025
How they voted
This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history
Actions timeline
Total actions
16
Key actions
7
Committee
3
Jun 5, 2025
Signed into law
Approved by the Governor.
executive
May 27, 2025
Lower · Passed
Senate Amendment No. 685 concurred in. To enrollment.
lower
May 22, 2025
Upper · Passed
Read third time. Passed, as amended. Title approved, as amended. (Yeas: 13, Nays: 8.) To printer.
upper
May 20, 2025
Upper · Passed
From committee: Amend, and do pass as amended.
Placed on Second Reading File.
upper
Apr 22, 2025
Lower · Passed
Read third time. Passed, as amended. Title approved. (Yeas: 27, Nays: 15.)
To printer.
lower
Apr 21, 2025
Lower · Passed
From committee: Amend, and do pass as amended.
Placed on Second Reading File.
Read second time. Amended. (Amend. No. 182.)
Dispensed with reprinting.
lower
Mar 19, 2025
Lower · Passed
From printer. To committee.
lower
2 primary · 0 co-sponsors
Sponsors
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