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CaliforniaAB 14152025-2026 Regular SessionHouseWALLET

California Health Care Quality and Affordability Act.

Sponsored By: Mia Bonta (Democratic)

Signed by Governor

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Bill Overview

Analyzed Economic Effects

2 provisions identified: 1 benefits, 0 costs, 1 mixed.

California office to rein in health costs

The law creates the Office of Health Care Affordability inside the Department of Health Care Access and Information. The Office sets statewide and sector cost targets and tracks spending drivers. It can require improvement plans, hold public testimony, and issue fines when entities do not meet targets. The law also defines key terms like payer, provider, and total health care spending to set who is covered and how costs are counted.

New notice and transparency for health care deals

Health care entities must give the Office at least 90 days’ notice before large sales or changes in control. Noticing entities include private equity and hedge funds, new entities formed for a deal, management services organizations, and any entity that owns or controls a provider. When the rules apply, the Office makes the notice and all submitted materials public. The Office writes rules to avoid duplicate reporting, decide which changes need notice, and set fees and thresholds based on revenue or market share. Management services organizations must submit data the Office requires. Some deals reviewed by other state agencies, counties buying to keep access, or nonprofit deals under Attorney General review are exempt from the notice, but they can still be referred for a cost and market review.

Sponsors & Cosponsors

Sponsor

  • Mia Bonta

    Democratic • House

Cosponsors

  • Pilar Schiavo

    Democratic • House

Roll Call Votes

All Roll Calls

Yes: 150 • No: 54

House vote • 9/8/2025

Item 44 — Assembly AFLOOR

Yes: 51 • No: 19

Senate vote • 9/4/2025

Item 157 — Senate SFLOOR

Yes: 26 • No: 10

legislature vote • 6/25/2025

Vote in CS60

Yes: 9 • No: 2

House vote • 5/15/2025

Item 143 — Assembly AFLOOR

Yes: 42 • No: 16

legislature vote • 5/7/2025

Vote in CX25

Yes: 11 • No: 4

legislature vote • 4/22/2025

Vote in CX08

Yes: 11 • No: 3

Actions Timeline

  1. Chaptered by Secretary of State - Chapter 641, Statutes of 2025.

    10/11/2025Senate

  2. Approved by the Governor.

    10/11/2025legislature

  3. Enrolled and presented to the Governor at 4:30 p.m.

    9/15/2025legislature

  4. Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 51. Noes 19. Page 3038.).

    9/8/2025House

  5. In Assembly. Concurrence in Senate amendments pending.

    9/4/2025House

  6. Read third time. Passed. Ordered to the Assembly. (Ayes 26. Noes 10. Page 2506.).

    9/4/2025Senate

  7. Read second time. Ordered to third reading.

    8/25/2025Senate

  8. Read third time and amended. Ordered to second reading.

    8/21/2025Senate

  9. Read second time. Ordered to third reading.

    8/20/2025Senate

  10. From committee: Be ordered to second reading pursuant to Senate Rule 28.8.

    8/19/2025Senate

  11. From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on APPR.

    7/2/2025Senate

  12. Read second time and amended. Re-referred to Com. on APPR.

    6/27/2025Senate

  13. From committee: Amend, and do pass as amended and re-refer to Com. on APPR. (Ayes 9. Noes 2.) (June 25).

    6/26/2025Senate

  14. In committee: Set, first hearing. Hearing canceled at the request of author.

    6/18/2025Senate

  15. Referred to Com. on HEALTH.

    5/28/2025Senate

  16. In Senate. Read first time. To Com. on RLS. for assignment.

    5/15/2025Senate

  17. Read third time. Passed. Ordered to the Senate. (Ayes 42. Noes 16. Page 1547.)

    5/15/2025House

  18. Read second time. Ordered to third reading.

    5/8/2025House

  19. From committee: Do pass. (Ayes 11. Noes 4.) (May 7).

    5/7/2025House

  20. Re-referred to Com. on APPR.

    4/28/2025House

  21. Read second time and amended.

    4/24/2025House

  22. From committee: Amend, and do pass as amended and re-refer to Com. on APPR. (Ayes 11. Noes 3.) (April 22).

    4/23/2025House

  23. In committee: Hearing postponed by committee.

    4/3/2025House

  24. Referred to Com. on HEALTH.

    3/13/2025House

  25. Read first time.

    2/24/2025House

Bill Text

  • Chaptered

    10/11/2025

    HTML

  • Enrolled

    9/10/2025

    HTML

  • Amended Senate

    8/21/2025

    HTML

  • Amended Senate

    7/2/2025

    HTML

  • Amended Senate

    6/27/2025

    HTML

  • Amended Assembly

    4/24/2025

    HTML

  • Introduced

    2/21/2025

    HTML

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