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CaliforniaAB 4472025-2026 Regular SessionHouseWALLET

Emergency room patient prescriptions: dispensing unused portions upon discharge.

Sponsored By: Mark Mark González (Democratic)

Signed by Governor

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Bill Overview

Analyzed Economic Effects

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

New licensing rules for drug dispensing machines

All automated drug dispensing systems in California must be licensed by the state board. Only pharmacies with a current California pharmacy license can hold these licenses, and each device needs its own license. The board inspects the site within 30 days of a complete application; moving a device needs a new license, and replacing a device needs written notice within 30 days. Licenses cancel if the pharmacy license is not current; operators must notify the board within 30 days if they stop using a device and renew each year on the pharmacy’s renewal date. To get licensed, the site must be secure and the pharmacy must have anti‑theft, inventory monitoring, and loss‑reporting policies. Some machines do not need an ADDS license: in‑hospital unit dose systems used only for inpatient doses (or dispensed under Section 4068) that are owned or leased by the hospital pharmacy, and technology inside the secured pharmacy used to select, count, package, and label drugs. Hospitals must still follow other ADDS rules and keep a list of unit‑dose machine locations.

Emergency patients can take needed meds home

If the hospital pharmacy is closed, your ER prescriber can give you medicine to start or keep treatment. The drug must come from the hospital’s supply, and the prescriber must believe no outside pharmacy is available. You can get up to a 72‑hour supply, with full labels, and the hospital must keep records and report Schedules II–IV as required. When you are discharged, the prescriber can give you the unused part of a non‑controlled drug you were given in the ER from single‑patient multidose packaging (like an inhaler, eye/ear/nose drops or sprays, topical, or liquids) if you need it to continue care. The prescriber is responsible for any dispensing or labeling mistakes.

Sponsors & Cosponsors

Sponsor

  • Mark Mark González

    Democratic • House

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 176 • No: 0

Senate vote • 8/25/2025

Item 245 — Senate SFLOOR

Yes: 37 • No: 0

legislature vote • 7/2/2025

Vote in CS60

Yes: 11 • No: 0

legislature vote • 6/23/2025

Vote in CS42

Yes: 11 • No: 0

House vote • 5/23/2025

Item 97 — Assembly AFLOOR

Yes: 71 • No: 0

legislature vote • 5/14/2025

Vote in CX25

Yes: 15 • No: 0

legislature vote • 4/29/2025

Vote in CX08

Yes: 16 • No: 0

legislature vote • 4/8/2025

Vote in CX33

Yes: 15 • No: 0

Actions Timeline

  1. Chaptered by Secretary of State - Chapter 363, Statutes of 2025.

    10/6/2025Senate

  2. Approved by the Governor.

    10/6/2025legislature

  3. Enrolled and presented to the Governor at 3 p.m.

    9/2/2025legislature

  4. In Assembly. Ordered to Engrossing and Enrolling.

    8/26/2025House

  5. Read third time. Passed. Ordered to the Assembly. (Ayes 37. Noes 0. Page 2250.).

    8/25/2025Senate

  6. Read second time. Ordered to Consent Calendar.

    8/20/2025Senate

  7. From committee: Be ordered to second reading file pursuant to Senate Rule 28.8 and ordered to Consent Calendar.

    8/19/2025Senate

  8. From committee: Do pass and re-refer to Com. on APPR. with recommendation: To Consent Calendar. (Ayes 11. Noes 0.) (July 2). Re-referred to Com. on APPR.

    7/3/2025Senate

  9. From committee: Do pass and re-refer to Com. on HEALTH with recommendation: To Consent Calendar. (Ayes 11. Noes 0.) (June 23). Re-referred to Com. on HEALTH.

    6/23/2025Senate

  10. In committee: Hearing postponed by committee.

    6/11/2025Senate

  11. Referred to Coms. on B. P. & E.D. and HEALTH.

    6/4/2025Senate

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

    5/23/2025Senate

  13. Read third time. Passed. Ordered to the Senate. (Ayes 71. Noes 0. Page 1662.)

    5/23/2025House

  14. Read second time. Ordered to Consent Calendar.

    5/15/2025House

  15. From committee: Do pass. To Consent Calendar. (Ayes 15. Noes 0.) (May 14).

    5/14/2025House

  16. Re-referred to Com. on APPR.

    5/5/2025House

  17. Read second time and amended.

    5/1/2025House

  18. From committee: Amend, and do pass as amended and re-refer to Com. on APPR. with recommendation: To Consent Calendar. (Ayes 16. Noes 0.) (April 29).

    4/30/2025House

  19. Re-referred to Com. on HEALTH.

    4/10/2025House

  20. Read second time and amended.

    4/9/2025House

  21. From committee: Amend, and do pass as amended and re-refer to Com. on HEALTH. (Ayes 15. Noes 0.) (April 8).

    4/8/2025House

  22. Re-referred to Com. on B. & P.

    4/1/2025House

  23. From committee chair, with author's amendments: Amend, and re-refer to Com. on B. & P. Read second time and amended.

    3/28/2025House

  24. Referred to Coms. on B. & P. and HEALTH.

    3/3/2025House

  25. From printer. May be heard in committee March 9.

    2/7/2025House

Bill Text

  • Chaptered

    10/6/2025

    HTML

  • Enrolled

    8/27/2025

    HTML

  • Amended Assembly

    5/1/2025

    HTML

  • Amended Assembly

    4/9/2025

    HTML

  • Amended Assembly

    3/28/2025

    HTML

  • Introduced

    2/6/2025

    HTML

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