ANA\C Bill Folder and Other Legislative Information

Legislative Session Began January 5, 2015-this is the beginning of a 2-year bill cycle.

During the first part of a new bill cycle ANA\C Legislative Committee works to review all proposed bills and select those they will Support, Sponsor, Watch, or Oppose. Once the committee has determined their course of action, those bills will be posted here.

You can learn about the various actions the Legislative Committee takes. If you are interested in serving on the Legislative Committee, please contact Liz Dietz.

For additional information about any bill currently in the legislative process visit


SB 277: Immunization Bill

Amendments added to bill does the following:

This bill would eliminate the exemption from existing specified immunization requirements based upon personal beliefs, but would allow exemption from future immunization requirements deemed appropriate by the State Department of Public Health for either medical reasons or personal beliefs. This The bill would exempt pupils in a home-based private school and students enrolled in an independent study program pursuant to specified law from the prohibition described above. The bill would narrow the authorization for temporary exclusion from a school or other institution to make it applicable only to a child who has been exposed to a specified disease and whose documentary proof of immunization status does not show proof of immunization against one of the diseases described above. The bill would make conforming changes to related provisions

Six hostile amendments
Senator Morrell
Parent signs, under penalty of perjury, a statement that the vaccines violate my person religious beliefs.

Senator Moorlach
Amendment to allow children to go to school without vaccinations.

Senator Anderson
In committee they were told that no immunization had fetal cells. It was disclosed this was incorrect. This amendment would require a doctor to review the contents with the parent or guardian of all their concerns.  The doctor and patient signs a document stating the information was been shared.

We need 95% of population immunized to protect the public. 
MMR controversy started with a faulty study in England that linked autism to vaccines.  He was caught manipulating the data for a lawsuit and he lost his license.

Religious exemption was primary concern.

Bill passed on a partisan vote ayes 25 nos 10. 

Update AB 890: Anesthesia Assistants (AA)
As of May 13th this bill is on suspense. The author waived presentation and AB 890 is now on suspense in the appropriations committee.  From the authors perspective, this does not give the opposition (us) a chance to make our case.  The only issue in appropriations is the cost to the state.  CANA solicited the cost of regulation CRNA's and submitted this as an example of the cost. 

Any bill that has a cost of more than 350,000 is put on suspense.  The suspense bills are reviewed by leadership and the chairperson of Approps and Budget and they decide which bills will be allowed to pass out.  A hearing will be held which will go through all the suspense bills, with no testimony, letting us know if the bill will be held in suspense or moved.


AB 890: Anesthesia Assistants (AA)
This bill creates a new health care provider, Anesthesia Assistant, that can provide anesthesia under the license of an anesthesiologist. The California Nurse Anesthetist are very opposed. This bill would allow an anesthesiologist to supervise AA's and provide anesthesia in multiple rooms. Of concern for every RN is this position will permit them to do everything an RN can do in the operating room. The description is an RN's license authority.

Here are some documents information you of this issue
ANA\C opposition letter to AB 890
Comparison of CRNA & AA Duties 10.2014
CANA opposition letter to AB 890
CANA Talking Points


AB 890: Has passed out of committee: Please write your legislator about opposing this bill. Here is some additional information.

Monthly Stats from the BRN
Anesthesiologist Workforce 2013
Rand Analysis of Anesthesia Workforce
Anesthesia Provider Labor Markets for Anesthesiologists



Please write your Assembly and Senator about opposing. Don't know who your legislator is you can find out at



SB 466: Board of Registered Nursing (BRN)
Every 5 years the BRN goes through a Sunset process. This means a bill must pass to Sunrise the Board so it can continue for another 5 years. The Board has had a rough time the last number of years which has only been compounded by the implementation of a new computer program that has increased the time to complete their work!

Your Assembly Member and Senator need to hear from you that Nurses want the BRN to Sunrise for another 5-years. We also ask that any political issue be left out of the bill and be dealt with in policy bills. Please support the BRN and write a letter today. You can locate your Assembly Senate Member at

Some additional information Overview of Sunrise & Sunset Process by Tricia Hunter and Uniform Standards and Attorney General Opinion.


California Bill Folder & Status Reports:


Status Bills Report 5.29.15
Status Bills Report 5.5.15
Status Bills Report 4.25.15
Status Bills Report 4.20.15
Status Bills Report 4.15.15
Status Bills Report 4.9.15
Status Bills Report 4.7.15
Status Bills Report 3.30.15
Status Bills Report 3.27.15
Status Bills Report 3.20.15
Status Bills Report 3.2.15

SB 61: Jerry Hill: Impaired Driving
Letter from MADD to Senate Public Safety Committee
National Transportation Safety Board Letter

SB 390: Bates: This bill does away with the 1-year experience required of a new nurse before they can work in home health. ANA\C opposes. Read more.

Federal/National Information:

The National Nurse Act of 2015:

The American Nurses Association (ANA) supports the National Nurse Act of 2015, H.R. 379.   The bill was introduced on January 14 by Rep. Eddie Bernice Johnson (D-TX) in the newly convened 114th Congress.

 H.R. 379 would designate the same individual serving as the Chief Nurse Officer (CNO) of the Public Health Service as the National Nurse for Public Health.   ANA recognizes the importance of raising visibility for nursing and the Public Health Service and applauds the intention of the legislation. 

 The current bill reflects dialogue and agreement between ANA and the National Nurse Network Organization (NNNO) to address ANA’s concerns about earlier versions of the bill that had been introduced in previous Congresses.  ANA President Pam Cipriano, PhD, RN, NEA-BC, FAAN, fostered dialogue over several months among key stakeholders to arrive at this modified language. 

 The language of the 2015 bill addresses some concerns that have been raised in the past. For example, the bill provides for elevation in rank for the CNO, includes a report to Congress on the Commissioned Corps Nursing Category, and achieves a stronger focus on the role of the CNO in advocating for programs in public health and advising on policy. 

 Additionally, ANA is currently developing its legislative and regulatory priorities for the 114th Congress.  These priorities include introduction of legislation to address safe patient handling and mobility, safe nurse staffing and removal of barriers to practice for advanced practice registered nurses (APRNs).   These priorities are guided and informed by ANA’s strategic plan and input from its constituent and state nurses associations. 


ANA Legislative Priorities:
Review the Legislative Priorities established by ANA\for the 114th Congress.

ANA Releases Press Release Supporting to Increase Access to APRN's Services. This issues is being address my bill H.R. 1247. To learn more visit

Other Legislative Information

Legislative Tool Kit

How to set up district meetings
Setting up visits with your representatives
Tips on sending emails, letters, and making visits
Tips on contacting member of the legislature
Resource Directory

How a bill becomes a law A nice graphic demonstrates this process

"A bill is a proposal to change, repeal, or add to existing state law. An Assembly Bill (AB) is one introduced in the Assembly; a Senate Bill (SB), in the Senate.

Bills are designated by number, in the order of introduction in each house. For example, AB 16 refers to the sixteenth bill introduced in the Assembly. The numbering starts afresh each session. There may be one or more "extraordinary" sessions. The bill numbering starts again for each of these. For example, the third bill introduced in the Assembly for the second extraordinary session is ABX2 3. The name of the author, the legislator who introduced the bill, becomes part of the title of the bill.

The legislative procedure, is divided into distinct stages:

  • Drafting. The procedure begins when a Senator or Assembly Member decides to author a bill. A legislator sends the idea for the bill to the California Office of the Legislative Counsel, where it is drafted into bill form. The draft of the bill is returned to the legislator for introduction.
  • Introduction or First Reading. A bill is introduced or read the first time when the bill number, the name of the author, and the descriptive title of the bill are read on the floor of the house. The bill is then sent to the Office of State Publishing. No bill except the Budget Bill may be acted upon until 30 days have passed from the date of its introduction.
  • Committee hearing. After introduction, a bill goes to the rules committee of the house, where it is assigned to the appropriate policy committee, appropriate to the subject matter, for its first hearing. During the committee hearing the author presents the bill to the committee, and testimony may be heard in support or opposition to the bill. The committee then votes on whether to pass the bill out of committee, or that it be passed as amended. Bills may be amended several times. It takes a majority vote of the committee membership for a bill to be passed and sent to the next committee or to the floor.
  • Fiscal committee. If the bill which contains an appropriation or has financial implications for the state.
  • Second reading. A bill recommended for passage by committee is read a second time on the floor of the house. Ordinarily there is little or no debate. If a bill is amended at this stage, it may be referred back for another committee hearing.
  • Floor vote. A roll call vote is taken. An ordinary bill needs a majority vote to pass . An urgency bill or a bill with tax increases requires a two-thirds vote. The California Constitution used to require a 2/3 vote of both houses on the yearly budget and on any bill which would increase taxes, but since the passage of California Proposition 25 (2010), the 2/3 vote is only required for tax increases. Before, this provision was faulted for much of what had been termed "legislative gridlock", enabling a minority of legislators to block approval of the budget by the mandated July 31 deadline.
  • Second house. If it receives a favorable vote in the first house, a bill repeats the same steps in the other house. If the second house passes the bill without changing it, it is sent to the governor's desk.
  • Resolution of Differences (concurrence or conference). If a measure is amended in the second house and passed, it is returned to the house of origin for consideration of amendments. The house of origin may concur with the amendments and send the bill to the governor or reject the amendments and submit it to a two-house conference committee. If either house rejects the conference report, a second (and even a third) conference committee can be formed. If both houses adopt the conference report, the bill is sent to the governor.
  • Governor's action. Within 12 days after receiving a bill, the governor may sign it into law, allow it to become law without his/her signature, or veto it.
  • Overrides. A vetoed bill is returned to the house of origin, where a vote may be taken to override the governor's veto; a two-thirds vote of both houses is required to override a veto.
  • California Law and effective date. Each bill that is passed by the Legislature and approved by the Governor is assigned a chapter number by the Secretary of State. These chaptered bills are statutes, and ordinarily become part of the California Codes. Ordinarily a law passed during a regular session takes effect January 1 of the following year. A few statutes go into effect as soon as the governor signs them; these include acts calling for elections and urgency measures necessary for the immediate preservation of the public peace, health, or safety." Source Wikipedia (


Access information from the 2012-2014 Bill Folder

Access information from the 2011-2012 Bill Folder


The information on this page is made available by the Honorable Tricia Hunter ANA\C Advocate/Lobbyist's.