ANA\C Bill Folder and Other Legislative Information


Legislative Session Began January 7, 2013-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 that 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.

We have provided a detailed calendar for the 2013-14 Schedule and Committee Schedule. This document included schedules for the regular sessions, holiday breaks, weekly committee schedules, Assembly standing committee meetings, and schedule for sub-committees.


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

Bill Folders & Bill Information 2013-14


Prop was defeated!


Prop 46 Opposition: Need Your Support
The ads focus on the the fact that Prop. 46 is written and almost exclusively funded by trial lawyers while everyone else in California (health care consumers, taxpayers and local governments) will have to pay more to receive their health care.

CAPP (Californians Allied for Patient Protection) continues to work closely with the No on Prop. 46 coalition and its members. We need your help to educate voters that Prop. 46 will increase health care costs, reduce access to care and jeopardize citizens' personal prescription drug information. We are counting on your involvement between now and November 4 to defeat this flawed measure.

Visit to see a full list of available materials and to place your order.

ANA\C & ACNL Issue Press Release Opposing Prop 45:
August 21, 2014

American Nurses Association California and the Association of California Nurse Leaders Oppose Prop 45: Gives Too Much Power Over Health Care to One Politician

SACRAMENTO – Both the American Nurses Association California (ANA\C) and the Association of California Nurse Leaders (ACNL) recently announced their opposition to Proposition 45, a November ballot measure that would give the state Insurance Commissioner sweeping new power to make health care decisions.

“Proposition 45 threatens nurses’ ability to provide the care that patients need by giving a single elected politician vast new power over our health care,” said Tricia Hunter, ANA\C Executive Director. “The important decisions about benefits and treatment options should be made by health care professionals and patients—not someone with a political agenda. ANA California urges nurses and all voters to oppose Prop 45.”

The ANA\C is a nursing advocacy group and the ACNL is a professional nursing association, both of which are working toward improving quality of care, provide their nurses with professional resources and give their members a collective voice in the health care field. They join a coalition of doctors, hospitals, labor organizations and small businesses that oppose Prop 45, because they are concerned it will disrupt California’s effort to expand access to affordable health coverage through Covered California.

Other organizations opposing Prop 45 include the California Medical Association, the California Children’s Hospital Association, California Professional Firefighters and SEIU California.

Prop 45 was drafted and filed in 2011, prior to the implementation of the President’s historic Affordable Care Act, and failed to qualify for the 2012 ballot, forcing it to this year’s November ballot.

Academics and health care experts, including Covered California board members, have raised serious concerns about Prop 45 creating obstacles for those who need health insurance through the state’s exchange, largely due to the initiative allowing outside groups and individuals to file lengthy legal challenges against Covered California plans.

In June, Covered California released a report -


containing a series of
troubling questions about the consequences Prop 45 would have on its ability to provide affordable coverage to millions of Californians.

For a complete list of organizations opposed to Prop 45, or for more information please visit -



SB 850: Governor Signs Bill

SB 850 Baccalaureate Pilot Passes California Assembly: By a vote of 68-0 (this would be unanimous, but other members still have time to register their votes).  Your calls and letters to Assembly members were invaluable in producing this overwhelming support for our cause.  Thank you so much.

SB 850 now goes back to the floor of the Senate where it needs to be voted on again because it was amended since the Senate’s previous vote of support.  Since the Senate’s previous vote was unanimous, we are not anticipating any serious problems. Success: On August 26 the Senate passed SB 850!


Federal Bill H.R.5373: Put Nurse in the Nursing Home Act: This bill has been introduced into Congress with 4 sponsors.The bill would require nursing facilities and skilled nursing facilities (“nursing homes”) that receive Medicare and/or Medicaid reimbursement to have a direct-care registered nurse (RN) on duty 24 hours per day, 7 days per week.

Federal Bill H.R.3833: Durable Medical Equipment:

On January 9th, Congressman Jim McDermott (D-WA) introduced legislation to eliminate the physician co-signature requirement for ordering durable medical equipment (DME). H.R. 3833 would allow advanced practice registered nurses (APRNs), including nurse practitioners (NP) and clinical nurse specialists (CNS), to provide timely and quality care by ordering durable medical equipment (DME) and signing that a face-to-face encounter took place.
Please cosponsor H.R. 3833. APRNs are capable, licensed and qualified to self-document for the face-to-face requirement. READ MORE

Status Reports for May 1-9, 2014: This was the first legislative deadline week for policy bills. Any bill that had policy and funding had to be out of committee. These are the report for the bills ANA\C is watching, opposing and supporting.

As of September 27th 372 Senate Bills were sent to the Governor this year and he acted upon 230. There are 142 are pending to be acted on my Tuesday 9.30. 703 Assembly bills were sent to the Governor this year and he acted upon 387. There are 316 to be acted upon by Tuesday at 12 am 9.30.

Status Report May 1st:
Status Report May 2nd:
Status Report May 6th:
Status Report May 7th:
Status Report May 8th:
Status Report May 9th:
Status Report May 20th:
Status Report May 31st:
Status Report June 5th:
Status Report June 13th:
Status Report June 15th:
Status Report June 16th:
Status Report June 20th:
Status Report August 6. 2014:
Status Report August 8, 2014:
Status Report August 12, 2014:
Status Report August 25, 2014:
Status Report August 26, 2014:
Status Report September 16, 2014
Status Report September 20, 2014
Status Report September 23, 2014
Status Report September 26, 2014
Status Report September 27, 2014
Status Report September 30, 2014
Status Report October 1, 2014


SB 850: Block: This bill would authorize the board of governors, in consultation with the CSU and UC systems to establish a statewide baccalaureate degree pilot program at not more than 15 community college districts. This bill passed out of the Assembly Higher Education Committee with no "no" votes.

AB 186: Maienschein: This bill would, in addition to the expedited licensure provisions describe, establish a temporary licensure process for an applicant who holds a current license in another jurisdiction, as specified, and who supplies satisfactory evidence of being married to, or in a domestic partnership or other legal unions with, an active duty member of the Armed Forces of the United States who is assigned to a duty station in California under official active duty military orders.



Ballot Measures Coming in November:
Californians Allied for Patient Protection (CAPP) is seeking your support in defeating a ballot measure that will be on the November 2014 election ballot. This measure will significantly increase costs for consumers, reduce access to critical health care services, and would jeopardize the privacy of consumer's personal health information. Lawyers already submitted 850,000 signatures in the process of verification and this measure will make it easier and more profitable for lawyers to sue health care providers. ANA\C is a supporter of CAPP and is encouraging everyone to be mindful of this pending action. Read the attached which tells you where to go to express your opposition.


April 10, 2014 Status Report

2014 Governor's Budget Highlight Department of Health Care Services

Workforce Violence Regulations
SEIU is taking on Workforce Violence by petitioning Cal/OSHA to write regulations, much as they did with the needlestick issue. Visit their web site.


CMA Argues Whistle blower Case Before California Supreme Court
In 2007 then Governor Schwarzenegger signed into law AB 632 which was legislation that extended whistle blower protections to physicians on hospital medical staff. In this case, the plaintiff physician alleged that his staff privileges were terminated in retaliation for reporting nursing errors and insubordination to the hospital. The California Supreme Court has 90 days to issue an opinion.


January 9, 2014 SB 850 Block: This bill would authorize the Chancellor of the California Community Colleges to authorize the establishment of one baccalaureate degree pilot program per campus per district. Read the bill for details.

October 9: AB 154 signed into law.

August 30: SB 491 failed in the CA Assembly Appropriations Committee.

August 21: SB 491 Moved to Suspense File
This bill had been moved to the Suspense file and will be considered August 30th. To be removed from the Suspense File the bill would need nine "aye" votes from among the 17 members of the committee in order to be referred to a full Assembly floor vote.


IMPORTANT UPDATE August 13: SB-491 was approved by Assembly Committee on Business, Professions, and Consumer Protection Committee. This bill had been referred to the Assembly Appropriations Committee. Please note: several powerful amendments have been added to SB-491 which are supported by the CA Association of Physician Groups, the California Primary Care Association, the American Federation of State, County, and Municipal Employees.

Once these amendments were made public AARP (American Association of Retired Persons) and the AANP (American Association of Nurse Practitioners) have withdrawn their support. A major stumbling block for these organizations is the "supplant language" which has been added to the bill. Both of these organizations feel this will make California the most restrictive state in which Nurse Practitioners can practice. Please read SB 491 as amended on August 8. Read the press release from AANP.


SB-491 Failed in Committee:
You may view the hearing at The bill is attached for your review. Amendments can be found on page 4 lines 22 through 25. It is up for reconsideration Tuesday August 13th.


Federal Bill: Registered Nurse Safe Staffing Bill:
The Registered Nurse Safe Staffing Act of 2014 (S 2353) crafted with input from ANA is sponsored by Sen Jeff Merkley (D-OR). ANA supports a companion staffing bill introduced in the House in May 2013 (HR 1821)


Federal Bill: ANA Supports Federal Bill to Eliminate Manual Patient Handling
H.R. 2480 would require employers to develop plan to prevent worker and patient. This bill would improve safety and quality care. It would address and protect RNs,other healthcare works from costly, potentially career-ending injuries and musculoskeletal disorders caused by manual patient handling such as lifting, transferring, and re-positioning. You can review this legislation at ANA is pleased that this legislation incorporated key content from ANAs National Standards for Safe Patient Handling and Mobility. You can get a copy of this at


Governor Brown Signs 2013-14 Budget:
The governor signed a balanced, on-time budget that directs additional resources to CA neediest students and continues the implementation of federal health care reform, while continuing to pay down the debt and build a significant reserve to prepare for future uncertainties. Additional details can be found at

Governor's Proposed Budget Trailer Bill Language:
AIM Program Transition to DHCS and Elimination of the Managed Risk Medical Insurance Board (MRMIB)

California Department of Health Care Services Proposed Trailer Bill Legislation
Transition the Access for Infants and Mothers Higher Income Infants to the Department of Health Care Services and Establish A Sunset Date for the Managed Risk Medical Insurance Board

SB 491 (Hernandez) would permit nurse practitioners in CA to practice autonomously without physician supervision. Review an analysis of this bill. Hearing on this bill will be 4.29.13. On 5.14.13 SB 491 was approved by the Senate Appropriations Committee by a vote of 4-0. The bill is now eligible to be heard by the full senate which must be done by May 31st.

ABx1 1 & SBx1 1 Administration Proposed Amendments
ABx1 1 & SBx1 1 Administration Proposed Amendments Side by Side Summary 5.1.13
These above documents are the Administration's proposed amendments to AB/SBx1 1. This is an updated draft to track these special session bills (our prior 1-31 version tracked to SB 28), with some additional language. Please note that there are several sections that are shaded in grey. As indicated on the first page of the language, these are sections of AB/SBx1 1 that are pending further analysis. These documents can also be found at

Bill Folder Reports

8.15.13 Status Report
6.18.13 Status Report
6.8.13 Status Report
5.25.13 Status Report
5.24.13 Status Report from the Assembly Appropriations Committee
5.16.13 Status Report
5.14.13 Status Report
5.8.13 Status Report
5.7.13 Status Report
5.6.13 Status Report

4.30.13 Status Report
4.18.13 Status Report
4.12.13 Status Report
4.11.13 Status Report
4.9.13 Status Report

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 of visiting legislators offices
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:[8]

  • 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.[9] Before, this provision was faulted for much of what had been termed "legislative gridlock",[10] enabling a minority of legislators to block approval of the budget by the mandated July 31 deadline.[b 1]
  • 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 2011-2012 Bill Folder


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