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<ns0:Id>20250AB__185498AMD</ns0:Id>
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<ns0:History>
<ns0:Action>
<ns0:ActionText>INTRODUCED</ns0:ActionText>
<ns0:ActionDate>2026-02-11</ns0:ActionDate>
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<ns0:Action>
<ns0:ActionText>AMENDED_ASSEMBLY</ns0:ActionText>
<ns0:ActionDate>2026-03-19</ns0:ActionDate>
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<ns0:SessionYear>2025</ns0:SessionYear>
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<ns0:AuthorText authorType="LEAD_AUTHOR">Introduced by Assembly Member Krell</ns0:AuthorText>
<ns0:Authors>
<ns0:Legislator>
<ns0:Contribution>LEAD_AUTHOR</ns0:Contribution>
<ns0:House>ASSEMBLY</ns0:House>
<ns0:Name>Krell</ns0:Name>
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<ns0:Title> An act to amend Sections 1549.1, 13778.2, and 13778.3 of the Penal Code, relating to criminal law. </ns0:Title>
<ns0:RelatingClause>criminal law</ns0:RelatingClause>
<ns0:GeneralSubject>
<ns0:Subject>Legally protected health care activities.</ns0:Subject>
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<ns0:DigestText>
<html:p>Existing law prohibits a state or local law enforcement agency or officer from knowingly arresting or knowingly participating in the arrest of any person for performing, supporting, or aiding in the performance of a legally protected health care activity, as defined, or for obtaining a legally protected health care activity, if the legally protected health care activity is lawful in this state. Existing law prohibits a state or local public agency from cooperating with or providing information to an individual or agency from another state or a federal law enforcement agency, as specified, regarding a legally protected health care activity. Existing law prohibits specified persons, including a judicial officer, a court employee, or an authorized attorney, among others, from issuing a subpoena in connection with a proceeding in another state
regarding an individual performing, supporting, or aiding in the performance of a legally protected health care activity in this state, or an individual obtaining a legally protected health care activity in this state, if the legally protected health care activity is lawful in this state.</html:p>
<html:p>This bill would extend those provisions to also apply to legally protected health care activities out of this state.</html:p>
<html:p>Existing law authorizes the Governor to surrender, on demand of the executive authority of any other state, any person in this state charged in the other state with committing an act in this state, or in a 3rd state, intentionally resulting in a crime in the state whose executive authority is making the demand.</html:p>
<html:p>This bill would additionally prohibit a state or local law enforcement agency or officer from knowingly arresting or participating in the arrest of any person who the Governor has declined to surrender.</html:p>
<html:p>Existing law requires any out-of-state subpoena, warrant, wiretap order,
pen register trap and trace order, or other legal process to include an affidavit or declaration under penalty of perjury that the discovery request is not in connection with an out-of-state proceeding relating to a legally protected health care activity, except as specified.</html:p>
<html:p>Existing law prohibits a California corporation that provides electronic communication services or remote computing services to the general public from complying with an out-of-state subpoena, warrant, wiretap order, pen register trap and trace order, other legal process, or request by a law enforcement agent or entity seeking records that would reveal the identity of the customers using those services, data stored by, or on behalf of, the customer, the customer’s usage of those services, the recipient or destination of communications sent to or from those customers, or the content of those communications, unless the out-of-state subpoena, warrant, wiretap order, pen register trap and trace order, other legal process, or request
from law enforcement includes the affidavit or declaration described above.</html:p>
<html:p>This bill would instead prohibit a person or entity that is located, headquartered, or incorporated in California and receives, is served with, or is subject to a civil, criminal, or regulatory inquiry, investigation, subpoena, or summons for information regarding legally protected health care activity from complying with or providing information in response to that inquiry, investigation, subpoena, or summons, unless specified conditions are met, including, among others, that the affidavit or declaration described above is included, that the recipient has notified the Attorney General within 7 days of receiving the inquiry, investigation, subpoena, or summons, and 30 days has passed since that notification. The bill would authorize that person or entity to institute a civil action to obtain declaratory relief, or other relief deemed necessary and proper by the court, stating that this section prohibits compliance with the
inquiry, investigation, subpoena, or summons. By expanding the situations in which a declaration under penalty of perjury is required, this bill would expand the scope of the crime of perjury and impose a state-mandated local program.</html:p>
<html:p>The bill would authorize the Attorney General to commence an action to enforce these provisions, as specified, and would authorize the court to assess a statutory penalty of $10,000 for a first violation, and $15,000 for a 2nd or subsequent violation, against any person or entity found to have intentionally, knowingly, willingly, or recklessly complied with or provided information in response to an inquiry, investigation, subpoena, or summons regarding legally protected health care activity in violation of these provisions.</html:p>
<html:p>The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.</html:p>
<html:p>This bill
would provide that no reimbursement is required by this act for a specified reason.</html:p>
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<ns0:Preamble>The people of the State of California do enact as follows:</ns0:Preamble>
<ns0:BillSection id="id_EAF036C5-BFE1-4DFA-8022-E6C6DB014FF0">
<ns0:Num>SECTION 1.</ns0:Num>
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Section 1549.1 of the
<ns0:DocName>Penal Code</ns0:DocName>
is amended to read:
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<ns0:Num>1549.1.</ns0:Num>
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<html:p>
(a)
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The Governor of this state may also surrender, on demand of the executive authority of any other state, any person in this state charged in the other state in the manner provided in Section 1548.2 with committing an act in this state, or in a third state, intentionally resulting in a crime in the state whose executive authority is making the demand. The provisions of this chapter, not otherwise inconsistent, shall apply to those cases, even though the accused was not in the demanding state at the time of the commission of the crime, and has not fled therefrom. Neither the demand, the oath, nor any proceedings under this chapter pursuant to this section need state or show that the accused has fled from justice from,
or at the time of the commission of the crime was in, the demanding or other state.
</html:p>
<html:p>
(b)
<html:span class="EnSpace"/>
A state or local law enforcement agency or officer shall not knowingly arrest or knowingly participate in the arrest of any person who the Governor has declined to surrender, on the demand of the executive authority of any other state, pursuant to subdivision (a).
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<ns0:Num>SEC. 2.</ns0:Num>
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Section 13778.2 of the
<ns0:DocName>Penal Code</ns0:DocName>
is amended to read:
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<ns0:Num>13778.2.</ns0:Num>
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<ns0:Content>
<html:p>
(a)
<html:span class="EnSpace"/>
A state or local law enforcement agency or officer shall not knowingly arrest or knowingly participate in the arrest of any person for performing, supporting, or aiding in the performance of a legally protected health care activity, as defined in Section 1549.15, or obtaining a legally protected health care activity, as defined in Section 1549.15, if the legally protected health care activity is lawful under the laws of this state.
</html:p>
<html:p>
(b)
<html:span class="EnSpace"/>
A state or local public agency, or any employee thereof acting in their official capacity, shall not cooperate with or provide
information to any individual or agency or department from another state or, to the extent permitted by federal law, to a federal law enforcement agency regarding a legally protected health care activity, as defined in Section 1549.15, that is lawful under the laws of this state.
</html:p>
<html:p>
(c)
<html:span class="EnSpace"/>
(1)
<html:span class="EnSpace"/>
A law of another state that authorizes the imposition of civil or criminal penalties related to an individual performing, supporting, or aiding in the performance of a legally protected health care activity, as defined in Section 1549.15, or an individual obtaining a legally protected health care activity, as defined in Section 1549.15,
if the legally protected health care activity is lawful under the laws of this state, is against the public policy of this state.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
No state court, judicial officer, or court employee or clerk, or authorized attorney shall issue a subpoena pursuant to any state law in connection with a proceeding in another state regarding an individual performing, supporting, or aiding in the performance of a legally protected health care activity, as defined in Section 1549.15, or an individual obtaining a legally protected health care activity, as defined in Section 1549.15, if the legally protected health care activity is lawful under the laws of this state.
</html:p>
<html:p>
(d)
<html:span class="EnSpace"/>
This section does
not prohibit the investigation of any criminal activity in this state that may involve the performance of a legally protected health care activity, as defined in Section 1549.15, provided that information relating to any medical procedure performed on a specific individual is not shared with an agency or individual from another state for the purpose of enforcing another state’s law involving a legally protected health care activity.
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<ns0:BillSection id="id_1533D5E6-68FB-4B9D-BB50-91B59902E030">
<ns0:Num>SEC. 3.</ns0:Num>
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Section 13778.3 of the
<ns0:DocName>Penal Code</ns0:DocName>
is amended to read:
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<ns0:Num>13778.3.</ns0:Num>
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<html:p>
(a)
<html:span class="EnSpace"/>
For purposes of this section, the following terms shall have the following meaning:
</html:p>
<html:p>
(1)
<html:span class="EnSpace"/>
“Gender-affirming health care” and “gender-affirming mental health care” have the same meaning as in paragraph (3) of subdivision (b) of Section 16010.2 of the Welfare and Institutions Code.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
“Legally protected health care activity” shall have the same meaning as in Section 1549.15.
</html:p>
<html:p>
(3)
<html:span class="EnSpace"/>
“Reproductive health care services” shall have the same meaning as in Section 1549.15.
</html:p>
<html:p>
(b)
<html:span class="EnSpace"/>
A state or local government employee, person or entity contracted by a state or local government, or person or entity acting on behalf of a local or state government shall not cooperate with or provide information to any individual, including a bondsman or person authorized, pursuant to subdivision (a) of Section 1299.02, to apprehend, detain, or arrest a fugitive admitted to bail in another state, or out-of-state agency or department regarding any legally protected health care activity or otherwise expend or use time, moneys, facilities, property, equipment, personnel, or other resources in furtherance of any investigation or proceeding that seeks to impose civil or criminal liability or professional sanctions upon a person or entity for any legally protected health care
activity that occurred in this state or that would be legal if it occurred in this state.
</html:p>
<html:p>
(c)
<html:span class="EnSpace"/>
This section does not prohibit compliance with a valid, court-issued subpoena, warrant, wiretap order, pen register trap and trace order, or other legal process which does not relate to a law seeking to impose civil or criminal liability or professional sanctions for a legally protected health care activity, or in response to the written request of a person who is the subject of such an investigation or proceeding, to the extent necessary, in each case, to fulfill such request.
</html:p>
<html:p>
(d)
<html:span class="EnSpace"/>
Any out-of-state subpoena, warrant, wiretap order, pen register trap and trace order, legal process, or request from any law enforcement agent or entity shall include an affidavit or declaration under penalty of perjury that the discovery is not in connection
with, and any information obtained shall not be used in, an out-of-state proceeding relating to any legally protected health care activity or an affidavit or declaration under penalty of perjury that the out-of-state proceeding meets all of the following requirements:
</html:p>
<html:p>
(1)
<html:span class="EnSpace"/>
Is based in tort, contract, or on statute.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
Is actionable, in an equivalent or similar manner, under the laws of this state.
</html:p>
<html:p>
(3)
<html:span class="EnSpace"/>
Was brought by the patient who received a legally protected health care activity or the patient’s legal representative.
</html:p>
<html:p>
(e)
<html:span class="EnSpace"/>
A state court, judicial officer, court employee or clerk, or authorized attorney shall not issue a subpoena pursuant to any other state’s law unless it includes the affidavit or declaration defined in subdivision (d).
</html:p>
<html:p>
(f)
<html:span class="EnSpace"/>
(1)
<html:span class="EnSpace"/>
A person or entity that is located, headquartered, or incorporated in California and receives, is served with, or is subject to a civil, criminal, or regulatory inquiry, investigation, subpoena, or summons for information regarding legally protected health care activity shall not comply with or provide information in response to that inquiry, investigation, subpoena, or summons, unless all of the following conditions are met:
</html:p>
<html:p>
(A)
<html:span class="EnSpace"/>
The inquiry, investigation, subpoena, or summons is accompanied by the affidavit or declaration defined in subdivision (d).
</html:p>
<html:p>
(B)
<html:span class="EnSpace"/>
The inquiry, investigation, subpoena, or summons
contains or is accompanied by an affirmation under penalty of perjury attesting one of the following:
</html:p>
<html:p>
(i)
<html:span class="EnSpace"/>
It is not related to, and that any information obtained shall not be used in, any investigation or proceeding that seeks to impose civil or criminal liability, professional sanctions, or any other legal consequences upon a person or entity for any legally protected health care activity.
</html:p>
<html:p>
(ii)
<html:span class="EnSpace"/>
It is related to an investigation of or proceeding regarding activity that is unlawful under California civil or criminal law, and identifies which California law makes the activity unlawful under California civil or criminal law.
</html:p>
<html:p>
(iii)
<html:span class="EnSpace"/>
It is related to an investigation or proceeding regarding activity that is grounds for professional discipline in California and identifies the grounds for professional discipline.
</html:p>
<html:p>
(C)
<html:span class="EnSpace"/>
The recipient of the inquiry, investigation, subpoena, or summons has notified the
Attorney General within seven days of receiving the inquiry, investigation, subpoena, or summons. The notification to the Attorney General shall indicate whether the person or entity intends to comply with or provide information in response to the inquiry, investigation, subpoena, or summons and provide a copy of the inquiry, investigation, subpoena, or summons and any related materials.
</html:p>
<html:p>
(D)
<html:span class="EnSpace"/>
The recipient of the inquiry, investigation, subpoena, or summons has made reasonable attempts to notify the individual or individuals who provided, sought, received, facilitated, or otherwise engaged in the legally protected health care activity to which the inquiry, investigation, subpoena, or summons pertains at least 30 days prior to providing any responsive information.
</html:p>
<html:p>
(E)
<html:span class="EnSpace"/>
A minimum of 30 days has passed since the recipient of the inquiry, investigation, subpoena, or summons notified the Attorney General of the inquiry, investigation, subpoena, or summons
pursuant to paragraph (3).
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
The requirements of subparagraphs (C), (D), and (E) of paragraph (1) do not apply to inquiries, investigations, subpoenas, or summons issued by the Attorney General’s office.
</html:p>
<html:p>
(3)
<html:span class="EnSpace"/>
A person or entity subject to this subdivision is entitled to rely on the representations made in the affidavit or declaration defined in subdivision (d).
</html:p>
<html:p>
(g)
<html:span class="EnSpace"/>
Any person or entity that is located, headquartered, or incorporated in California and receives, is served with, or is subject to a civil, criminal, or regulatory inquiry, investigation, subpoena, or summons for information regarding legally protected health care activity may institute a civil action to obtain declaratory relief, or other relief deemed necessary and proper by the court, stating that this section prohibits compliance with the inquiry, investigation, subpoena, or summons.
</html:p>
<html:p>
(h)
<html:span class="EnSpace"/>
At or before the commencement of any action
under this section, notice and a copy of the commencing document and all supporting documents shall be served upon the Attorney General.
</html:p>
<html:p>
(i)
<html:span class="EnSpace"/>
The Attorney General is authorized to intervene in any action brought pursuant to this section.
</html:p>
<html:p>
(j)
<html:span class="EnSpace"/>
(1)
<html:span class="EnSpace"/>
The Attorney General may commence a civil action against a person or entity that submits a false affidavit in violation of subdivision (d). Any action brought by the Attorney General pursuant to this section shall be commenced within six years of the date on which the Attorney General received notice of the subpoena, warrant, wiretap order, pen register
trap and trace order, legal process, or request from any law enforcement agent or entity that the false affidavit accompanied.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
A person or entity that submits a false affidavit in violation of subdivision (d) shall be punished by a civil penalty of fifteen thousand dollars ($15,000). This shall be in addition to any other penalties or remedies provided by law.
</html:p>
<html:p>
(k)
<html:span class="EnSpace"/>
The Attorney General may commence an action to enforce the provisions of this section, including, but not limited to, an application or motion for an order enjoining ongoing or future violations of this section. The Attorney General shall not commence that action unless the Attorney General has reason to believe the defendant or respondent intends to comply or has complied with, or intends to provide information in response to or has
provided information in response to, an inquiry, investigation, subpoena, or summons regarding legally protected health care activity.
</html:p>
<html:p>
(1)
<html:span class="EnSpace"/>
Any action brought by the Attorney General pursuant to this section shall be commenced within six years of the date on which the Attorney General received the notice of the inquiry, investigation, subpoena, or summons at issue.
</html:p>
<html:p>
(2)
<html:span class="EnSpace"/>
Notwithstanding any contrary provision of law, the Attorney General may seek all available legally and equitable remedies.
</html:p>
<html:p>
(3)
<html:span class="EnSpace"/>
The court of this state shall assess a statutory penalty of ten thousand dollars ($10,000) for the first violation and fifteen thousand dollars ($15,000) for the second and each subsequent violation against any person or entity found to have intentionally, knowingly, willingly, or recklessly complied with or provided information
in response to an inquiry, investigation, subpoena, or summons regarding legally protected health care activity in violation of this section. This shall be in addition to any other legal or equitable remedy lawfully available. The Attorney General shall be awarded all attorney’s fees and costs in any civil action in which a court imposes any of the penalties described in this section.
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<ns0:Num>SEC. 4.</ns0:Num>
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<html:p>
No reimbursement is required by this act pursuant to Section 6 of Article XIII
<html:span class="ThinSpace"/>
B of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIII
<html:span class="ThinSpace"/>
B of the California Constitution.
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