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Updated:   2026-02-23

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                <ns0:Id>20250AB__231199INT</ns0:Id>
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                                <ns0:ActionText>INTRODUCED</ns0:ActionText>
                                <ns0:ActionDate>2026-02-19</ns0:ActionDate>
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                        <ns0:SessionYear>2025</ns0:SessionYear>
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                        <ns0:MeasureNum>2311</ns0:MeasureNum>
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                <ns0:AuthorText authorType="LEAD_AUTHOR">Introduced by Assembly Member Schiavo</ns0:AuthorText>
                <ns0:AuthorText authorType="COAUTHOR_ORIGINATING">(Coauthors: Assembly Members Ortega and Pellerin)</ns0:AuthorText>
                <ns0:AuthorText authorType="COAUTHOR_OPPOSITE">(Coauthor: Senator Becker)</ns0:AuthorText>
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                                <ns0:Contribution>LEAD_AUTHOR</ns0:Contribution>
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                                <ns0:Name>Schiavo</ns0:Name>
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                                <ns0:Contribution>COAUTHOR</ns0:Contribution>
                                <ns0:House>ASSEMBLY</ns0:House>
                                <ns0:Name>Ortega</ns0:Name>
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                        <ns0:Legislator>
                                <ns0:Contribution>COAUTHOR</ns0:Contribution>
                                <ns0:House>ASSEMBLY</ns0:House>
                                <ns0:Name>Pellerin</ns0:Name>
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                                <ns0:Contribution>COAUTHOR</ns0:Contribution>
                                <ns0:House>SENATE</ns0:House>
                                <ns0:Name>Becker</ns0:Name>
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                <ns0:Title> An act to amend Section 2401 of the Business and Professions Code, relating to healing arts. </ns0:Title>
                <ns0:RelatingClause>healing arts</ns0:RelatingClause>
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                        <ns0:Subject>Health care districts: employment.</ns0:Subject>
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                        <html:p>Existing law, the Medical Practice Act, restricts the employment of physicians and surgeons or doctors of podiatric medicine by a corporation or other artificial legal entity to entities that do not charge for professional services rendered to patients and are approved by the Medical Board of California, subject to specified exemptions. Existing law, the Local Health Care District Law, regulates the organization and management of health care districts. Existing law establishes the Department of Health Care Access and Information and charges it with various duties related to health planning and research development.</html:p>
                        <html:p>This bill would create an exemption to the general prohibition described above by authorizing health care districts and nonprofit corporations with a health care district as its sole
                corporate member that own or control a general acute care hospital to employ physicians and surgeons and charge for professional services. The bill would prohibit the health care district from interfering with, controlling, or otherwise directing the professional judgment of a physician or surgeon. </html:p>
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                        <ns0:VoteRequired>MAJORITY</ns0:VoteRequired>
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                <ns0:Preamble>The people of the State of California do enact as follows:</ns0:Preamble>
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                        <ns0:Num>SECTION 1.</ns0:Num>
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                                Section 2401 of the
                                <ns0:DocName>Business and Professions Code</ns0:DocName>
                                 is amended to read:
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                                        <ns0:Num>2401.</ns0:Num>
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                                                                (a)
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                                                                Notwithstanding Section 2400, a clinic operated primarily for the purpose of medical education by a public or private nonprofit university medical school, which is approved by the board or the Osteopathic Medical Board of California, may charge for professional services rendered to teaching patients by licensees who hold academic appointments on the faculty of the university, if the charges are approved by the physician and surgeon in whose name the charges are made.
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                                                                (b)
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                                                                Notwithstanding Section 2400, a clinic operated under subdivision (p) of Section 1206 of the Health and Safety Code may employ licensees and charge for professional services rendered by those licensees. However, the clinic shall not interfere with, control, or otherwise direct the professional
                                  judgment of a physician and surgeon in a manner prohibited by Section 2400 or any other law.
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                                                                (c)
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                                                                Notwithstanding Section 2400, a narcotic treatment program operated under Section 11876 of the Health and Safety Code and regulated by the State Department of Health Care Services, may employ licensees and charge for professional services rendered by those licensees. However, the narcotic treatment program shall not interfere with, control, or otherwise direct the professional judgment of a physician and surgeon in a manner prohibited by Section 2400 or any other law.
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                                                        <html:p>
                                                                (d)
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                                                                Notwithstanding Section 2400, a hospital that is owned and operated by a licensed charitable organization, that offers only pediatric subspecialty care, that, before January 1, 2013, employed licensees on a salary basis, and that has not charged for professional services rendered to patients may, commencing January 1,
                                  2013, charge for professional services rendered to patients, provided the following conditions are met:
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                                                                (1)
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                                                                The hospital does not increase the number of salaried licensees by more than five licensees each year.
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                                                                (2)
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                                                                The hospital does not expand its scope of services beyond pediatric subspecialty care.
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                                                                (3)
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                                                                The hospital accepts each patient needing its scope of services regardless of the patient’s ability to pay, including whether the patient has any form of health care coverage.
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                                                                (4)
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                                                                The medical staff concur by an affirmative vote that the licensee’s employment is in the best interest of the communities served by the hospital.
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                                                                (5)
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                                                                The hospital does not interfere with, control, or otherwise
                                  direct a physician and surgeon’s professional judgment in a manner prohibited by Section 2400 or any other law.
                                                        </html:p>
                                                        <html:p>
                                                                (e)
                                                                <html:span class="EnSpace"/>
                                                                Notwithstanding Section 2400, a federally certified critical access hospital may employ licensees and charge for professional services rendered by those licensees to patients, provided both of the following conditions are met:
                                                        </html:p>
                                                        <html:p>
                                                                (1)
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                                                                The medical staff concur by an affirmative vote that the licensee’s employment is in the best interest of the communities served by the hospital.
                                                        </html:p>
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                                                                (2)
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                                                                The hospital does not interfere with, control, or otherwise direct a physician and surgeon’s professional judgment in a manner prohibited by Section 2400 or any other law.
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                                                                (f)
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                                                                Notwithstanding Section 2400, a health care district, organized and governed pursuant to Division 23 (commencing with Section 32000) of the Health and Safety Code, or a nonprofit corporation with a health care district as its sole corporate member, as described in subparagraph (B) of paragraph (1) of subdivision (h) of Section 14169.31 of the Welfare and Institutions Code, that owns or controls a general acute care hospital may employ licensees and charge for professional services rendered by those licensees. However, the health care district shall not interfere with, control, or otherwise direct the professional judgment of a physician and surgeon.
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