California 20252026 Regular Session Status: Passed Assembly 1 D cosponsors

AB 225 — Health care: facility fees.

Last action — In committee: Set, first hearing. Hearing canceled at the request of author.

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  1. ✓
    Introduced
  2. ✓
    In Committee
  3. 3
    Passed Assembly
  4. 4
    Passed Senate
  5. 5
    To Executive
  6. 6
    Enacted

This bill has passed the Assembly. Introduced January 09, 2025. It now moves to the second chamber.

Next likely step: consideration and a floor vote in the Senate.

Prognosis

Advancing 48% · moderate confidence

Where this bill stands today.

Odds of enactment

Moderate

How often bills like it became law.

  • Passed Assembly

    Current position in the legislative process.

  • 1 sponsor

    1 primary, 0 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (1 D).

  • Cleared a recorded vote

    Passed 3 recorded votes so far.

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

In plain language

The bill bans facility fees for certain outpatient services starting in 2028.

Beginning January 1, 2028, health care providers cannot charge facility fees for specific outpatient services, including telehealth. They must notify patients about any fees and reimburse patients for prohibited charges. Health insurers also cannot cover these fees.

What this means for you
  • Consumers: Consumers will not have to pay facility fees for certain outpatient services, reducing their overall health care costs.
  • Healthcare: Health care providers will need to adjust their billing practices and provide clear notifications about any charges.

Summary

Existing law establishes the Department of Health Care Access and Information to oversee various aspects of the health care market, including oversight of hospital facilities and community benefit plans. Existing law, the Knox-Keene Health Care Service Plan Act of 1975, provides for the licensure and regulation of health care service plans by the Department of Managed Health Care and makes a willful violation of the act's requirements a crime. Existing law provides for the regulation of health insurers by the Department of Insurance. Existing law provides for the licensure and regulation of general acute care hospitals and clinics by the State Department of Public Health. This bill would, beginning on January 1, 2028, prohibit a health care provider, hospital, or health system from charging, billing, or collecting a facility fee for any outpatient services in specified circumstances, including for specified preventative health care services and health care services furnished via telehealth. The bill would not prohibit the billing of a professional fee. The bill would require a health care provider, hospital, or health system to provide notice, as specified, to a patient at the time of scheduling and at check-in if a facility fee will be charged. The bill would require the Director of the Department of Health Care Access and Information to impose an administrative penalty pursuant to a specified process for each violation against a health care provider, hospital, or health system that fails to comply with these provisions. The bill would specify that multiple violations identified during the same investigation constitute a single violation for purposes of assessing an administrative penalty. The bill would require a health care provider, hospital, or health system to reimburse the patient or patients any amount actually paid for a prohibited facility fee. The bill would, beginning on January 1, 2028, prohibit a health care service plan or health insurer from reimbursing, paying, or otherwise providing coverage for any prohibited facility fee. The bill would prohibit a plan from including in any contract or provider agreement any term permitting payment of a prohibited facility fee, and would prohibit a plan or insurer from passing through or otherwise shifting the fee to an enrollee or insured. Because a willful violation of these provisions relative to health care service plans would be a crime, this bill would impose a state-mandated local program. The bill would, beginning on January 1, 2028, require a hospital or health system, as defined, to file a report with the Department of Health Care Access and Information regarding specified information on the facility fees charged, including the number of patient visits at each facility where a facility fee was charged or billed and the total amount of fees charged. The bill would authorize the department to incorporate this report into an existing reporting requirement to minimize costs. 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. This bill would provide that no reimbursement is required by this act for a specified reason.

Bill Text

Action History

  1. In committee: Set, first hearing. Hearing canceled at the request of author.

  2. From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on HEALTH.

  3. From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on HEALTH.

  4. Referred to Com. on HEALTH.

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

  6. Read third time. Passed. Ordered to the Senate. (Ayes 75. Noes 0. Page 1278.)

  7. Read second time. Ordered to Consent Calendar.

  8. From committee: Do pass. To Consent Calendar. (Ayes 14. Noes 0.) (April 9).

  9. From committee: Do pass and re-refer to Com. on APPR. with recommendation: To Consent Calendar. (Ayes 15. Noes 0.) (March 25). Re-referred to Com. on APPR.

  10. Referred to Com. on HEALTH.

  11. From printer. May be heard in committee February 9.

  12. Read first time. To print.

Sponsors

Sponsorship breakdown

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1 sponsors · 0 co-sponsors · 121 not signed on

Sponsors (1)

Co-sponsors (0)

None.

Not signed on (121)

121 members have not signed on to this bill.

Show all 121 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

AB 225 Bonta Consent Calendar Second Day

Passed 75 Yea · 0 Nay · 4 Other
Party YeaNayPresentNot Voting
Republican 16003
Democratic 58001
Unaffiliated 1000
Total 75004
% of votes cast 95%0%0%5%
How each member voted (79)
Member Party Vote
Ávila Farías — Yea
Addis, Dawn Democratic Yea
Aguiar-Curry, Cecilia M. Democratic Yea
Ahrens, Patrick Democratic Yea
Alvarez, David Democratic Yea
Arambula, Joaquin Democratic Yea
Bains, Jasmeet Democratic Yea
Bauer-Kahan, Rebecca Democratic Yea
Bennett, Steve Democratic Yea
Berman, Marc Democratic Yea
Boerner, Tasha Democratic Yea
Bonta, Mia Democratic Yea
Bryan, Isaac G. Democratic Yea
Calderon, Lisa Democratic Yea
Caloza, Jessica Democratic Yea
Carrillo, Juan Democratic Yea
Connolly, Damon Democratic Yea
Elhawary, Sade Democratic Yea
Fong, Mike Democratic Yea
Gabriel, Jesse Democratic Yea
Garcia, Robert Democratic Yea
Gipson, Mike A. Democratic Yea
González, Mark Democratic Yea
Haney, Matt Democratic Yea
Harabedian, John Democratic Not Voting
Hart, Gregg Democratic Yea
Irwin, Jacqui Democratic Yea
Jackson, Corey A. Democratic Yea
Kalra, Ash Democratic Yea
Krell, Maggy Democratic Yea
Lee, Alex Democratic Yea
Lowenthal, Josh Democratic Yea
McKinnor, Tina Democratic Yea
Muratsuchi, Al Democratic Yea
Nguyen, Stephanie Democratic Yea
Ortega, Liz Democratic Yea
Pacheco, Blanca Democratic Yea
Papan, Diane Democratic Yea
Patel, Darshana R. Democratic Yea
Pellerin, Gail Democratic Yea
Petrie-Norris, Cottie Democratic Yea
Quirk-Silva, Sharon Democratic Yea
Ramos, James C. Democratic Yea
Ransom, Rhodesia Democratic Yea
Rivas, Robert Democratic Yea
Rodriguez, Celeste Democratic Yea
Rodriguez, Michelle Democratic Yea
Rogers, Chris Democratic Yea
Rubio, Blanca E. Democratic Yea
Schiavo, Pilar Democratic Yea
Schultz, Nick Democratic Yea
Sharp-Collins, LaShae Democratic Yea
Solache, Jr., José Luis Democratic Yea
Soria, Esmeralda Democratic Yea
Stefani, Catherine Democratic Yea
Valencia, Avelino Democratic Yea
Ward, Christopher M. Democratic Yea
Wicks, Buffy Democratic Yea
Wilson, Lori D. Democratic Yea
Zbur, Rick Chavez Democratic Yea
Alanis, Juan Republican Yea
Castillo, Leticia Republican Yea
Chen, Phillip Republican Not Voting
Davies, Laurie Republican Yea
DeMaio, Carl Republican Yea
Dixon, Diane Republican Yea
Ellis, Stan Republican Yea
Flora, Heath Republican Yea
Gallagher, James Republican Not Voting
Gonzalez, Jeff Republican Yea
Hadwick, Heather Republican Yea
Hoover, Josh Republican Yea
Lackey, Tom Republican Not Voting
Macedo, Alexandra Republican Yea
Patterson, Joe Republican Yea
Sanchez, Kate Republican Yea
Ta, Tri Republican Yea
Tangipa, David J. Republican Yea
Wallis, Greg Republican Yea

Official roll call →

Do pass. To Consent Calendar.

Passed 14 Yea · 0 Nay · 1 Other
Party YeaNayPresentNot Voting
Republican 4000
Democratic 10001
Total 14001
% of votes cast 93%0%0%7%
How each member voted (15)
Member Party Vote
Arambula, Joaquin Democratic Yea
Calderon, Lisa Democratic Yea
Caloza, Jessica Democratic Yea
Elhawary, Sade Democratic Yea
Fong, Mike Democratic Yea
González, Mark Democratic Yea
Hart, Gregg Democratic Yea
Pacheco, Blanca Democratic Yea
Pellerin, Gail Democratic Not Voting
Solache, Jr., José Luis Democratic Yea
Wicks, Buffy Democratic Yea
Dixon, Diane Republican Yea
Hadwick, Heather Republican Yea
Sanchez, Kate Republican Yea
Ta, Tri Republican Yea

Official roll call →

Do pass and be re-referred to the Committee on [Appropriations] with recommendation: To Consent Calendar

Passed 15 Yea · 0 Nay
Party YeaNayPresentNot Voting
Democratic 12000
Republican 3000
Total 15000
% of votes cast 100%0%0%0%
How each member voted (15)
Member Party Vote
Addis, Dawn Democratic Yea
Aguiar-Curry, Cecilia M. Democratic Yea
Arambula, Joaquin Democratic Yea
Bonta, Mia Democratic Yea
Carrillo, Juan Democratic Yea
González, Mark Democratic Yea
Krell, Maggy Democratic Yea
Patel, Darshana R. Democratic Yea
Rodriguez, Celeste Democratic Yea
Schiavo, Pilar Democratic Yea
Sharp-Collins, LaShae Democratic Yea
Stefani, Catherine Democratic Yea
Chen, Phillip Republican Yea
Flora, Heath Republican Yea
Sanchez, Kate Republican Yea

Official roll call →

Subjects

public-safety healthcare health-insurance
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Frequently asked questions

What does AB 225 do?
Existing law establishes the Department of Health Care Access and Information to oversee various aspects of the health care market, including oversight of hospital facilities and community benefit plans. Existing law, the Knox-Keene Health Care Service Plan Act of 1975, provides for the licensure and regulation of health care service plans by the Department of Managed Health Care and makes a willful violation of the act's requirements a crime. Existing law provides for the regulation of health insurers by the Department of Insurance. Existing law provides for the licensure and regulation of general acute care hospitals and clinics by the State Department of Public Health. This bill would, beginning on January 1, 2028, prohibit a health care provider, hospital, or health system from charging, billing, or collecting a facility fee for any outpatient services in specified circumstances, including for specified preventative health care services and health care services furnished via telehealth. The bill would not prohibit the billing of a professional fee. The bill would require a health care provider, hospital, or health system to provide notice, as specified, to a patient at the time of scheduling and at check-in if a facility fee will be charged. The bill would require the Director of the Department of Health Care Access and Information to impose an administrative penalty pursuant to a specified process for each violation against a health care provider, hospital, or health system that fails to comply with these provisions. The bill would specify that multiple violations identified during the same investigation constitute a single violation for purposes of assessing an administrative penalty. The bill would require a health care provider, hospital, or health system to reimburse the patient or patients any amount actually paid for a prohibited facility fee. The bill would, beginning on January 1, 2028, prohibit a health care service plan or health insurer from reimbursing, paying, or otherwise providing coverage for any prohibited facility fee. The bill would prohibit a plan from including in any contract or provider agreement any term permitting payment of a prohibited facility fee, and would prohibit a plan or insurer from passing through or otherwise shifting the fee to an enrollee or insured. Because a willful violation of these provisions relative to health care service plans would be a crime, this bill would impose a state-mandated local program. The bill would, beginning on January 1, 2028, require a hospital or health system, as defined, to file a report with the Department of Health Care Access and Information regarding specified information on the facility fees charged, including the number of patient visits at each facility where a facility fee was charged or billed and the total amount of fees charged. The bill would authorize the department to incorporate this report into an existing reporting requirement to minimize costs. 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. This bill would provide that no reimbursement is required by this act for a specified reason.
Who sponsors AB 225?
AB 225 is sponsored by Bonta, Mia (Democratic).
What is the current status of AB 225?
This bill has passed the Assembly. Introduced January 09, 2025. It now moves to the second chamber.
Where can I track AB 225?
Track AB 225 free on One Click Politics — get push/email alerts when it moves.

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