California 2013-2014 Regular Session Status: Passed Senate

SB 491 — Nurse practitioners.

Last action — From Assembly without further action.

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

This bill died with 2013-2014 Regular Session. It reached “Passed Senate” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.

This bill is no longer active — its legislative session has ended, so there is no live prognosis. It would have to be reintroduced in the current session to move again.

Summary

Existing law, the Nursing Practice Act, provides for the licensure and regulation of nurse practitioners by the Board of Registered Nursing. Existing law authorizes the implementation of standardized procedures that authorize a nurse practitioner to perform certain acts, including, among others, ordering durable medical equipment, and, in consultation with a physician and surgeon, approving, signing, modifying, or adding to a plan of treatment or plan for an individual receiving home health services or personal care services. A violation of those provisions is a crime. This bill would authorize a nurse practitioner to perform those acts and certain additional acts without physician supervision if the nurse practitioner meets specified experience and certification requirements and is practicing in a clinic, health facility, county medical facility, accountable care organization, or group practice. The bill would require a nurse practitioner to refer a patient to a physician and surgeon or other licensed health care provider under certain circumstances. The bill would also require a nurse practitioner practicing under these provisions to maintain professional liability insurance, as specified. The bill would also specify that a nurse practitioner practicing under the provisions of the bill shall not supplant a physician and surgeon employed by specified health care facilities. Because a violation of those provisions would be a crime, this bill would impose a state-mandated local program. 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. From Assembly without further action.

  2. From committee without further action.

  3. Set, second hearing. Held in committee and under submission.

  4. Set, first hearing. Referred to APPR. suspense file.

  5. Read second time and amended. Re-referred to Com. on APPR.

  6. From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 8. Noes 2.) (August 13).

  7. From committee with author's amendments. Read second time and amended. Re-referred to Com. on B.,P. & C.P.

  8. Set, first hearing. Failed passage in committee. Reconsideration granted.

  9. From committee with author's amendments. Read second time and amended. Re-referred to Com. on B.,P. & C.P.

  10. Referred to Com. on B.,P. & C.P.

  11. In Assembly. Read first time. Held at Desk.

  12. Read third time. Passed. (Ayes 22. Noes 12. Page 1102.) Ordered to the Assembly.

  13. Read second time and amended. Ordered to third reading.

  14. From committee: Do pass as amended. (Ayes 4. Noes 0. Page 936.) (May 13).

  15. Set for hearing May 13.

  16. Read second time and amended. Re-referred to Com. on APPR.

  17. From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 6. Noes 1. Page 734.) (April 29).

  18. Set for hearing April 29.

  19. Set for hearing April 29.

  20. Hearing postponed by committee.

  21. From committee with author's amendments. Read second time and amended. Re-referred to Com. on B., P. & E.D.

  22. Set for hearing April 22.

  23. Re-referred to Com. on B., P. & E.D.

  24. From committee with author's amendments. Read second time and amended. Re-referred to Com. on RLS.

  25. Referred to Com. on RLS.

  26. From printer. May be acted upon on or after March 24.

  27. Introduced. Read first time. To Com. on RLS. for assignment. To print.

Sponsors

  • Hernandez · Primary

Sponsorship breakdown

Export CSV (upgrade) →

1 sponsors · 0 co-sponsors · 121 not signed on · 4 voted No

Sponsors (1)

  • Hernandez

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

Do pass as amended and be re-referred to the Committee on Appropriations.

Passed 8 Yea · 2 Nay · 4 Other
Party YeaNayPresentNot Voting
Unaffiliated 8104
Republican 0100
Total 8204
% of votes cast 57%14%0%29%
How each member voted (14)
Member Party Vote
Holden — Yea
Maienschein — Nay
Ting — Yea
Wilk — Not Voting
Skinner — Yea
Bonilla — Yea
Bocanegra — Not Voting
Gordon — Yea
Campos — Not Voting
Hagman — Not Voting
Mullin — Yea
Eggman — Yea
Dickinson — Yea
Jones, Brian W. Republican Nay

Official roll call →

Do pass as amended and be re-referred to the Committee on Appropriations.

Failed 6 Yea · 3 Nay · 5 Other
Party YeaNayPresentNot Voting
Unaffiliated 6205
Republican 0100
Total 6305
% of votes cast 43%21%0%36%
How each member voted (14)
Member Party Vote
Gordon — Not Voting
Campos — Not Voting
Hagman — Not Voting
Holden — Not Voting
Maienschein — Nay
Bonilla — Yea
Bocanegra — Not Voting
Mullin — Yea
Skinner — Yea
Ting — Yea
Wilk — Nay
Dickinson — Yea
Eggman — Yea
Jones, Brian W. Republican Nay

Official roll call →

Set first hearing. Failed passage. Reconsideration granted.

Passed 14 Yea · 0 Nay
Party YeaNayPresentNot Voting
Unaffiliated 13000
Republican 1000
Total 14000
% of votes cast 100%0%0%0%
How each member voted (14)
Member Party Vote
Holden — Yea
Maienschein — Yea
Skinner — Yea
Ting — Yea
Wilk — Yea
Dickinson — Yea
Bocanegra — Yea
Bonilla — Yea
Eggman — Yea
Gordon — Yea
Campos — Yea
Mullin — Yea
Hagman — Yea
Jones, Brian W. Republican Yea

Official roll call →

3rd Reading

Passed 22 Yea · 12 Nay · 5 Other
Party YeaNayPresentNot Voting
Unaffiliated 221004
Democratic 0201
Total 221205
% of votes cast 56%31%0%13%
How each member voted (39)
Member Party Vote
Anderson — Nay
Beall — Yea
Hernandez — Yea
Hueso — Yea
Leno — Yea
Lieu — Yea
Monning — Not Voting
Pavley — Not Voting
Roth — Yea
Steinberg — Yea
Walters — Yea
Wright — Yea
Emmerson — Nay
Correa — Nay
DeSaulnier — Yea
Cannella — Nay
Wyland — Nay
De León — Yea
Corbett — Yea
Evans — Not Voting
Fuller — Nay
Galgiani — Yea
Block — Yea
Hill — Yea
Huff — Not Voting
Knight — Nay
Lara — Yea
Liu — Yea
Nielsen — Nay
Price — Yea
Torres — Yea
Wolk — Yea
Yee — Nay
Hancock — Yea
Beth Gaines — Yea
Bill Berryhill — Nay
Calderon, Lisa Democratic Nay
Jackson, Corey A. Democratic Nay
Padilla, Stephen C. Democratic Not Voting

Official roll call →

Do pass as amended.

Passed 4 Yea · 0 Nay · 3 Other
Party YeaNayPresentNot Voting
Unaffiliated 4002
Democratic 0001
Total 4003
% of votes cast 57%0%0%43%
How each member voted (7)
Member Party Vote
Lara — Yea
Steinberg — Yea
Hill — Yea
De León — Yea
Walters — Not Voting
Beth Gaines — Not Voting
Padilla, Stephen C. Democratic Not Voting

Official roll call →

Subjects

healthcare health-insurance
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What does SB 491 do?
Existing law, the Nursing Practice Act, provides for the licensure and regulation of nurse practitioners by the Board of Registered Nursing. Existing law authorizes the implementation of standardized procedures that authorize a nurse practitioner to perform certain acts, including, among others, ordering durable medical equipment, and, in consultation with a physician and surgeon, approving, signing, modifying, or adding to a plan of treatment or plan for an individual receiving home health services or personal care services. A violation of those provisions is a crime. This bill would authorize a nurse practitioner to perform those acts and certain additional acts without physician supervision if the nurse practitioner meets specified experience and certification requirements and is practicing in a clinic, health facility, county medical facility, accountable care organization, or group practice. The bill would require a nurse practitioner to refer a patient to a physician and surgeon or other licensed health care provider under certain circumstances. The bill would also require a nurse practitioner practicing under these provisions to maintain professional liability insurance, as specified. The bill would also specify that a nurse practitioner practicing under the provisions of the bill shall not supplant a physician and surgeon employed by specified health care facilities. Because a violation of those provisions would be a crime, this bill would impose a state-mandated local program. 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 SB 491?
SB 491 is sponsored by Hernandez.
What is the current status of SB 491?
This bill died with 2013-2014 Regular Session. It reached “Passed Senate” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
Where can I track SB 491?
Track SB 491 free on One Click Politics — get push/email alerts when it moves.

Make your voice heard on SB 491

Find the representatives who decide this bill and tell them where you stand — for yourself, or mobilize your whole list in one click with One Click Politics advocacy software.

Find my representatives → Run a campaign

Stay ahead of SB 491

Last checked for changes 2 months ago · updated continuously

One Click Politics tracks every bill in Congress and all 50 states.

Track this bill →