reglab/statecodes huggingface dataset:
2023 California Code › Health and Safety Code - HSC › DIVISION 1 - ADMINISTRATION OF PUBLIC HEALTH › PART 1.8 - END-OF-LIFE CARE › Section 442.

442. For the purposes of this part, the following definitions shall apply:
(a) “Actively dying” means the phase of terminal illness when death is imminent.
(b) “Disease-targeted treatment” means treatment directed at the underlying disease or condition that is intended to alter its natural history or progression, irrespective of whether or not a cure is a possibility.
(c) “Health care provider” means an attending physician and surgeon. It also means a nurse practitioner or physician assistant practicing in accordance with standardized procedures or protocols developed and approved by the supervising physician and surgeon and the nurse practitioner or physician assistant.
(d) “Hospice” means a specialized form of interdisciplinary health care that is designed to provide palliative care, alleviate the physical, emotional, social, and spiritual discomforts of an individual who is experiencing the last phases of life due to the existence of a terminal disease, and provide supportive care to the primary caregiver and the family of the hospice patient, and that meets all of the criteria specified in subdivision (b) of Section 1746.
(e) “Palliative care” means medical treatment, interdisciplinary care, or consultation provided to a patient or family members, or both, that has as its primary purpose the prevention of, or relief from, suffering and the enhancement of the quality of life, rather than treatment aimed at investigation and intervention for the purpose of cure or prolongation of life as described in subdivision (b) of Section 1339.31. In some cases, disease-targeted treatment may be used in palliative care.
(f) “Refusal or withdrawal of life-sustaining treatment” means forgoing treatment or medical procedures that replace or support an essential bodily function, including, but not limited to, cardiopulmonary resuscitation, mechanical ventilation, artificial nutrition and hydration, dialysis, and any other treatment or discontinuing any or all of those treatments after they have been used for a reasonable time.
(Added by Stats. 2008, Ch. 683, Sec. 2. Effective January 1, 2009.)
2023 California Code › Health and Safety Code - HSC › DIVISION 1 - ADMINISTRATION OF PUBLIC HEALTH › PART 1.8 - END-OF-LIFE CARE › Section 442.7.

442.7. If a health care provider does not wish to comply with his or her patient’s request or, when applicable, the request of another person authorized to make health care decisions, as defined in Section 4617 of the Probate Code, for the patient for information on end-of-life options, the health care provider shall do both of the following:
(a) Refer or transfer a patient to another health care provider that shall provide the requested information.
(b) Provide the patient or other person authorized to make health care decisions for the patient with information on procedures to transfer to another health care provider that shall provide the requested information.
(Amended by Stats. 2014, Ch. 568, Sec. 2. (AB 2139) Effective January 1, 2015.)
2023 California Code › Health and Safety Code - HSC › DIVISION 1 - ADMINISTRATION OF PUBLIC HEALTH › PART 1.85 - End of Life Option Act › Section 443.

443. This part shall be known and may be cited as the End of Life Option Act.
(Added by Stats. 2015, 2nd Ex. Sess., Ch. 1, Sec. 1. (AB 15 2x) Effective June 9, 2016. Repealed as of January 1, 2031, pursuant to Section 443.215.)
2023 California Code › Health and Safety Code - HSC › DIVISION 1 - ADMINISTRATION OF PUBLIC HEALTH › PART 1.85 - End of Life Option Act › Section 443.2.

443.2. (a) An individual who is an adult with the capacity to make medical decisions and with a terminal disease may make a request to receive a prescription for an aid-in-dying drug if all of the following conditions are satisfied:
(1) The individual’s attending physician has diagnosed the individual with a terminal disease.
(2) The individual has voluntarily expressed the wish to receive a prescription for an aid-in-dying drug.
(3) The individual is a resident of California and is able to establish residency through any of the following means:
(A) Possession of a California driver’s license or other identification issued by the State of California.
(B) Registration to vote in California.
(C) Evidence that the person owns or leases property in California.
(D) Filing of a California tax return for the most recent tax year.
(4) The individual documents his or her request pursuant to the requirements set forth in Section 443.3.
(5) The individual has the physical and mental ability to self-administer the aid-in-dying drug.
(b) A person shall not be considered a “qualified individual” under the provisions of this part solely because of age or disability.
(c) A request for a prescription for an aid-in-dying drug under this part shall be made solely and directly by the individual diagnosed with the terminal disease and shall not be made on behalf of the patient, including, but not limited to, through a power of attorney, an advance health care directive, a conservator, health care agent, surrogate, or any other legally recognized health care decisionmaker.
(Amended by Stats. 2017, Ch. 561, Sec. 99. (AB 1516) Effective January 1, 2018. Repealed as of January 1, 2031, pursuant to Section 443.215.)
2023 California Code › Health and Safety Code - HSC › DIVISION 1 - ADMINISTRATION OF PUBLIC HEALTH › PART 1.85 - End of Life Option Act › Section 443.3.

443.3. (a) An individual seeking to obtain a prescription for an aid-in-dying drug pursuant to this part shall submit two oral requests, a minimum of 48 hours apart, and a written request to their attending physician. An attending physician shall directly, and not through a designee, receive a request required pursuant to this section and shall ensure the date of a request is documented in an individual’s medical record. An oral request documented in an individual’s medical record shall not be disregarded by an attending physician solely because it was received by a prior attending physician or an attending physician who chose not to participate.
(b) A valid written request for an aid-in-dying drug under subdivision (a) shall meet all of the following conditions:
(1) The request shall be in the form described in Section 443.11.
(2) The request shall be signed and dated, in the presence of two witnesses, by the individual seeking the aid-in-dying drug.
(3) The request shall be witnessed by at least two other adult persons who, in the presence of the individual, shall attest that to the best of their knowledge and belief the individual is all of the following:
(A) An individual who is personally known to them or has provided proof of identity.
(B) An individual who voluntarily signed this request in their presence.
(C) An individual whom they believe to be of sound mind and not under duress, fraud, or undue influence.
(D) Not an individual for whom either of them is the attending physician, consulting physician, or mental health specialist.
(c) Only one of the two witnesses at the time the written request is signed may:
(1) Be related to the qualified individual by blood, marriage, registered domestic partnership, or adoption or be entitled to a portion of the individual’s estate upon death.
(2) Own, operate, or be employed at a health care entity where the individual is receiving medical treatment or resides.
(d) The attending physician, consulting physician, or mental health specialist of the individual shall not be one of the witnesses required pursuant to paragraph (3) of subdivision (b).
(Amended by Stats. 2021, Ch. 542, Sec. 2. (SB 380) Effective January 1, 2022. Repealed as of January 1, 2031, pursuant to Section 443.215.)
2023 California Code › Health and Safety Code - HSC › DIVISION 1 - ADMINISTRATION OF PUBLIC HEALTH › PART 1.85 - End of Life Option Act › Section 443.4.

443.4. (a) An individual may at any time withdraw or rescind their request for an aid-in-dying drug, or decide not to ingest an aid-in-dying drug, without regard to the individual’s mental state.
(b) A prescription for an aid-in-dying drug provided under this part may not be written without the attending physician directly, and not through a designee, offering the individual an opportunity to withdraw or rescind the request.
(c) If the individual decides to transfer care to another physician, upon request of the individual the physician shall transfer all relevant medical records including written documentation including the dates of the individual’s oral and written requests seeking to obtain a prescription for an aid-in-dying drug.
(Amended by Stats. 2021, Ch. 542, Sec. 3. (SB 380) Effective January 1, 2022. Repealed as of January 1, 2031, pursuant to Section 443.215.)
2023 California Code › Health and Safety Code - HSC › DIVISION 1 - ADMINISTRATION OF PUBLIC HEALTH › PART 1.85 - End of Life Option Act › Section 443.6.

443.6. Before a qualified individual obtains an aid-in-dying drug from the attending physician, the consulting physician shall perform all of the following:
(a) Examine the individual and his or her relevant medical records.
(b) Confirm in writing the attending physician’s diagnosis and prognosis.
(c) Determine that the individual has the capacity to make medical decisions, is acting voluntarily, and has made an informed decision.
(d) If there are indications of a mental disorder, refer the individual for a mental health specialist assessment.
(e) Fulfill the record documentation required under this part.
(f) Submit the compliance form to the attending physician.
(Added by Stats. 2015, 2nd Ex. Sess., Ch. 1, Sec. 1. (AB 15 2x) Effective June 9, 2016. Repealed as of January 1, 2031, pursuant to Section 443.215.)
2023 California Code › Health and Safety Code - HSC › DIVISION 1 - ADMINISTRATION OF PUBLIC HEALTH › PART 1.85 - End of Life Option Act › Section 443.7.

443.7. Upon referral from the attending or consulting physician pursuant to this part, the mental health specialist shall:
(a) Examine the qualified individual and his or her relevant medical records.
(b) Determine that the individual has the mental capacity to make medical decisions, act voluntarily, and make an informed decision.
(c) Determine that the individual is not suffering from impaired judgment due to a mental disorder.
(d) Fulfill the record documentation requirements of this part.
(Added by Stats. 2015, 2nd Ex. Sess., Ch. 1, Sec. 1. (AB 15 2x) Effective June 9, 2016. Repealed as of January 1, 2031, pursuant to Section 443.215.)
2023 California Code › Health and Safety Code - HSC › DIVISION 1 - ADMINISTRATION OF PUBLIC HEALTH › PART 1.85 - End of Life Option Act › Section 443.8.

443.8. All of the following shall be documented in the individual’s medical record:
(a) All oral requests for aid-in-dying drugs.
(b) All written requests for aid-in-dying drugs.
(c) The attending physician’s diagnosis and prognosis, and the determination that a qualified individual has the capacity to make medical decisions, is acting voluntarily, and has made an informed decision, or that the attending physician has determined that the individual is not a qualified individual.
(d) The consulting physician’s diagnosis and prognosis, and verification that the qualified individual has the capacity to make medical decisions, is acting voluntarily, and has made an informed decision, or that the consulting physician has determined that the individual is not a qualified individual.
(e) A report of the outcome and determinations made during a mental health specialist’s assessment, if performed.
(f) The attending physician’s offer to the qualified individual to withdraw or rescind his or her request at the time of the individual’s second oral request.
(g) A note by the attending physician indicating that all requirements under Sections 443.5 and 443.6 have been met and indicating the steps taken to carry out the request, including a notation of the aid-in-dying drug prescribed.
(Added by Stats. 2015, 2nd Ex. Sess., Ch. 1, Sec. 1. (AB 15 2x) Effective June 9, 2016. Repealed as of January 1, 2031, pursuant to Section 443.215.)
2023 California Code › Health and Safety Code - HSC › DIVISION 1 - ADMINISTRATION OF PUBLIC HEALTH › PART 1.85 - End of Life Option Act › Section 443.9.

443.9. (a) Within 30 calendar days of writing a prescription for an aid-in-dying drug, the attending physician shall submit to the State Department of Public Health a copy of the qualifying patient’s written request, the attending physician checklist and compliance form, and the consulting physician compliance form.
(b) Within 30 calendar days following the qualified individual’s death from ingesting the aid-in-dying drug, or any other cause, the attending physician shall submit the attending physician followup form to the State Department of Public Health.
(Added by Stats. 2015, 2nd Ex. Sess., Ch. 1, Sec. 1. (AB 15 2x) Effective June 9, 2016. Repealed as of January 1, 2031, pursuant to Section 443.215.)
2023 California Code › Health and Safety Code - HSC › DIVISION 1 - ADMINISTRATION OF PUBLIC HEALTH › PART 1.85 - End of Life Option Act › Section 443.10.

443.10. A qualified individual may not receive a prescription for an aid-in-dying drug pursuant to this part unless he or she has made an informed decision. Immediately before writing a prescription for an aid-in-dying drug under this part, the attending physician shall verify that the individual is making an informed decision.
(Added by Stats. 2015, 2nd Ex. Sess., Ch. 1, Sec. 1. (AB 15 2x) Effective June 9, 2016. Repealed as of January 1, 2031, pursuant to Section 443.215.)
2023 California Code › Health and Safety Code - HSC › DIVISION 1 - ADMINISTRATION OF PUBLIC HEALTH › PART 1.85 - End of Life Option Act › Section 443.12.

443.12. (a) A provision in a contract, will, or other agreement executed on or after January 1, 2016, whether written or oral, to the extent the provision would affect whether a person may make, withdraw, or rescind a request for an aid-in-dying drug is not valid.
(b) An obligation owing under any contract executed on or after January 1, 2016, may not be conditioned or affected by a qualified individual making, withdrawing, or rescinding a request for an aid-in-dying drug.
(Added by Stats. 2015, 2nd Ex. Sess., Ch. 1, Sec. 1. (AB 15 2x) Effective June 9, 2016. Repealed as of January 1, 2031, pursuant to Section 443.215.)
2023 California Code › Health and Safety Code - HSC › DIVISION 1 - ADMINISTRATION OF PUBLIC HEALTH › PART 1.85 - End of Life Option Act › Section 443.13.

443.13. (a) (1) The sale, procurement, or issuance of a life, health, or annuity policy, health care service plan contract, or health benefit plan, or the rate charged for a policy or plan contract may not be conditioned upon or affected by a person making or rescinding a request for an aid-in-dying drug.
(2) Pursuant to Section 443.18, death resulting from the self-administration of an aid-in-dying drug is not suicide, and therefore health and insurance coverage shall not be exempted on that basis.
(b) Notwithstanding any other law, a qualified individual’s act of self-administering an aid-in-dying drug shall not have an effect upon a life, health, or annuity policy other than that of a natural death from the underlying disease.
(c) An insurance carrier shall not provide any information in communications made to an individual about the availability of an aid-in-dying drug absent a request by the individual or his or her attending physician at the behest of the individual. Any communication shall not include both the denial of treatment and information as to the availability of aid-in-dying drug coverage. For the purposes of this subdivision, “insurance carrier” means a health care service plan as defined in Section 1345 of this code or a carrier of health insurance as defined in Section 106 of the Insurance Code.
(Added by Stats. 2015, 2nd Ex. Sess., Ch. 1, Sec. 1. (AB 15 2x) Effective June 9, 2016. Repealed as of January 1, 2031, pursuant to Section 443.215.)
2023 California Code › Health and Safety Code - HSC › DIVISION 1 - ADMINISTRATION OF PUBLIC HEALTH › PART 1.85 - End of Life Option Act › Section 443.16.

443.16. (a) A health care provider may not be sanctioned for any of the following:
(1) Making an initial determination pursuant to the standard of care that an individual has a terminal disease and informing him or her of the medical prognosis.
(2) Providing information about the End of Life Option Act to a patient upon the request of the individual.
(3) Providing an individual, upon request, with a referral to another physician.
(b) A health care provider that prohibits activities under this part in accordance with Section 443.15 shall not sanction an individual health care provider for contracting with a qualified individual to engage in activities authorized by this part if the individual health care provider is acting outside of the course and scope of his or her capacity as an employee or independent contractor of the prohibiting health care provider.
(c) Notwithstanding any contrary provision in this section, the immunities and prohibitions on sanctions of a health care provider are solely reserved for actions of a health care provider taken pursuant to this part. Notwithstanding any contrary provision in this part, health care providers may be sanctioned by their licensing board or agency for conduct and actions constituting unprofessional conduct, including failure to comply in good faith with this part.
(Added by Stats. 2015, 2nd Ex. Sess., Ch. 1, Sec. 1. (AB 15 2x) Effective June 9, 2016. Repealed as of January 1, 2031, pursuant to Section 443.215.)
2023 California Code › Health and Safety Code - HSC › DIVISION 1 - ADMINISTRATION OF PUBLIC HEALTH › PART 1.85 - End of Life Option Act › Section 443.17.

443.17. (a) Knowingly altering or forging a request for an aid-in-dying drug to end an individual’s life without their authorization or concealing or destroying a withdrawal or rescission of a request for an aid-in-dying drug is punishable as a felony if the act is done with the intent or effect of causing the individual’s death.
(b) Knowingly coercing or exerting undue influence on an individual to request or ingest an aid-in-dying drug for the purpose of ending their life or to destroy a withdrawal or rescission of a request, or to administer an aid-in-dying drug to an individual without their knowledge or consent, is punishable as a felony.
(c) For purposes of this section, “knowingly” has the meaning provided in Section 7 of the Penal Code.
(d) The attending physician, consulting physician, or mental health specialist shall not be related to the individual by blood, marriage, registered domestic partnership, or adoption, or be entitled to a portion of the individual’s estate upon death.
(e) This section does not limit civil liability or damages arising from negligent conduct or intentional misconduct in carrying out actions otherwise authorized by this part by any person, health care provider, or health care entity.
(f) The penalties in this section do not preclude criminal penalties applicable under any law for conduct inconsistent with the provisions of this part.
(Amended by Stats. 2021, Ch. 542, Sec. 8. (SB 380) Effective January 1, 2022. Repealed as of January 1, 2031, pursuant to Section 443.215.)
2023 California Code › Health and Safety Code - HSC › DIVISION 1 - ADMINISTRATION OF PUBLIC HEALTH › PART 1.85 - End of Life Option Act › Section 443.18.

443.18. Nothing in this part may be construed to authorize a physician or any other person to end an individual’s life by lethal injection, mercy killing, or active euthanasia. Actions taken in accordance with this part shall not, for any purposes, constitute suicide, assisted suicide, homicide, or elder abuse under the law.
(Added by Stats. 2015, 2nd Ex. Sess., Ch. 1, Sec. 1. (AB 15 2x) Effective June 9, 2016. Repealed as of January 1, 2031, pursuant to Section 443.215.)
2023 California Code › Health and Safety Code - HSC › DIVISION 1 - ADMINISTRATION OF PUBLIC HEALTH › PART 1.85 - End of Life Option Act › Section 443.19.

443.19. (a) The State Department of Public Health shall collect and review the information submitted pursuant to Section 443.9. The information collected shall be confidential and shall be collected in a manner that protects the privacy of the patient, the patient’s family, and any medical provider or pharmacist involved with the patient under the provisions of this part. The information shall not be disclosed, discoverable, or compelled to be produced in any civil, criminal, administrative, or other proceeding.
(b) On or before July 1, 2017, and each year thereafter, based on the information collected in the previous year, the department shall create a report with the information collected from the attending physician followup form and post that report to its Internet Web site. The report shall include, but not be limited to, all of the following based on the information that is provided to the department and on the department’s access to vital statistics:
(1) The number of people for whom an aid-in-dying prescription was written.
(2) The number of known individuals who died each year for whom aid-in-dying prescriptions were written, and the cause of death of those individuals.
(3) For the period commencing January 1, 2016, to and including the previous year, cumulatively, the total number of aid-in-dying prescriptions written, the number of people who died due to use of aid-in-dying drugs, and the number of those people who died who were enrolled in hospice or other palliative care programs at the time of death.
(4) The number of known deaths in California from using aid-in-dying drugs per 10,000 deaths in California.
(5) The number of physicians who wrote prescriptions for aid-in-dying drugs.
(6) Of people who died due to using an aid-in-dying drug, demographic percentages organized by the following characteristics:
(A) Age at death.
(B) Education level.
(C) Race.
(D) Sex.
(E) Type of insurance, including whether or not they had insurance.
(F) Underlying illness.
(c) The State Department of Public Health shall make available the attending physician checklist and compliance form, the consulting physician compliance form, and the attending physician followup form, as described in Section 443.22, by posting them on its Internet Web site.
(Added by Stats. 2015, 2nd Ex. Sess., Ch. 1, Sec. 1. (AB 15 2x) Effective June 9, 2016. Repealed as of January 1, 2031, pursuant to Section 443.215.)
2023 California Code › Health and Safety Code - HSC › DIVISION 1 - ADMINISTRATION OF PUBLIC HEALTH › PART 1.85 - End of Life Option Act › Section 443.20.

443.20. A person who has custody or control of any unused aid-in-dying drugs prescribed pursuant to this part after the death of the patient shall personally deliver the unused aid-in-dying drugs for disposal by delivering it to the nearest qualified facility that properly disposes of controlled substances, or if none is available, shall dispose of it by lawful means in accordance with guidelines promulgated by the California State Board of Pharmacy or a federal Drug Enforcement Administration approved take-back program.
(Added by Stats. 2015, 2nd Ex. Sess., Ch. 1, Sec. 1. (AB 15 2x) Effective June 9, 2016. Repealed as of January 1, 2031, pursuant to Section 443.215.)
2023 California Code › Health and Safety Code - HSC › DIVISION 1 - ADMINISTRATION OF PUBLIC HEALTH › PART 1.85 - End of Life Option Act › Section 443.21.

443.21. Any governmental entity that incurs costs resulting from a qualified individual terminating his or her life pursuant to the provisions of this part in a public place shall have a claim against the estate of the qualified individual to recover those costs and reasonable attorney fees related to enforcing the claim.
(Added by Stats. 2015, 2nd Ex. Sess., Ch. 1, Sec. 1. (AB 15 2x) Effective June 9, 2016. Repealed as of January 1, 2031, pursuant to Section 443.215.)
2023 California Code › Health and Safety Code - HSC › DIVISION 1 - ADMINISTRATION OF PUBLIC HEALTH › PART 1.85 - End of Life Option Act › Section 443.215.

443.215. This part shall remain in effect only until January 1, 2031, and as of that date is repealed.
(Repealed and added by Stats. 2021, Ch. 542, Sec. 10. (SB 380) Effective January 1, 2022. Repealed as of January 1, 2031, by its own provisions. Note: Repeal affects Part 1.85, comprising Sections 443 to 443.22.)
2023 California Code › Health and Safety Code - HSC › DIVISION 1 - ADMINISTRATION OF PUBLIC HEALTH › PART 1.85 - End of Life Option Act › Section 443.22.

443.22. (a) The Medical Board of California may update the attending physician checklist and compliance form, the consulting physician compliance form, and the attending physician followup form, based on those provided in subdivision (b). Upon completion, the State Department of Public Health shall publish the updated forms on its Internet Web site.
(b) Unless and until updated by the Medical Board of California pursuant to this section, the attending physician checklist and compliance form, the consulting physician compliance form, and the attending physician followup form shall be in the following form:
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
NOTICE OF INCOMPLETE TEXT: The physician compliance and
follow-up forms appear in the published chaptered bill. See Sec. 1
of Chapter 1 (pp. 18–25), 2nd Ex. Session, Statutes of 2015.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
(Added by Stats. 2015, 2nd Ex. Sess., Ch. 1, Sec. 1. (AB 15 2x) Effective June 9, 2016. Repealed as of January 1, 2031, pursuant to Section 443.215. Note: See published bill for complete section text. The physician compliance forms appear on pages 18 to 25 of Ch. 1 (2nd Ex.).)
2023 California Code › Health and Safety Code - HSC › DIVISION 1 - ADMINISTRATION OF PUBLIC HEALTH › PART 1.9 - MEDICAL REFERRAL SERVICES › Section 445.

445. No person, firm, partnership, association or corporation, or agent or employee thereof, shall for profit refer or recommend a person to a physician, hospital, health-related facility, or dispensary for any form of medical care or treatment of any ailment or physical condition. The imposition of a fee or charge for any such referral or recommendation creates a presumption that the referral or recommendation is for profit.
The provisions of this section shall not apply to referrals or recommendations which are made under the crippled children services program or prepaid health plans.
A physician, hospital, health-related facility or dispensary shall not enter into a contract or other form of agreement to accept for medical care or treatment any person referred or recommended for such care or treatment by a medical referral service business located in or doing business in another state if the medical referral service business would be prohibited under this part if the business were located in or doing business in this state.
A violation of the provisions of this section shall constitute a misdemeanor and upon conviction thereof may be punished by imprisonment in the county jail for not longer than one year, or a fine of not more than five thousand dollars ($5,000), or by both such fine and imprisonment.
Any violation of this section may be enjoined in a civil action brought in the name of the people of the State of California by the Attorney General, except that the plaintiff shall not be required to allege facts necessary to show or tending to show lack of adequate remedy at law or to show or tending to show irreparable damage or loss.
(Amended by Stats. 1974, Ch. 1333.)
2023 California Code › Health and Safety Code - HSC › DIVISION 1 - ADMINISTRATION OF PUBLIC HEALTH › PART 2 - LOCAL ADMINISTRATION › CHAPTER 5 - Local Health and Safety Regulations › Section 851.

851. Any board of supervisors may adopt such rules and regulations with regard to keeping and storing of every description of gunpowder, hercules powder, giant powder, or other explosives or combustible material, as the safety and protection of the lives and property of individuals may require.
(Enacted by Stats. 1939, Ch. 60.)
2023 California Code › Health and Safety Code - HSC › DIVISION 1 - ADMINISTRATION OF PUBLIC HEALTH › PART 4 - Unified Health Care Financing System › Section 1000.

1000. The Legislature finds and declares all of the following:
(a) Established by the Governor and the Legislature, the Healthy California for All Commission endorsed a system of unified health care financing that is accessible, affordable, equitable, high quality, and universal.
(b) The commission described the present health care system as one that is fragmented, wasteful, and disproportionately harmful to low-income Californians and communities of color and provided the rationale for a new single, government-administered funding system.
(c) The commission found that a unified financing system would create significant opportunities to deliver health care more effectively, efficiently, and equitably.
(d) California could save more than five hundred billion dollars ($500,000,000,000) over the next decade if a unified health care financing system is implemented, with overall costs lower even after most of those savings go to minimize consumer cost sharing and expand long-term care supports and services to all Californians.
(e) The report by the commission calls for the elimination of corporate profitmaking as the basis of health care decisions.
(f) The magnitude of the change from the status quo in cost savings and positive impact on Californians’ access to health care services that the commission contemplates represents a profound breakthrough in health policy and would establish California as the nation’s leader in pursuing health equity.
(g) Federal engagement is critical to the process of developing the framework for a waiver that would provide program approval and full federal financial participation in a unified health care financing system for California.
(h) The commission’s recommendations for a health care system with unified financing that guarantees all Californians the benefit of a standard, comprehensive package of health care services points the way toward better care at lower cost for our state’s residents.
(i) Based on these findings, the Legislature endorses a health care system with unified financing, such as a single-payer health care system, to provide accessible, affordable, equitable, and high-quality health care for all Californians.
(Added by Stats. 2023, Ch. 412, Sec. 1. (SB 770) Effective January 1, 2024.)
2023 California Code › Health and Safety Code - HSC › DIVISION 1 - ADMINISTRATION OF PUBLIC HEALTH › PART 4 - Unified Health Care Financing System › Section 1002.

1002. (a) In developing the waiver framework, the Secretary of the Health and Human Services Agency shall engage stakeholders to provide input on topics related to discussions with the federal government and key system design issues identified by the Healthy California for All Commission for further analysis.
(1) Stakeholder engagement shall include representatives of consumers, patients, and community-based health care service providers, community organizations, health care professionals, labor unions, employers, and health policy experts, as well as representatives of government agencies and philanthropic organizations focused on health care.
(2) Key system design issues include health care delivery, finance, operations, public administration, the specifics of the transition to a unified health care financing system from the current system, adapting existing consumer protections to the new system, applying reforms to move toward systems that reward and prioritize improvements in health outcomes, health care quality, and health care equity, and how to reduce costs and improve the experience of health care consumers.
(b) The secretary shall, no later than January 1, 2025, provide an interim report to the chairs of the Assembly and Senate Budget and Health Committees that details the agency’s policy priorities and preliminary analysis of issues related to the federal discussions, as well as a summary of the input received to date through the stakeholder engagement process. The secretary shall, no later than January 1, 2025, also propose statutory language to the chairs of these committees authorizing the development and submission of applications to the federal government for waivers necessary to implement the unified health care financing system.
(c) The secretary shall, no later than June 1, 2025, complete the drafting of the waiver framework, inclusive of input gathered through the stakeholder engagement process, make the draft available to the public on the agency’s internet website, and shall hold a 45-day public comment period thereafter.
(d) The secretary shall, no later than November 1, 2025, provide the Legislature and the Governor with a report that communicates the finalized waiver framework, informed by public comment received, and sets forth the specific elements to be included in a formal waiver application to establish a unified financing system consistent with the outcomes of the agency’s discussions with the federal government.
(e) The requirement for submitting the reports specified in this subdivision is inoperative on June 1, 2028, pursuant to Section 10231.5 of the Government Code.
(f) A report submitted pursuant to this subdivision shall be submitted in compliance with Section 9795 of the Government Code.
(Added by Stats. 2023, Ch. 412, Sec. 1. (SB 770) Effective January 1, 2024.)
2023 California Code › Health and Safety Code - HSC › DIVISION 1 - ADMINISTRATION OF PUBLIC HEALTH › PART 5 - OFFICE OF RURAL HEALTH › Section 1179.

1179. The Legislature finds and declares all of the following:
(a)  Outside of California’s four major metropolitan areas, the majority of the state is rural. In general, the rural population is older, sicker, poorer, and more likely to be unemployed, uninsured, or underinsured. The lack of primary care, specialty providers and transportation continue to be significant barriers to access to health services in rural areas.
(b)  There is no coordinated or comprehensive plan of action for rural health care in California to ensure the health of California’s rural residents. Most of the interventions that have taken place on behalf of rural communities have been limited in scope and purpose and were not conceived or implemented with any comprehensive or systematic approach in mind. Because health planning tends to focus on approaches for population centers, the unique needs of rural communities may not be addressed. A comprehensive plan and approach is necessary to obtain federal support and relief, as well as to realistically institute state and industry interventions.
(c)  Rural communities lack the resources to make the transition from present practices to managed care, and to make other changes that may be necessary as the result of health care reform efforts. With numerous health care reform proposals being debated and with the extensive changes in the current health care delivery system, a comprehensive and coordinated analysis must take place regarding the impact of these proposals on rural areas.
(d)  Rural areas lack the technical expertise and resources to improve and coordinate their local data collection activities, which are necessary for well-targeted health planning, program development, and resource development. Data must be available to local communities to enable them to plan effectively.
(e)  The Legislature recognizes the need to take a comprehensive approach to strengthen and coordinate rural health programs and health care delivery systems in order to:
(1)  Facilitate access to high quality health care for California’s rural communities.
(2)  Promote coordinated planning and policy development among state departments and between the State and local public and private providers.
(Added by Stats. 1995, Ch. 305, Sec. 1. Effective August 3, 1995.)
2023 California Code › Health and Safety Code - HSC › DIVISION 1 - ADMINISTRATION OF PUBLIC HEALTH › PART 5 - OFFICE OF RURAL HEALTH › Section 1179.1.

1179.1. (a)  The Secretary of the Health and Welfare Agency shall establish an Office of Rural Health, or an alternative organizational structure, in one of the departments of the Health and Welfare Agency to promote a strong working relationship between state government and local and federal agencies, universities, private and public interest groups, rural consumers, health care providers, foundations, and other offices of rural health, as well as to develop health initiatives and maximize the use of existing resources without duplicating existing effort. The office or alternative organizational structure shall serve as a key information and referral source to promote coordinated planning for the delivery of health services in rural California.
(b)  To the extent funds are appropriated by the Legislature, these efforts may include:
(1)  Educating the public and recommending appropriate public policies regarding the viability of rural health care in California.
(2)  Monitoring and working with state and federal agencies to assess the impact of proposed rules and regulations on rural areas.
(3)  Promoting community involvement and community support in maintaining, rebuilding, and diversifying local health services in rural areas.
(4)  Encouraging and evaluating the use of advanced communications technology to provide access to health promotion and disease prevention information, specialty expertise, clinical consultation, and continuing education for health professionals.
(5)  Encouraging the development of regional health care and public health networks and collaborative efforts, including, but not limited to, emergency transportation networks.
(6)  Working with state and local agencies, universities, and private and public interest groups to promote research on rural health issues.
(7)  Soliciting the assistance of other offices or programs of rural health in California to carry out the duties of this part.
(8)  Disseminating information and providing technical assistance to communities, health care providers, and consumers of health care services.
(9)  Promoting strategies to improve health care professional recruitment and retention in rural areas.
(10)  Encouraging innovative responses by public and private entities to address rural health issues.
(Added by Stats. 1995, Ch. 305, Sec. 1. Effective August 3, 1995.)
2023 California Code › Health and Safety Code - HSC › DIVISION 1 - ADMINISTRATION OF PUBLIC HEALTH › PART 5 - OFFICE OF RURAL HEALTH › Section 1179.3.

1179.3. (a) (1) The Office of Statewide Health Planning and Development shall develop and administer a competitive grants program for projects located in rural areas of California.
(2) The office shall define “rural area” for the purposes of this section after receiving public input and upon recommendation of the Interdepartmental Rural Health Coordinating Committee and the Rural Health Programs Liaison.
(3) The purpose of the grants program shall be to fund innovative, collaborative, cost-effective, and efficient projects that pertain to the delivery of health and medical services in rural areas of the state.
(4) The office shall develop and establish uses for the funds to fund special projects that alleviate problems of access to quality health care in rural areas and to compensate public and private health care providers associated with direct delivery of patient care. The funds shall be used for medical and hospital care and treatment of patients who cannot afford to pay for services and for whom payment will not be made through private or public programs.
(5) The office shall administer the funds appropriated by the Legislature for purposes of this section. Entities eligible for these funds shall include rural health providers served by the programs operated by the office, the Emergency Medical Services Authority, the State Department of Health Care Services, the State Department of Public Health, and the Managed Risk Medical Insurance Board. The grant funds shall be used to expand existing services or establish new services and shall not be used to supplant existing levels of service. Funds appropriated by the Legislature for this purpose may be expended in the fiscal year of the appropriation or the subsequent fiscal year.
(b) The Office of Statewide Health Planning and Development shall establish the criteria and standards for eligibility to be used in requests for proposals or requests for application, the application review process, determining the maximum amount and number of grants to be awarded, preference and priority of projects, compliance monitoring, and the measurement of outcomes achieved after receiving comment from the public at a meeting held pursuant to the Bagley-Keene Open Meeting Act (Article 9 (commencing with Section 11120) of Chapter 1 of Part 1 of Division 3 of Title 2 of the Government Code).
(c) The Office of Statewide Health Planning and Development shall make information regarding the status of the funded projects available at the public meetings described in subdivision (b).
(Amended by Stats. 2013, Ch. 22, Sec. 13. (AB 75) Effective June 27, 2013. Operative July 1, 2013, by Sec. 110 of Ch. 22.)
2023 California Code › Health and Safety Code - HSC › DIVISION 1 - ADMINISTRATION OF PUBLIC HEALTH › PART 5 - OFFICE OF RURAL HEALTH › Section 1179.6.

1179.6. (a)  (1)  In order to provide improved delivery of services to the families of agricultural workers, the State Department of Health Services shall review and survey the extent to which agricultural workers and their families utilize those public health programs for which they are eligible. In conducting the survey, the department shall ensure the full participation of entities that provide services to agricultural workers, including clinics, community-based agencies, public health departments, and organizations and associations involved with agricultural worker health and well-being. Programs considered in the survey shall include, but shall not be limited to, all of the following:
(A)  The Medi-Cal program.
(B)  The Healthy Families program.
(C)  The Early and Periodic Screening, Diagnostic, and Treatment Program (EPSDT).
(D)  The Child Health and Disability Prevention Program (CHDP).
(E)  Health clinics.
(F)  Public health prevention programs.
(G)  Immunization programs.
(H)  Community mental health programs.
(I)  Programs funded under the California Children and Families Program.
(J)  Parenting programs.
(K)  Teen pregnancy prevention and case management programs.
(L)  Domestic violence and child abuse prevention programs.
(M)  Any other relevant programs available in communities of agricultural workers.
(2)  The department shall use the results of the survey to prepare an implementation plan that maximizes access and streamlines service delivery, in order to make comprehensive family wellness programs readily available to agricultural workers and their families. In developing the implementation plan, the department shall ensure the full participation of entities contributing to the survey of available services. The implementation plan shall be based on the principles set forth in subdivision (g) of Section 50517.5, including all of the following:
(A)  Involvement of agricultural workers and their families in program design and delivery.
(B)  Community collaboration on the local level among available public and private agencies.
(C)  Coordination with the provision of adequate housing.
(b)  (1)  The survey shall address the extent to which outreach programs are directed to, and succeed in, reaching agricultural workers and their families, and shall identify any geographical, cultural, linguistic, or other barriers that may prevent full utilization of available services.
(2)  The survey shall place significant emphasis on actual experiences of agricultural workers and their families.
(c)  The department shall report the results of the survey required by this section to the Legislature on or before March 1, 2001, and shall present the Legislature with the implementation plan required by paragraph (2) of subdivision (a) on or before December 31, 2001.
(Added by Stats. 2000, Ch. 312, Sec. 1. Effective September 7, 2000.)
2023 California Code › Health and Safety Code - HSC › DIVISION 1 - ADMINISTRATION OF PUBLIC HEALTH › PART 6 - CHILDREN'S HOSPITAL BOND ACT OF 2004 › CHAPTER 1 - General Provisions › Section 1179.10.

1179.10. This part shall be known and may be cited as the Children’s Hospital Bond Act of 2004.
(Added November 2, 2004, by initiative Proposition 61.)
2023 California Code › Health and Safety Code - HSC › DIVISION 1 - ADMINISTRATION OF PUBLIC HEALTH › PART 6 - CHILDREN'S HOSPITAL BOND ACT OF 2004 › CHAPTER 2 - The Children s Hospital Program › Section 1179.20.

1179.20. The proceeds of bonds issued and sold pursuant to this part shall be deposited in the Children’s Hospital Fund, which is hereby created.
(Added November 2, 2004, by initiative Proposition 61.)
2023 California Code › Health and Safety Code - HSC › DIVISION 1 - ADMINISTRATION OF PUBLIC HEALTH › PART 6 - CHILDREN'S HOSPITAL BOND ACT OF 2004 › CHAPTER 2 - The Children s Hospital Program › Section 1179.21.

1179.21. The purpose of the Children’s Hospital Program is to improve the health and welfare of California’s critically ill children, by providing a stable and ready source of funds for capital improvement projects for children’s hospitals. The program provided for in this part is in the public interest, serves a public purpose, and will promote the health, welfare, and safety of the citizens of the state.
(Added November 2, 2004, by initiative Proposition 61.)
2023 California Code › Health and Safety Code - HSC › DIVISION 1 - ADMINISTRATION OF PUBLIC HEALTH › PART 6 - CHILDREN'S HOSPITAL BOND ACT OF 2004 › CHAPTER 2 - The Children s Hospital Program › Section 1179.22.

1179.22. The authority is authorized to award grants to any children’s hospital for purposes of funding projects, as defined in subdivision (g) of Section 1179.11.
(Added November 2, 2004, by initiative Proposition 61.)
2023 California Code › Health and Safety Code - HSC › DIVISION 1 - ADMINISTRATION OF PUBLIC HEALTH › PART 6 - CHILDREN'S HOSPITAL BOND ACT OF 2004 › CHAPTER 2 - The Children s Hospital Program › Section 1179.23.

1179.23. (a)  Twenty percent of the total funds available for grants pursuant to this part shall be awarded to children’s hospitals as defined in paragraph (1) of subdivision (b) of Section 1179.11.
(b)  Eighty percent of the total funds available for grants pursuant to this part shall be awarded to children’s hospitals as defined in paragraph (2) of subdivision (b) of Section 1179.11.
(Added November 2, 2004, by initiative Proposition 61.)
2023 California Code › Health and Safety Code - HSC › DIVISION 1 - ADMINISTRATION OF PUBLIC HEALTH › PART 6 - CHILDREN'S HOSPITAL BOND ACT OF 2004 › CHAPTER 2 - The Children s Hospital Program › Section 1179.25.

1179.25. The Bureau of State Audits may conduct periodic audits to ensure that bond proceeds are awarded in a timely fashion and in a manner consistent with the requirements of this part, and that awardees of bond proceeds are using funds in compliance with applicable provisions of this part.
(Added November 2, 2004, by initiative Proposition 61.)
2023 California Code › Health and Safety Code - HSC › DIVISION 1 - ADMINISTRATION OF PUBLIC HEALTH › PART 6 - CHILDREN'S HOSPITAL BOND ACT OF 2004 › CHAPTER 3 - Fiscal Provisions › Section 1179.30.

1179.30. Bonds in the total amount of seven hundred fifty million dollars ($750,000,000), not including the amount of any refunding bonds, may be issued and sold to provide a fund to be used for carrying out the purposes expressed in this part and to reimburse the General Obligation Bond Expense Revolving Fund pursuant to Section 16724.5 of the Government Code. The bonds, when sold, shall be and constitute a valid and binding obligation of the State of California, and the full faith and credit of the State of California is hereby pledged for the punctual payment of the principal of, and interest on, the bonds as the principal and interest become due and payable.
(Added November 2, 2004, by initiative Proposition 61.)