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    SB-504
    Health & Public Health

    Communicable diseases: HIV reporting.

    Enrolled
    CA
    ∙
    2025-2026 Regular Session
    0
    0
    Track
    Track

    Key Takeaways

    • Authorizes disclosure of identifiers to local health authorities for HIV case reports.
    • Authorizes sharing names and ITIN/SSN with the tax board to verify income.
    • Maintains confidentiality and limits disclosures to approved purposes, including care linkage.
    • Requires annual confidentiality agreements for staff handling records.

    Summary

    Senator Laird’s bill would authorize health care providers to disclose identifying information about patients with HIV to local health jurisdictions or the Department of Public Health to complete or supplement HIV case reports, and to support the local and state public health effort in investigation, control, surveillance, or coordination of linkage to or reengagement in care.

    Key mechanisms include adding identifying-information disclosures to complete or supplement HIV case reports and to carry out public health duties, while maintaining strict confidentiality protections. The measure requires health care providers and local health officers to report HIV infection to the local officer using names on department-developed forms, with unduplicated cases reported by name to the department. It provides that disclosures may occur notwithstanding certain Civil Code provisions if necessary for reporting or public health duties, and it preserves access to confidential records only for specified purposes and recipients, with access limited by confidentiality duties and annual review of related confidentiality agreements.

    The bill also expands data-sharing arrangements to verify program eligibility and funding streams. It authorizes the State Department of Public Health and the Franchise Tax Board to exchange identifying information and income data for the purpose of verifying modified adjusted gross income and related financial information, with the Franchise Tax Board returning or destroying information after the exchange. The exchange includes the names, dates of birth, and ITIN or SSN of individuals, plus income and household details such as federal and California adjusted gross income, tax-exempt amounts, foreign earned income, and family size, drawn from the most recent available tax year. Information provided under these provisions remains confidential public health records and is protected by applicable confidentiality laws and HIPAA, with agreements to limit access and to govern penalties for breaches; disclosure is limited to specified entities, and is not to be disclosed to the federal government except as permitted by law.

    In addition, the bill creates a framework for sharing health-record information among qualified entities (such as the Department of Health Care Services, the Exchange, Medi-Cal plans, Bridge Program participants, and county health departments) for purposes related to enrolling beneficiaries in Medi-Cal or other covered programs and ensuring ongoing access to those programs, while prohibiting disclosure of HIV or AIDS surveillance data beyond the defined channels and requiring compliance with federal privacy protections. The provisions are framed to operate to the extent permitted by federal law, with ongoing protections for confidentiality and clear limitations on further disclosure. These changes sit within the broader statutory structure governing HIV reporting, confidentiality, and public health data management, and would be implemented through department forms, confidentiality agreements, and data-handling protocols aligned with existing privacy safeguards.

    Key Dates

    Vote on Senate Floor
    Senate Floor
    Vote on Senate Floor
    Unfinished Business SB504 Laird et al. Concurrence
    Vote on Assembly Floor
    Assembly Floor
    Vote on Assembly Floor
    SB 504 Laird Senate Third Reading By Mark González
    Assembly Appropriations Hearing
    Assembly Committee
    Assembly Appropriations Hearing
    Do pass. To Consent Calendar
    Assembly Privacy And Consumer Protection Hearing
    Assembly Committee
    Assembly Privacy And Consumer Protection Hearing
    Do pass and be re-referred to the Committee on [Appropriations] with recommendation: To Consent Calendar
    Assembly Health Hearing
    Assembly Committee
    Assembly Health Hearing
    Do pass as amended and be re-referred to the Committee on [Privacy and Consumer Protection]
    Vote on Senate Floor
    Senate Floor
    Vote on Senate Floor
    Consent Calendar 2nd SB504 Laird et al
    Senate Judiciary Hearing
    Senate Committee
    Senate Judiciary Hearing
    Do pass as amended, but first amend, and re-refer to the Committee on [Appropriations] with the recommendation: To Consent Calendar
    Senate Health Hearing
    Senate Committee
    Senate Health Hearing
    Do pass as amended, but first amend, and re-refer to the Committee on [Judiciary] with the recommendation: To Consent Calendar
    Introduced
    Senate Floor
    Introduced
    Introduced. Read first time. To Com. on RLS. for assignment. To print.

    Contacts

    Profile
    Scott WienerD
    Senator
    Bill Author
    Not Contacted
    Not Contacted
    Profile
    Sabrina CervantesD
    Senator
    Bill Author
    Not Contacted
    Not Contacted
    Profile
    Chris WardD
    Assemblymember
    Bill Author
    Not Contacted
    Not Contacted
    Profile
    John LairdD
    Senator
    Bill Author
    Not Contacted
    Not Contacted
    Profile
    Corey JacksonD
    Assemblymember
    Bill Author
    Not Contacted
    Not Contacted
    0 of 10 row(s) selected.
    Page 1 of 2
    Select All Legislators
    Profile
    Scott WienerD
    Senator
    Bill Author
    Profile
    Sabrina CervantesD
    Senator
    Bill Author
    Profile
    Chris WardD
    Assemblymember
    Bill Author
    Profile
    John LairdD
    Senator
    Bill Author
    Profile
    Corey JacksonD
    Assemblymember
    Bill Author
    Profile
    Steve PadillaD
    Senator
    Bill Author
    Profile
    Mark GonzalezD
    Assemblymember
    Bill Author
    Profile
    Jose SolacheD
    Assemblymember
    Bill Author
    Profile
    Christopher CabaldonD
    Senator
    Bill Author
    Profile
    Sasha Renee PerezD
    Senator
    Bill Author

    Get Involved

    Act Now!

    Email the authors or create an email template to send to all relevant legislators.

    Introduced By

    John Laird
    John LairdD
    California State Senator
    Co-Authors
    Christopher Cabaldon
    Christopher CabaldonD
    California State Senator
    Sabrina Cervantes
    Sabrina CervantesD
    California State Senator
    Corey Jackson
    Corey JacksonD
    California State Assembly Member
    Steve Padilla
    Steve PadillaD
    California State Senator
    Sasha Renee Perez
    Sasha Renee PerezD
    California State Senator
    Jose Solache
    Jose SolacheD
    California State Assembly Member
    Mark Gonzalez
    Mark GonzalezD
    California State Assembly Member
    Chris Ward
    Chris WardD
    California State Assembly Member
    Scott Wiener
    Scott WienerD
    California State Senator
    70% progression
    Bill has passed both houses in identical form and is being prepared for the Governor (9/9/2025)

    Latest Voting History

    View History
    September 9, 2025
    PASS
    Senate Floor
    Vote on Senate Floor
    AyesNoesNVRTotalResult
    400040PASS

    Key Takeaways

    • Authorizes disclosure of identifiers to local health authorities for HIV case reports.
    • Authorizes sharing names and ITIN/SSN with the tax board to verify income.
    • Maintains confidentiality and limits disclosures to approved purposes, including care linkage.
    • Requires annual confidentiality agreements for staff handling records.

    Get Involved

    Act Now!

    Email the authors or create an email template to send to all relevant legislators.

    Introduced By

    John Laird
    John LairdD
    California State Senator
    Co-Authors
    Christopher Cabaldon
    Christopher CabaldonD
    California State Senator
    Sabrina Cervantes
    Sabrina CervantesD
    California State Senator
    Corey Jackson
    Corey JacksonD
    California State Assembly Member
    Steve Padilla
    Steve PadillaD
    California State Senator
    Sasha Renee Perez
    Sasha Renee PerezD
    California State Senator
    Jose Solache
    Jose SolacheD
    California State Assembly Member
    Mark Gonzalez
    Mark GonzalezD
    California State Assembly Member
    Chris Ward
    Chris WardD
    California State Assembly Member
    Scott Wiener
    Scott WienerD
    California State Senator

    Summary

    Senator Laird’s bill would authorize health care providers to disclose identifying information about patients with HIV to local health jurisdictions or the Department of Public Health to complete or supplement HIV case reports, and to support the local and state public health effort in investigation, control, surveillance, or coordination of linkage to or reengagement in care.

    Key mechanisms include adding identifying-information disclosures to complete or supplement HIV case reports and to carry out public health duties, while maintaining strict confidentiality protections. The measure requires health care providers and local health officers to report HIV infection to the local officer using names on department-developed forms, with unduplicated cases reported by name to the department. It provides that disclosures may occur notwithstanding certain Civil Code provisions if necessary for reporting or public health duties, and it preserves access to confidential records only for specified purposes and recipients, with access limited by confidentiality duties and annual review of related confidentiality agreements.

    The bill also expands data-sharing arrangements to verify program eligibility and funding streams. It authorizes the State Department of Public Health and the Franchise Tax Board to exchange identifying information and income data for the purpose of verifying modified adjusted gross income and related financial information, with the Franchise Tax Board returning or destroying information after the exchange. The exchange includes the names, dates of birth, and ITIN or SSN of individuals, plus income and household details such as federal and California adjusted gross income, tax-exempt amounts, foreign earned income, and family size, drawn from the most recent available tax year. Information provided under these provisions remains confidential public health records and is protected by applicable confidentiality laws and HIPAA, with agreements to limit access and to govern penalties for breaches; disclosure is limited to specified entities, and is not to be disclosed to the federal government except as permitted by law.

    In addition, the bill creates a framework for sharing health-record information among qualified entities (such as the Department of Health Care Services, the Exchange, Medi-Cal plans, Bridge Program participants, and county health departments) for purposes related to enrolling beneficiaries in Medi-Cal or other covered programs and ensuring ongoing access to those programs, while prohibiting disclosure of HIV or AIDS surveillance data beyond the defined channels and requiring compliance with federal privacy protections. The provisions are framed to operate to the extent permitted by federal law, with ongoing protections for confidentiality and clear limitations on further disclosure. These changes sit within the broader statutory structure governing HIV reporting, confidentiality, and public health data management, and would be implemented through department forms, confidentiality agreements, and data-handling protocols aligned with existing privacy safeguards.

    70% progression
    Bill has passed both houses in identical form and is being prepared for the Governor (9/9/2025)

    Key Dates

    Vote on Senate Floor
    Senate Floor
    Vote on Senate Floor
    Unfinished Business SB504 Laird et al. Concurrence
    Vote on Assembly Floor
    Assembly Floor
    Vote on Assembly Floor
    SB 504 Laird Senate Third Reading By Mark González
    Assembly Appropriations Hearing
    Assembly Committee
    Assembly Appropriations Hearing
    Do pass. To Consent Calendar
    Assembly Privacy And Consumer Protection Hearing
    Assembly Committee
    Assembly Privacy And Consumer Protection Hearing
    Do pass and be re-referred to the Committee on [Appropriations] with recommendation: To Consent Calendar
    Assembly Health Hearing
    Assembly Committee
    Assembly Health Hearing
    Do pass as amended and be re-referred to the Committee on [Privacy and Consumer Protection]
    Vote on Senate Floor
    Senate Floor
    Vote on Senate Floor
    Consent Calendar 2nd SB504 Laird et al
    Senate Judiciary Hearing
    Senate Committee
    Senate Judiciary Hearing
    Do pass as amended, but first amend, and re-refer to the Committee on [Appropriations] with the recommendation: To Consent Calendar
    Senate Health Hearing
    Senate Committee
    Senate Health Hearing
    Do pass as amended, but first amend, and re-refer to the Committee on [Judiciary] with the recommendation: To Consent Calendar
    Introduced
    Senate Floor
    Introduced
    Introduced. Read first time. To Com. on RLS. for assignment. To print.

    Latest Voting History

    View History
    September 9, 2025
    PASS
    Senate Floor
    Vote on Senate Floor
    AyesNoesNVRTotalResult
    400040PASS

    Contacts

    Profile
    Scott WienerD
    Senator
    Bill Author
    Not Contacted
    Not Contacted
    Profile
    Sabrina CervantesD
    Senator
    Bill Author
    Not Contacted
    Not Contacted
    Profile
    Chris WardD
    Assemblymember
    Bill Author
    Not Contacted
    Not Contacted
    Profile
    John LairdD
    Senator
    Bill Author
    Not Contacted
    Not Contacted
    Profile
    Corey JacksonD
    Assemblymember
    Bill Author
    Not Contacted
    Not Contacted
    0 of 10 row(s) selected.
    Page 1 of 2
    Select All Legislators
    Profile
    Scott WienerD
    Senator
    Bill Author
    Profile
    Sabrina CervantesD
    Senator
    Bill Author
    Profile
    Chris WardD
    Assemblymember
    Bill Author
    Profile
    John LairdD
    Senator
    Bill Author
    Profile
    Corey JacksonD
    Assemblymember
    Bill Author
    Profile
    Steve PadillaD
    Senator
    Bill Author
    Profile
    Mark GonzalezD
    Assemblymember
    Bill Author
    Profile
    Jose SolacheD
    Assemblymember
    Bill Author
    Profile
    Christopher CabaldonD
    Senator
    Bill Author
    Profile
    Sasha Renee PerezD
    Senator
    Bill Author