Care Facilities

Image for Home health aides: training and certification.

Home health aides: training and certification.

Establishes new standards for home health aide training programs, including online and in-person instruction. Requires home health aides to complete 12 hours of annual training to maintain certification. Mandates that instructors be registered nurses with two years experience or supervised vocational nurses. Requires online training programs to use real-time video instruction and verify student identities.

Home health aides: training and certification.

Image for Home health aides: training and certification.

Establishes new standards for home health aide training programs, including online and in-person instruction. Requires home health aides to complete 12 hours of annual training to maintain certification. Mandates that instructors be registered nurses with two years experience or supervised vocational nurses. Requires online training programs to use real-time video instruction and verify student identities.

Image for Habilitation services.

Habilitation services.

Eliminates CARF accreditation requirements for work activity and supported employment programs. Requires regional centers to evaluate programs using new state-developed service standards. Authorizes regional centers to impose sanctions on providers who violate safety or service standards. Maintains existing enforcement tools including corrective plans and program termination.

Habilitation services.

Image for Habilitation services.

Eliminates CARF accreditation requirements for work activity and supported employment programs. Requires regional centers to evaluate programs using new state-developed service standards. Authorizes regional centers to impose sanctions on providers who violate safety or service standards. Maintains existing enforcement tools including corrective plans and program termination.

Image for Developmental services: denials of services and notices of actions.

Developmental services: denials of services and notices of actions.

Requires regional centers to document all service denials and appeals in individual program plans to increase transparency. Mandates regional centers to publish detailed service data annually in machine-readable formats by December 2024. Establishes mandatory stakeholder meetings to review service disparities and develop solutions. Creates grant funding opportunities for programs that reduce inequities in developmental services.

Developmental services: denials of services and notices of actions.

Image for Developmental services: denials of services and notices of actions.

Requires regional centers to document all service denials and appeals in individual program plans to increase transparency. Mandates regional centers to publish detailed service data annually in machine-readable formats by December 2024. Establishes mandatory stakeholder meetings to review service disparities and develop solutions. Creates grant funding opportunities for programs that reduce inequities in developmental services.

Image for California Developmental Disability Services Quality, Performance, and Outcomes Act of 2025.

California Developmental Disability Services Quality, Performance, and Outcomes Act of 2025.

Establishes new statewide quality measures for developmental disability services by January 2027. Requires regional centers to track and report outcomes for individuals with developmental disabilities. Mandates a comprehensive review of existing service quality measures by July 2026. Creates performance benchmarks that can trigger probation for underperforming regional centers.

California Developmental Disability Services Quality, Performance, and Outcomes Act of 2025.

Image for California Developmental Disability Services Quality, Performance, and Outcomes Act of 2025.

Establishes new statewide quality measures for developmental disability services by January 2027. Requires regional centers to track and report outcomes for individuals with developmental disabilities. Mandates a comprehensive review of existing service quality measures by July 2026. Creates performance benchmarks that can trigger probation for underperforming regional centers.

Image for Health and care facilities: licensing during emergencies or disasters.

Health and care facilities: licensing during emergencies or disasters.

Establishes a cross-agency emergency licensing framework with inactive status. Requires annual disaster planning reviews for skilled nursing facilities with input from local planners. Sets a 90-day window to request inactivity and a two-year inactivity limit. Authorizes fee waivers during inactivity and enables cross-department reactivation coordination.

Health and care facilities: licensing during emergencies or disasters.

Image for Health and care facilities: licensing during emergencies or disasters.

Establishes a cross-agency emergency licensing framework with inactive status. Requires annual disaster planning reviews for skilled nursing facilities with input from local planners. Sets a 90-day window to request inactivity and a two-year inactivity limit. Authorizes fee waivers during inactivity and enables cross-department reactivation coordination.

Image for Developmental services: initial intake: assessment.

Developmental services: initial intake: assessment.

Requires regional centers to complete developmental disability assessments for foster children within 60 days. Mandates assessment of foster children even when documentation is incomplete to prevent service delays. Establishes annual public reporting requirements to track assessment timelines and outcomes by regional center. Creates standardized information packets about services in multiple languages for families seeking assistance.

Developmental services: initial intake: assessment.

Image for Developmental services: initial intake: assessment.

Requires regional centers to complete developmental disability assessments for foster children within 60 days. Mandates assessment of foster children even when documentation is incomplete to prevent service delays. Establishes annual public reporting requirements to track assessment timelines and outcomes by regional center. Creates standardized information packets about services in multiple languages for families seeking assistance.

Image for Office of the Developmental Services Ombudsperson.

Office of the Developmental Services Ombudsperson.

Establishes an independent Developmental Services Ombudsperson with immediate effect. Repeals the old Self-Determination Ombudsperson and expands oversight to related programs. Requires appointment by the director after input from a consumer-advocacy committee for a four-year term. Enables complaints, investigations, public deidentified data, confidentiality, and a 2028 review.

Office of the Developmental Services Ombudsperson.

Image for Office of the Developmental Services Ombudsperson.

Establishes an independent Developmental Services Ombudsperson with immediate effect. Repeals the old Self-Determination Ombudsperson and expands oversight to related programs. Requires appointment by the director after input from a consumer-advocacy committee for a four-year term. Enables complaints, investigations, public deidentified data, confidentiality, and a 2028 review.

Image for California Consumer Privacy Act of 2018: sensitive personal information.

California Consumer Privacy Act of 2018: sensitive personal information.

Removes the public availability exception for sensitive personal information under California privacy laws. Requires businesses to protect all sensitive personal information regardless of its public status. Expands privacy protections by treating all sensitive personal information consistently under state law. Takes effect immediately upon enactment with no delayed implementation period.

California Consumer Privacy Act of 2018: sensitive personal information.

Image for California Consumer Privacy Act of 2018: sensitive personal information.

Removes the public availability exception for sensitive personal information under California privacy laws. Requires businesses to protect all sensitive personal information regardless of its public status. Expands privacy protections by treating all sensitive personal information consistently under state law. Takes effect immediately upon enactment with no delayed implementation period.

Image for Residential care facilities for the elderly: housing protections.

Residential care facilities for the elderly: housing protections.

Extends eviction notice periods up to 90 days for elderly care facility residents based on length of stay. Requires facilities to create detailed discharge plans with suitable housing options within 60 miles. Imposes $10,000 penalties on facilities that illegally refuse entry to residents during eviction. Mandates facilities notify local ombudsmen of all eviction notices to protect resident rights.

Residential care facilities for the elderly: housing protections.

Image for Residential care facilities for the elderly: housing protections.

Extends eviction notice periods up to 90 days for elderly care facility residents based on length of stay. Requires facilities to create detailed discharge plans with suitable housing options within 60 miles. Imposes $10,000 penalties on facilities that illegally refuse entry to residents during eviction. Mandates facilities notify local ombudsmen of all eviction notices to protect resident rights.

Image for Residential care facilities for the elderly: assisted living waiver rental rate protection.

Residential care facilities for the elderly: assisted living waiver rental rate protection.

Limits room and board charges for Medi-Cal residents in elderly care facilities based on their income levels. Modifies Medi-Cal eligibility by excluding certain housing costs from countable income calculations. Requires federal approval before implementing new income calculation rules for Medi-Cal eligibility. Creates criminal penalties for facilities that violate the new room and board rate restrictions.

Residential care facilities for the elderly: assisted living waiver rental rate protection.

Image for Residential care facilities for the elderly: assisted living waiver rental rate protection.

Limits room and board charges for Medi-Cal residents in elderly care facilities based on their income levels. Modifies Medi-Cal eligibility by excluding certain housing costs from countable income calculations. Requires federal approval before implementing new income calculation rules for Medi-Cal eligibility. Creates criminal penalties for facilities that violate the new room and board rate restrictions.

Image for Home care aides.

Home care aides.

Requires home care aides to complete annual training on dementia care starting January 1, 2027. Mandates five hours of entry-level training before aides can work with clients. Requires five hours of annual training on topics including client safety and abuse prevention. Allows all required training to be completed through online programs.

Home care aides.

Image for Home care aides.

Requires home care aides to complete annual training on dementia care starting January 1, 2027. Mandates five hours of entry-level training before aides can work with clients. Requires five hours of annual training on topics including client safety and abuse prevention. Allows all required training to be completed through online programs.

Image for Accelerated restaurant building plan approval: California Retail Food Code: tenant improvements.

Accelerated restaurant building plan approval: California Retail Food Code: tenant improvements.

Establishes accelerated permitting for restaurant tenant improvements with indemnity. Allows a licensed architect or engineer with 5+ years experience and $2M liability to certify. Sets a 20-day decision window, 10-day resubmission reviews, and 20% weekly audits. Imposes liability for negligent plan review and discipline for false certification.

Accelerated restaurant building plan approval: California Retail Food Code: tenant improvements.

Image for Accelerated restaurant building plan approval: California Retail Food Code: tenant improvements.

Establishes accelerated permitting for restaurant tenant improvements with indemnity. Allows a licensed architect or engineer with 5+ years experience and $2M liability to certify. Sets a 20-day decision window, 10-day resubmission reviews, and 20% weekly audits. Imposes liability for negligent plan review and discipline for false certification.

Image for Residential care facilities for the elderly: direct care ratios.

Residential care facilities for the elderly: direct care ratios.

Requires elderly care facilities to calculate and publicly display daily staff-to-resident care ratios. Mandates facilities to disclose care ratios to residents upon admission and during rate increases. Requires facilities to maintain care ratio records for 12 months and post them on their websites. Establishes criminal penalties for facilities that violate these transparency requirements.

Residential care facilities for the elderly: direct care ratios.

Image for Residential care facilities for the elderly: direct care ratios.

Requires elderly care facilities to calculate and publicly display daily staff-to-resident care ratios. Mandates facilities to disclose care ratios to residents upon admission and during rate increases. Requires facilities to maintain care ratio records for 12 months and post them on their websites. Establishes criminal penalties for facilities that violate these transparency requirements.

Image for In-home supportive services: licensed health care professional certification.

In-home supportive services: licensed health care professional certification.

Expands the definition of licensed healthcare professionals who can certify patients for in-home support services. Requires medical certification before authorizing in-home support services except in urgent discharge situations. Mandates healthcare professionals to provide certification forms at no cost to patients. Establishes a standardized statewide certification form for in-home support services.

In-home supportive services: licensed health care professional certification.

Image for In-home supportive services: licensed health care professional certification.

Expands the definition of licensed healthcare professionals who can certify patients for in-home support services. Requires medical certification before authorizing in-home support services except in urgent discharge situations. Mandates healthcare professionals to provide certification forms at no cost to patients. Establishes a standardized statewide certification form for in-home support services.

Image for Oral Health for People with Disabilities Technical Assistance Center Program.

Oral Health for People with Disabilities Technical Assistance Center Program.

Establishes a statewide program to reduce sedation and anesthesia in disability dental care. Requires DDS to contract with a California dental school to run the program by July 1, 2027. Adds regional centers duties to identify beneficiaries, coordinate referrals, and monitor progress. Requires annual reporting to the Legislature and enables procurement flexibilities for contracts.

Oral Health for People with Disabilities Technical Assistance Center Program.

Image for Oral Health for People with Disabilities Technical Assistance Center Program.

Establishes a statewide program to reduce sedation and anesthesia in disability dental care. Requires DDS to contract with a California dental school to run the program by July 1, 2027. Adds regional centers duties to identify beneficiaries, coordinate referrals, and monitor progress. Requires annual reporting to the Legislature and enables procurement flexibilities for contracts.

Image for Behavioral health centers, facilities, and programs: background checks.

Behavioral health centers, facilities, and programs: background checks.

Requires background checks for behavioral health providers to screen for crimes involving minors. Exempts licensed providers who already completed fingerprint-based background checks. Expands criminal penalties for unauthorized disclosure of background check results.

Behavioral health centers, facilities, and programs: background checks.

Image for Behavioral health centers, facilities, and programs: background checks.

Requires background checks for behavioral health providers to screen for crimes involving minors. Exempts licensed providers who already completed fingerprint-based background checks. Expands criminal penalties for unauthorized disclosure of background check results.

That's all the bills we have for now!