---
type: "Bill"
title: "Medi-Cal: emergency medical transport providers: quality assurance fee."
description: "Existing law establishes the Medi-Cal program, which is administered by the State Department of Health Care Services, under which qualified low-income individuals receive health care services. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Existing law establishes a quality assurance fee program for skilled nursing and intermediate care facilities, as prescribed."
jurisdiction: "us/states/ca"
legislature: "California Legislature"
session: "20172018"
identifier: "SB 523"
citation: "California SB 523 (20172018)"
classification: ["bill", "appropriation"]
subjects: ["Medi-Cal: emergency medical transport providers: quality assurance fee."]
status: "enacted"
primary_sponsors: ["Hernandez"]
version_count: 8
action_count: 31
vote_count: 8
first_action: "2017-02-16"
last_action: "2017-10-13"
source: "openstates"
source_identifier: "ocd-bill/9b2a7fbe-8761-4a7c-a424-7db9a8570116"
source_url: "http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201720180SB523"
source_hash: "29b75a60872e90ea04c19218c488ebfca230e38fe27c9d9691c62e7ddb5aa5bb"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-ca"]
---

# California SB 523 (20172018) — Medi-Cal: emergency medical transport providers: quality assurance fee.

Existing law establishes the Medi-Cal program, which is administered by the State Department of Health Care Services, under which qualified low-income individuals receive health care services. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Existing law establishes a quality assurance fee program for skilled nursing and intermediate care facilities, as prescribed.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **02/16/17 - Introduced** (filed) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201720180SB523&version=20170SB52399INT)
2. **03/30/17 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201720180SB523&version=20170SB52398AMD)
3. **04/06/17 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201720180SB523&version=20170SB52397AMD)
4. **04/24/17 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201720180SB523&version=20170SB52396AMD)
5. **08/22/17 - Amended Assembly** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201720180SB523&version=20170SB52395AMD)
6. **10/13/17 - Chaptered** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201720180SB523&version=20170SB52393CHP)
7. **SB523** (committee substitute) — [source](http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201720180SB523)
8. **09/13/17 - Enrolled** (enrolled) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201720180SB523&version=20170SB52394ENR)

## Votes

- Unfinished Business SB523 Hernandez et al. Urgency Clause Concurrence — **37–2** (pass) · upper
- SB 523 Hernandez Third Reading Urgency By BIGELOW — **72–4** (pass) · lower
- Do pass and be re-referred to the Committee on [Appropriations] — **15–0** (pass) · lower
- Do pass. — **15–1** (pass) · lower
- Placed on suspense file — **7–0** (pass) · upper
- Do pass as amended, but first amend, and re-refer to the Committee on [Appropriations] — **7–1** (pass) · upper
- Do pass — **6–0** (pass) · upper
- 3rd Reading SB523 Hernandez et al. Urgency Clause — **38–1** (pass) · upper

## Sponsors

- Hernandez — primary (person)
- Bigelow — coauthor (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2017-02-16** Introduced. Read first time. To Com. on RLS. for assignment. To print. `introduction, reading-1`
- **2017-02-17** From printer. May be acted upon on or after March 19.
- **2017-03-02** Referred to Com. on RLS. `referral-committee`
- **2017-03-30** From committee with author's amendments. Read second time and amended. Re-referred to Com. on RLS. `reading-2, referral-committee, amendment-passage, committee-passage, reading-1`
- **2017-04-05** Re-referred to Com. on HEALTH. `referral-committee`
- **2017-04-06** From committee with author's amendments. Read second time and amended. Re-referred to Com. on HEALTH. `reading-2, referral-committee, amendment-passage, committee-passage, reading-1`
- **2017-04-07** Set for hearing April 19.
- **2017-04-20** From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 7. Noes 1. Page 808.) (April 19). `committee-passage-favorable, committee-passage, amendment-passage`
- **2017-04-24** Read second time and amended. Re-referred to Com. on APPR. `amendment-passage, reading-2, referral-committee, reading-1`
- **2017-05-01** Set for hearing May 8.
- **2017-05-03** May 8 hearing postponed by committee.
- **2017-05-04** Set for hearing May 15.
- **2017-05-15** May 15 hearing: Placed on APPR. suspense file.
- **2017-05-19** Set for hearing May 25.
- **2017-05-25** From committee: Do pass. (Ayes 6. Noes 0. Page 1186.) (May 25). `committee-passage-favorable, committee-passage`
- **2017-05-26** Read second time. Ordered to third reading. `reading-2, reading-1`
- **2017-05-30** Read third time. Urgency clause adopted. Passed. (Ayes 38. Noes 1. Page 1273.) Ordered to the Assembly. `reading-3, passage, reading-1`
- **2017-05-31** In Assembly. Read first time. Held at Desk. `reading-1`
- **2017-06-08** Referred to Com. on HEALTH. `referral-committee`
- **2017-07-11** From committee: Do pass and re-refer to Com. on APPR. (Ayes 15. Noes 0.) (July 11). Re-referred to Com. on APPR. `committee-passage-favorable, committee-passage, referral-committee`
- **2017-08-22** From committee with author's amendments. Read second time and amended. Re-referred to Com. on APPR. `reading-2, referral-committee, amendment-passage, committee-passage, reading-1`
- **2017-08-30** August 30 set for first hearing. Placed on APPR. suspense file.
- **2017-09-01** Joint Rule 62(a) suspended.
- **2017-09-01** From committee: Do pass. (Ayes 15. Noes 1.) (September 1). `committee-passage-favorable, committee-passage`
- **2017-09-05** Read second time. Ordered to third reading. `reading-2, reading-1`
- **2017-09-07** Read third time. Urgency clause adopted. Passed. (Ayes 72. Noes 4. Page 3046.) Ordered to the Senate. `reading-3, passage, reading-1`
- **2017-09-08** In Senate. Concurrence in Assembly amendments pending.
- **2017-09-11** Assembly amendments concurred in. (Ayes 37. Noes 2. Page 2693.) Ordered to engrossing and enrolling. `committee-passage-favorable, amendment-passage`
- **2017-09-15** Enrolled and presented to the Governor at 3:30 p.m.
- **2017-10-13** Approved by the Governor. `executive-signature`
- **2017-10-13** Chaptered by Secretary of State. Chapter 773, Statutes of 2017.

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/9b2a7fbe-8761-4a7c-a424-7db9a8570116`. Confidence: reported (aggregated from official California legislature records).