---
type: "Bill"
title: "Health care districts: design-build process."
description: "Existing law authorizes the Sonoma Valley Health Care District, Last Frontier Health Care District, and the Mayers Memorial Hospital District the authority to use the design-build procedure when contracting for the construction of a building or improvements directly related to a hospital or health facility building, as specified. Existing law sets forth the procurement process for design-build projects and requires specified information by submitted design-build entities and others to be verified under penalty of perjury."
jurisdiction: "us/states/ca"
legislature: "California Legislature"
session: "20252026"
identifier: "AB 533"
citation: "California AB 533 (20252026)"
classification: ["bill"]
subjects: ["Healthcaredistricts", "design-buildprocess"]
status: "enacted"
primary_sponsors: ["Flora"]
version_count: 4
action_count: 17
vote_count: 5
first_action: "2025-02-11"
last_action: "2025-07-14"
source: "openstates"
source_identifier: "ocd-bill/457c3eff-b426-4ada-8cc2-4df2f749ebec"
source_url: "http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202520260AB533"
source_hash: "c9496c6e8a5b0f6c9538f0cf8ce8db7cc298193bc4b5a4d2fcdc72379363aea0"
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 AB 533 (20252026) — Health care districts: design-build process.

Existing law authorizes the Sonoma Valley Health Care District, Last Frontier Health Care District, and the Mayers Memorial Hospital District the authority to use the design-build procedure when contracting for the construction of a building or improvements directly related to a hospital or health facility building, as specified. Existing law sets forth the procurement process for design-build projects and requires specified information by submitted design-build entities and others to be verified under penalty of perjury.

## Version chain

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

1. **02/11/25 - Introduced** (filed) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202520260AB533&version=20250AB53399INT)
2. **07/14/25 - Chaptered** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202520260AB533&version=20250AB53397CHP)
3. **AB533** (committee substitute) — [source](http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202520260AB533)
4. **07/08/25 - Enrolled** (enrolled) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202520260AB533&version=20250AB53398ENR)

## Votes

- Consent Calendar 2nd — **35–0** (pass) · upper
- AB 533 Flora Assembly Third Reading — **73–0** (pass) · lower
- Do pass and be re-referred to the Committee on [Appropriations] — **8–0** (pass) · lower
- Do pass, but first be re-referred to the Committee on [Appropriations] with the recommendation: To Consent Calendar — **7–0** (pass) · upper
- Do pass. — **14–0** (pass) · lower

## Sponsors

- Flora — primary (person)

## Timeline

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

- **2025-02-11** Read first time. To print. `reading-1`
- **2025-02-12** From printer. May be heard in committee March 14.
- **2025-02-24** Referred to Com. on L. GOV. `referral-committee`
- **2025-03-26** From committee: Do pass and re-refer to Com. on APPR. (Ayes 8. Noes 0.) (March 26). Re-referred to Com. on APPR. `committee-passage, committee-passage-favorable, referral-committee`
- **2025-04-09** From committee: Do pass. (Ayes 14. Noes 0.) (April 9). `committee-passage, committee-passage-favorable`
- **2025-04-10** Read second time. Ordered to third reading. `reading-1, reading-2`
- **2025-04-24** Read third time. Passed. Ordered to the Senate. (Ayes 73. Noes 0. Page 1279.) `passage, reading-1, reading-3`
- **2025-04-24** In Senate. Read first time. To Com. on RLS. for assignment. `reading-1`
- **2025-05-07** Referred to Com. on L. GOV. `referral-committee`
- **2025-06-18** From committee: Do pass and re-refer to Com. on APPR. with recommendation: To Consent Calendar. (Ayes 7. Noes 0.) (June 18). Re-referred to Com. on APPR. `committee-passage, committee-passage-favorable, referral-committee`
- **2025-06-30** From committee: Be ordered to second reading file pursuant to Senate Rule 28.8 and ordered to Consent Calendar. `committee-passage, reading-2`
- **2025-07-01** Read second time. Ordered to Consent Calendar. `reading-1, reading-2`
- **2025-07-03** Read third time. Passed. Ordered to the Assembly. (Ayes 35. Noes 0. Page 1932.). `passage, reading-1, reading-3`
- **2025-07-03** In Assembly. Ordered to Engrossing and Enrolling. `committee-passage`
- **2025-07-11** Enrolled and presented to the Governor at 11 a.m.
- **2025-07-14** Approved by the Governor. `executive-signature`
- **2025-07-14** Chaptered by Secretary of State - Chapter 35, Statutes of 2025. `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/457c3eff-b426-4ada-8cc2-4df2f749ebec`. Confidence: reported (aggregated from official California legislature records).