---
type: "Bill"
title: "Medical services: credit or loan."
description: "Existing law prohibits a healing arts licensee, as defined, or an employee or agent of that licensee from charging treatment or costs to an open-end credit or loan extended by a third party that is arranged for or established in the licensee's office before the date on which the treatment is rendered or costs are incurred without first providing a specified written treatment plan, a specified written or electronic notice, and a specified list of which treatment and services are being charged. Existing law prohibits a licensee, or the licensee's employee or agent, from arranging for or establishing credit or a loan that is extended by a third party for a patient who has been administered or is under the influence of general anesthesia, conscious sedation, or nitrous oxide. Existing law provides that a person who willfully violates these provisions is subject to specified civil liability."
jurisdiction: "us/states/ca"
legislature: "California Legislature"
session: "20192020"
identifier: "SB 639"
citation: "California SB 639 (20192020)"
classification: ["bill"]
subjects: ["Medical services: credit or loan."]
status: "enacted"
primary_sponsors: ["Mitchell"]
version_count: 8
action_count: 31
vote_count: 8
first_action: "2019-02-22"
last_action: "2019-10-12"
source: "openstates"
source_identifier: "ocd-bill/c6ae50b2-f6bc-4309-9392-7e1b8d3f876e"
source_url: "http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201920200SB639"
source_hash: "12fb3ccef16a00a8364948a989f3b51e7e3d76cff64417886d1531bc04884ffc"
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 639 (20192020) — Medical services: credit or loan.

Existing law prohibits a healing arts licensee, as defined, or an employee or agent of that licensee from charging treatment or costs to an open-end credit or loan extended by a third party that is arranged for or established in the licensee's office before the date on which the treatment is rendered or costs are incurred without first providing a specified written treatment plan, a specified written or electronic notice, and a specified list of which treatment and services are being charged. Existing law prohibits a licensee, or the licensee's employee or agent, from arranging for or establishing credit or a loan that is extended by a third party for a patient who has been administered or is under the influence of general anesthesia, conscious sedation, or nitrous oxide. Existing law provides that a person who willfully violates these provisions is subject to specified civil liability.

## Version chain

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

1. **02/22/19 - Introduced** (filed) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201920200SB639&version=20190SB63999INT)
2. **04/11/19 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201920200SB639&version=20190SB63998AMD)
3. **07/01/19 - Amended Assembly** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201920200SB639&version=20190SB63997AMD)
4. **08/12/19 - Amended Assembly** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201920200SB639&version=20190SB63996AMD)
5. **09/06/19 - Amended Assembly** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201920200SB639&version=20190SB63995AMD)
6. **10/12/19 - Chaptered** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201920200SB639&version=20190SB63993CHP)
7. **SB639** (committee substitute) — [source](http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201920200SB639)
8. **09/16/19 - Enrolled** (enrolled) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201920200SB639&version=20190SB63994ENR)

## Votes

- Unfinished Business SB639 Mitchell Concurrence — **31–6** (pass) · upper
- Do pass. — **14–0** (pass) · lower
- Do pass, but first be re-referred to the Committee on [Judiciary] — **9–0** (pass) · upper
- Do pass as amended and be re-referred to the Committee on [Judiciary] — **14–1** (pass) · lower
- Do pass as amended and be re-referred to the Committee on [Appropriations] — **12–0** (pass) · lower
- Do pass as amended, but first amend, and re-refer to the Committee on [Appropriations] with the recommendation: To Consent Calendar — **8–0** (pass) · upper
- SB 639 Mitchell Senate Third Reading By Mark Stone — **69–1** (pass) · lower
- 3rd Reading — **27–10** (pass) · upper

## Sponsors

- Mitchell — primary (person)

## Timeline

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

- **2019-02-22** Introduced. To Com. on RLS. for assignment. To print. `introduction`
- **2019-02-25** From printer. May be acted upon on or after March 27.
- **2019-02-25** Read first time. `reading-1`
- **2019-03-14** Referred to Coms. on B., P. & E.D. and JUD. `referral-committee`
- **2019-03-19** Set for hearing April 1.
- **2019-04-01** From committee: Do pass and re-refer to Com. on JUD. (Ayes 9. Noes 0. Page 511.) (April 1). Re-referred to Com. on JUD. `committee-passage-favorable, committee-passage, referral-committee`
- **2019-04-03** Set for hearing April 9.
- **2019-04-10** From committee: Do pass as amended and re-refer to Com. on APPR. with recommendation: To consent calendar. (Ayes 8. Noes 0. Page 654.) (April 9). `committee-passage-favorable, committee-passage, amendment-passage`
- **2019-04-11** Read second time and amended. Re-referred to Com. on APPR. `reading-1, reading-2, amendment-passage, referral-committee`
- **2019-04-18** Set for hearing April 29.
- **2019-04-23** April 29 hearing postponed by committee.
- **2019-04-26** Set for hearing May 6.
- **2019-05-06** From committee: Be ordered to second reading pursuant to Senate Rule 28.8. `committee-passage, reading-2`
- **2019-05-07** Read second time. Ordered to third reading. `reading-1, reading-2`
- **2019-05-20** Read third time. Passed. (Ayes 27. Noes 10. Page 1151.) Ordered to the Assembly. `passage, reading-3, reading-1`
- **2019-05-21** In Assembly. Read first time. Held at Desk. `reading-1`
- **2019-05-30** Referred to Coms. on B. & P. and JUD. `referral-committee`
- **2019-06-27** From committee: Do pass as amended and re-refer to Com. on JUD. (Ayes 14. Noes 1.) (June 25). `committee-passage-favorable, committee-passage, amendment-passage`
- **2019-07-01** Read second time and amended. Re-referred to Com. on JUD. `reading-1, reading-2, amendment-passage, referral-committee`
- **2019-07-11** From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 12. Noes 0.) (July 9). `committee-passage-favorable, committee-passage, amendment-passage`
- **2019-08-12** Read second time and amended. Re-referred to Com. on APPR. `reading-1, reading-2, amendment-passage, referral-committee`
- **2019-08-21** From committee: Do pass. (Ayes 14. Noes 0.) (August 21). `committee-passage-favorable, committee-passage`
- **2019-08-22** Read second time. Ordered to third reading. `reading-1, reading-2`
- **2019-09-06** Read third time and amended. `amendment-passage, reading-3, reading-1`
- **2019-09-06** Ordered to third reading.
- **2019-09-10** Read third time. Passed. (Ayes 69. Noes 1. Page 3346.) Ordered to the Senate. `passage, reading-3, reading-1`
- **2019-09-10** In Senate. Concurrence in Assembly amendments pending.
- **2019-09-12** Assembly amendments concurred in. (Ayes 31. Noes 6. Page 2883.) Ordered to engrossing and enrolling. `amendment-passage, committee-passage-favorable`
- **2019-09-19** Enrolled and presented to the Governor at 3 p.m.
- **2019-10-12** Approved by the Governor. `executive-signature`
- **2019-10-12** Chaptered by Secretary of State. Chapter 856, Statutes of 2019.

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/c6ae50b2-f6bc-4309-9392-7e1b8d3f876e`. Confidence: reported (aggregated from official California legislature records).