---
type: "Bill"
title: "Long-term health facilities."
description: "The Long-Term Care, Health, Safety, and Security Act of 1973 generally requires the State Department of Public Health to license and regulate long-term health care facilities and to establish an inspection and reporting system to ensure that long-term health care facilities are in compliance with state statutes and regulations. The term \"long-term health care facility\" includes, among other types of facilities, a skilled nursing facility and intermediate care facility."
jurisdiction: "us/states/ca"
legislature: "California Legislature"
session: "20212022"
identifier: "AB 323"
citation: "California AB 323 (20212022)"
classification: ["bill"]
subjects: ["Long-term health facilities."]
status: "enacted"
primary_sponsors: ["Kalra"]
version_count: 5
action_count: 21
vote_count: 7
first_action: "2021-01-26"
last_action: "2021-10-04"
source: "openstates"
source_identifier: "ocd-bill/29afcd7d-6fab-40f1-85c9-cb372aebac8f"
source_url: "http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220AB323"
source_hash: "5a889de1a309c3fb9c78ef41e9dbd8bcccbda4fe1d67dcddf9fcfb17ab79d949"
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 323 (20212022) — Long-term health facilities.

The Long-Term Care, Health, Safety, and Security Act of 1973 generally requires the State Department of Public Health to license and regulate long-term health care facilities and to establish an inspection and reporting system to ensure that long-term health care facilities are in compliance with state statutes and regulations. The term "long-term health care facility" includes, among other types of facilities, a skilled nursing facility and intermediate care facility.

## Version chain

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

1. **01/26/21 - Introduced** (filed) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220AB323&version=20210AB32399INT)
2. **07/15/21 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220AB323&version=20210AB32398AMD)
3. **10/04/21 - Chaptered** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220AB323&version=20210AB32396CHP)
4. **AB323** (committee substitute) — [source](http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220AB323)
5. **09/09/21 - Enrolled** (enrolled) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220AB323&version=20210AB32397ENR)

## Votes

- Do pass as amended, but first amend, and re-refer to the Committee on [Appropriations] — **9–1** (pass) · upper
- AB 323 Kalra Concurrence in Senate Amendments — **48–13** (pass) · lower
- 3rd Reading AB323 Kalra et al. By Wiener — **30–7** (pass) · upper
- Do pass. — **13–3** (pass) · lower
- Do pass and be re-referred to the Committee on [Appropriations] — **11–1** (pass) · lower
- AB 323 Kalra Assembly Third Reading — **54–12** (pass) · lower
- Do pass, but first be re-referred to the Committee on [Judiciary] — **10–0** (pass) · upper

## Sponsors

- Kalra — primary (person)
- Stern — coauthor (person)

## Timeline

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

- **2021-01-26** Read first time. To print. `reading-1`
- **2021-01-27** From printer. May be heard in committee February 26.
- **2021-02-12** Referred to Com. on HEALTH. `referral-committee`
- **2021-04-28** From committee: Do pass and re-refer to Com. on APPR. (Ayes 11. Noes 1.) (April 27). Re-referred to Com. on APPR. `committee-passage, committee-passage-favorable, referral-committee`
- **2021-05-05** From committee: Do pass. (Ayes 13. Noes 3.) (May 5). `committee-passage, committee-passage-favorable`
- **2021-05-06** Read second time. Ordered to third reading. `reading-1, reading-2`
- **2021-05-17** Read third time. Passed. Ordered to the Senate. (Ayes 54. Noes 12. Page 1430.) `passage, reading-1, reading-3`
- **2021-05-18** In Senate. Read first time. To Com. on RLS. for assignment. `reading-1`
- **2021-05-27** Referred to Coms. on HEALTH and JUD. `referral-committee`
- **2021-06-16** In committee: Hearing postponed by committee.
- **2021-06-30** From committee: Do pass and re-refer to Com. on JUD. (Ayes 10. Noes 0.) (June 30). Re-referred to Com. on JUD. `committee-passage, committee-passage-favorable, referral-committee`
- **2021-07-14** From committee: Amend, and do pass as amended and re-refer to Com. on APPR. (Ayes 9. Noes 1.) (July 13). `amendment-introduction, amendment-passage, committee-passage, referral-committee`
- **2021-07-15** Read second time and amended. Re-referred to Com. on APPR. `amendment-passage, reading-1, reading-2, referral-committee`
- **2021-08-16** From committee: Be ordered to second reading pursuant to Senate Rule 28.8. `committee-passage, reading-2`
- **2021-08-17** Read second time. Ordered to third reading. `reading-1, reading-2`
- **2021-09-02** Read third time. Passed. Ordered to the Assembly. (Ayes 30. Noes 7. Page 2334.). `passage, reading-1, reading-3`
- **2021-09-02** In Assembly. Concurrence in Senate amendments pending. May be considered on or after September 4 pursuant to Assembly Rule 77.
- **2021-09-07** Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 48. Noes 13. Page 2826.). `amendment-passage, committee-passage-favorable`
- **2021-09-13** Enrolled and presented to the Governor at 3 p.m.
- **2021-10-04** Approved by the Governor. `executive-signature`
- **2021-10-04** Chaptered by Secretary of State - Chapter 458, Statutes of 2021. `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/29afcd7d-6fab-40f1-85c9-cb372aebac8f`. Confidence: reported (aggregated from official California legislature records).