--- type: "Bill" title: "Hospice: services to seriously ill patients." description: "Under the California Hospice Licensure Act of 1990, the State Department of Public Health licenses and regulates persons or agencies that provide hospice, which is a type of interdisciplinary health care that includes palliative care to individuals experiencing the last phases of life due to the existence of a terminal disease and supportive care to the primary caregivers and family of the hospice patient. A violation of the act is a misdemeanor. The act authorizes, until January 1, 2022, a licensee under the act to provide any of the authorized interdisciplinary hospice services, including palliative care, to a patient who has a serious illness." jurisdiction: "us/states/ca" legislature: "California Legislature" session: "20212022" identifier: "SB 353" citation: "California SB 353 (20212022)" classification: ["bill"] subjects: ["Hospice: services to seriously ill patients."] status: "enacted" primary_sponsors: ["Roth"] version_count: 5 action_count: 28 vote_count: 6 first_action: "2021-02-09" last_action: "2021-10-04" source: "openstates" source_identifier: "ocd-bill/10b5f3e3-74a3-4d20-992f-a66b5e5ab2b6" source_url: "http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220SB353" source_hash: "0afaf32706fcc54dc2a76af88e81c8de46b0ad453b3ceb9da5d3553943e83a05" 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 353 (20212022) — Hospice: services to seriously ill patients. Under the California Hospice Licensure Act of 1990, the State Department of Public Health licenses and regulates persons or agencies that provide hospice, which is a type of interdisciplinary health care that includes palliative care to individuals experiencing the last phases of life due to the existence of a terminal disease and supportive care to the primary caregivers and family of the hospice patient. A violation of the act is a misdemeanor. The act authorizes, until January 1, 2022, a licensee under the act to provide any of the authorized interdisciplinary hospice services, including palliative care, to a patient who has a serious illness. ## Version chain The bill's text revisions, in order — the diff chain from filing to enrollment. 1. **02/09/21 - Introduced** (filed) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220SB353&version=20210SB35399INT) 2. **07/15/21 - Amended Assembly** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220SB353&version=20210SB35398AMD) 3. **10/04/21 - Chaptered** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220SB353&version=20210SB35396CHP) 4. **SB353** (committee substitute) — [source](http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220SB353) 5. **09/01/21 - Enrolled** (enrolled) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220SB353&version=20210SB35397ENR) ## Votes - Do pass, but first be re-referred to the Committee on [Appropriations] with the recommendation: To Consent Calendar — **11–0** (pass) · upper - Consent Calendar SB353 — **38–0** (pass) · upper - Do pass and be re-referred to the Committee on [Appropriations] with recommendation: To Consent Calendar — **15–0** (pass) · lower - Do pass. To Consent Calendar. — **14–0** (pass) · lower - Special Consent — **39–0** (pass) · upper - SB 353 Roth Senate Third Reading By Irwin — **76–0** (pass) · lower ## Sponsors - Roth — primary (person) ## Timeline The legislative action history — every referral, reading, and vote. - **2021-02-09** Introduced. Read first time. To Com. on RLS. for assignment. To print. `introduction, reading-1` - **2021-02-10** From printer. May be acted upon on or after March 12. - **2021-02-17** Referred to Com. on HEALTH. `referral-committee` - **2021-02-22** Art. IV. Sec. 8(a) of the Constitution dispensed with. - **2021-02-22** (Ayes 32. Noes 4.) - **2021-02-22** Joint Rule 55 suspended. (Ayes 32. Noes 4. Page 272.) - **2021-02-24** Set for hearing March 10. - **2021-03-11** From committee: Do pass and re-refer to Com. on APPR with recommendation: To consent calendar. (Ayes 11. Noes 0. Page 457.) (March 10). Re-referred to Com. on APPR. `committee-passage, committee-passage-favorable, referral-committee` - **2021-04-09** Set for hearing April 19. - **2021-04-19** From committee: Be ordered to second reading pursuant to Senate Rule 28.8 and ordered to consent calendar. `committee-passage, reading-2` - **2021-04-20** Read second time. Ordered to consent calendar. `reading-1, reading-2` - **2021-04-22** Read third time. Passed. (Ayes 38. Noes 0. Page 887.) Ordered to the Assembly. `passage, reading-1, reading-3` - **2021-04-22** In Assembly. Read first time. Held at Desk. `reading-1` - **2021-05-13** Referred to Com. on HEALTH. `referral-committee` - **2021-06-08** From committee: Do pass and re-refer to Com. on APPR. with recommendation: To consent calendar. (Ayes 15. Noes 0.) (June 8). Re-referred to Com. on APPR. `committee-passage, committee-passage-favorable, referral-committee` - **2021-06-30** From committee: Do pass. Ordered to consent calendar. (Ayes 14. Noes 0.) (June 30). `committee-passage, committee-passage-favorable` - **2021-07-01** Read second time. Ordered to consent calendar. `reading-1, reading-2` - **2021-07-08** From consent calendar on motion of Assembly Member Irwin. - **2021-07-08** Ordered to third reading. - **2021-07-15** Read third time and amended. `amendment-passage, reading-1, reading-3` - **2021-07-15** Ordered to third reading. - **2021-08-16** Read third time. Passed. (Ayes 76. Noes 0. Page 2408.) Ordered to the Senate. `passage, reading-1, reading-3` - **2021-08-16** In Senate. Concurrence in Assembly amendments pending. - **2021-08-23** Ordered to special consent calendar. - **2021-08-30** Assembly amendments concurred in. (Ayes 39. Noes 0. Page 2243.) Ordered to engrossing and enrolling. `amendment-passage, committee-passage-favorable` - **2021-09-03** Enrolled and presented to the Governor at 2 p.m. - **2021-10-04** Approved by the Governor. `executive-signature` - **2021-10-04** Chaptered by Secretary of State. Chapter 488, 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/10b5f3e3-74a3-4d20-992f-a66b5e5ab2b6`. Confidence: reported (aggregated from official California legislature records).