---
type: "Bill"
title: "Skilled nursing facilities."
description: "Existing law requires an organization that operates, conducts, owns, or maintains a health facility, and the officers thereof, to make and file with the Office of Statewide Health Planning and Development specified reports relating to the facility's finances, including, among other things, a balance sheet detailing the assets, liabilities, and net worth of the health facility at the end of its fiscal year."
jurisdiction: "us/states/ca"
legislature: "California Legislature"
session: "20212022"
identifier: "SB 650"
citation: "California SB 650 (20212022)"
classification: ["bill"]
subjects: ["Skilled nursing facilities."]
status: "enacted"
primary_sponsors: ["Stern"]
version_count: 9
action_count: 35
vote_count: 8
first_action: "2021-02-19"
last_action: "2021-10-04"
source: "openstates"
source_identifier: "ocd-bill/47c1254e-82cf-4278-97ea-def763b37beb"
source_url: "http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220SB650"
source_hash: "e021063241b40da7a2a09446b0d9062c9b70db79ba5cf65b6aedc3ab3e7fb2e0"
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 650 (20212022) — Skilled nursing facilities.

Existing law requires an organization that operates, conducts, owns, or maintains a health facility, and the officers thereof, to make and file with the Office of Statewide Health Planning and Development specified reports relating to the facility's finances, including, among other things, a balance sheet detailing the assets, liabilities, and net worth of the health facility at the end of its fiscal year.

## Version chain

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

1. **02/19/21 - Introduced** (filed) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220SB650&version=20210SB65099INT)
2. **04/28/21 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220SB650&version=20210SB65098AMD)
3. **05/25/21 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220SB650&version=20210SB65097AMD)
4. **07/01/21 - Amended Assembly** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220SB650&version=20210SB65096AMD)
5. **07/15/21 - Amended Assembly** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220SB650&version=20210SB65095AMD)
6. **09/02/21 - Amended Assembly** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220SB650&version=20210SB65094AMD)
7. **10/04/21 - Chaptered** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220SB650&version=20210SB65092CHP)
8. **SB650** (committee substitute) — [source](http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220SB650)
9. **09/13/21 - Enrolled** (enrolled) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220SB650&version=20210SB65093ENR)

## Votes

- 3rd Reading — **34–3** (pass) · upper
- Unfinished Business SB650 Stern By Gonzalez Concurrence — **32–6** (pass) · upper
- Placed on suspense file — **7–0** (pass) · upper
- Do pass as amended — **5–2** (pass) · upper
- SB 650 Stern Senate Third Reading By Muratsuchi — **65–4** (pass) · lower
- Do pass as amended, but first amend, and re-refer to the Committee on [Appropriations] — **8–2** (pass) · upper
- Do pass. — **12–1** (pass) · lower
- Do pass as amended and be re-referred to the Committee on [Appropriations] — **13–0** (pass) · lower

## Sponsors

- Stern — primary (person)

## Timeline

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

- **2021-02-19** Introduced. To Com. on RLS. for assignment. To print. `introduction`
- **2021-02-22** From printer. May be acted upon on or after March 24.
- **2021-02-22** Read first time. `reading-1`
- **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.)
- **2021-03-03** Referred to Com. on HEALTH. `referral-committee`
- **2021-04-07** Set for hearing April 21.
- **2021-04-27** From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 8. Noes 2. Page 877.) (April 21). `amendment-passage, committee-passage, committee-passage-favorable`
- **2021-04-28** Read second time and amended. Re-referred to Com. on APPR. `amendment-passage, reading-1, reading-2, referral-committee`
- **2021-04-30** Set for hearing May 10.
- **2021-05-06** May 10 hearing postponed by committee.
- **2021-05-07** Set for hearing May 17.
- **2021-05-17** May 17 hearing: Placed on APPR suspense file.
- **2021-05-18** Set for hearing May 20.
- **2021-05-24** From committee: Do pass as amended. (Ayes 5. Noes 2. Page 1199.) (May 20). `amendment-passage, committee-passage, committee-passage-favorable`
- **2021-05-25** Read second time and amended. Ordered to third reading. `amendment-passage, reading-1, reading-2`
- **2021-06-02** Read third time. Passed. (Ayes 34. Noes 3. Page 1391.) Ordered to the Assembly. `passage, reading-1, reading-3`
- **2021-06-02** In Assembly. Read first time. Held at Desk. `reading-1`
- **2021-06-10** Referred to Com. on HEALTH. `referral-committee`
- **2021-07-01** From committee with author's amendments. Read second time and amended. Re-referred to Com. on HEALTH. `amendment-passage, committee-passage, reading-1, reading-2, referral-committee`
- **2021-07-06** July 6 set for first hearing canceled at the request of author.
- **2021-07-14** From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 13. Noes 0.) (July 13). `amendment-passage, committee-passage, committee-passage-favorable`
- **2021-07-15** Read second time and amended. Re-referred to Com. on APPR. `amendment-passage, reading-1, reading-2, referral-committee`
- **2021-08-26** August 26 set for first hearing. Placed on APPR. suspense file.
- **2021-08-26** From committee: Do pass. (Ayes 12. Noes 1.) (August 26). `committee-passage, committee-passage-favorable`
- **2021-08-30** Read second time. Ordered to third reading. `reading-1, reading-2`
- **2021-09-02** Read third time and amended. `amendment-passage, reading-1, reading-3`
- **2021-09-02** Ordered to third reading.
- **2021-09-08** Read third time. Passed. (Ayes 65. Noes 4. Page 2891.) Ordered to the Senate. `passage, reading-1, reading-3`
- **2021-09-08** In Senate. Concurrence in Assembly amendments pending.
- **2021-09-09** Assembly amendments concurred in. (Ayes 32. Noes 6. Page 2550.) Ordered to engrossing and enrolling. `amendment-passage, committee-passage-favorable`
- **2021-09-17** Enrolled and presented to the Governor at 1:30 p.m.
- **2021-10-04** Approved by the Governor. `executive-signature`
- **2021-10-04** Chaptered by Secretary of State. Chapter 493, 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/47c1254e-82cf-4278-97ea-def763b37beb`. Confidence: reported (aggregated from official California legislature records).