republic-os/legislation/us/states/ca/20092010/ab-2645.md

---
type: "Bill"
title: "Mental health: skilled nursing facilities: reimbursement rate."
description: "Existing law provides for the licensure and regulation of health facilities, including skilled nursing facilities, by the State Department of Public Health. Existing law requires the State Department of Health Care Services to contract with skilled nursing facilities that have been designated by the State Department of Mental Health as institutions for mental disease to provide services to the residents. Under existing law, as long as contracts require institutions for mental disease to continue to be licensed as skilled nursing facilities, they shall be reimbursed at a specified rate, subject to an annual increase of 4.7 percent."
jurisdiction: "us/states/ca"
legislature: "California Legislature"
session: "20092010"
identifier: "AB 2645"
citation: "California AB 2645 (20092010)"
classification: ["bill"]
subjects: ["Mental health: skilled nursing facilities: reimbursement rate."]
status: "enacted"
primary_sponsors: ["Chesbro"]
version_count: 5
action_count: 27
vote_count: 7
first_action: "2010-02-19"
last_action: "2010-09-29"
source: "openstates"
source_identifier: "ocd-bill/b00e44c7-0583-460f-92b9-1c04d097a19d"
source_url: "http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=200920100AB2645"
source_hash: "58ba74ceea0cdcc48ad382fe0df8f2d8c2d6087f794ab46a52107c352a3b5a13"
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 2645 (20092010) — Mental health: skilled nursing facilities: reimbursement rate.

Existing law provides for the licensure and regulation of health facilities, including skilled nursing facilities, by the State Department of Public Health. Existing law requires the State Department of Health Care Services to contract with skilled nursing facilities that have been designated by the State Department of Mental Health as institutions for mental disease to provide services to the residents. Under existing law, as long as contracts require institutions for mental disease to continue to be licensed as skilled nursing facilities, they shall be reimbursed at a specified rate, subject to an annual increase of 4.7 percent.

## Version chain

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

1. **02/19/10 - Introduced** (filed) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=200920100AB2645&version=20090AB264599INT)
2. **06/21/10 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=200920100AB2645&version=20090AB264598AMD)
3. **09/29/10 - Chaptered** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=200920100AB2645&version=20090AB264596CHP)
4. **AB2645** (committee substitute) — [source](http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=200920100AB2645)
5. **08/24/10 - Enrolled** (enrolled) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=200920100AB2645&version=20090AB264597ENR)

## Votes

- Special Consent #31 AB2645 Chesbro — **pass** (pass) · upper
- Do pass, to Consent Calendar. — **pass** (pass) · lower
- Do pass. — **pass** (pass) · upper
- AB 2645 CHESBRO Assembly Third Reading — **pass** (pass) · lower
- Do pass and be re-referred to the Committee on Appropriations. — **pass** (pass) · lower
- Do pass, but re-refer to the Committee on Appropriations. — **pass** (pass) · upper
- AB 2645 CHESBRO Concurrence- Urgency Added — **pass** (pass) · lower

## Sponsors

- Chesbro — primary (person)

## Timeline

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

- **2010-02-19** Introduced. To print. `introduction`
- **2010-02-21** From printer. May be heard in committee March 23.
- **2010-02-22** Read first time. `reading-1`
- **2010-03-18** Referred to Com. on HEALTH. `referral-committee`
- **2010-04-13** In committee: Set, first hearing. Hearing canceled at the request of author.
- **2010-04-21** From committee: Do pass, and re-refer to Com. on APPR. Re-referred. (Ayes 18. Noes 0.) (April 20). `committee-passage-favorable, committee-passage`
- **2010-04-29** From committee: Do pass. To Consent Calendar. (April 28). `committee-passage-favorable, committee-passage`
- **2010-05-03** Read second time. To Consent Calendar. `reading-2, reading-1`
- **2010-05-06** From Consent Calendar.
- **2010-05-06** Ordered to third reading.
- **2010-06-02** Read third time, passed, and to Senate. (Ayes 75. Noes 0. Page 5471.) `reading-3, passage, reading-1`
- **2010-06-03** In Senate. Read first time. To Com. on RLS. for assignment. `reading-1`
- **2010-06-10** Referred to Com. on HEALTH. `referral-committee`
- **2010-06-14** In committee: Set, first hearing. Hearing canceled at the request of author.
- **2010-06-15** In committee: Set, second hearing. Hearing canceled at the request of author.
- **2010-06-21** From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on HEALTH. `amendment-introduction, reading-2, amendment-passage, referral-committee, reading-1`
- **2010-06-24** From committee: Do pass, and re-refer to Com. on APPR. Re-referred. (Ayes 7. Noes 0.) (June 24). `committee-passage-favorable, committee-passage`
- **2010-08-03** From committee: Do pass. (Ayes 10. Noes 0.) (August 2). `committee-passage-favorable, committee-passage`
- **2010-08-04** Read second time. To third reading. `reading-2, reading-1`
- **2010-08-12** Ordered to Special Consent Calendar.
- **2010-08-18** Read third time, passed, and to Assembly. (Ayes 34. Noes 0. Page 4604.) `reading-3, passage, reading-1`
- **2010-08-18** In Assembly. Concurrence in Senate amendments pending. May be considered on or after August 20 pursuant to Assembly Rule 77.
- **2010-08-19** Assembly Rule 77 suspended. (Page 6373.)
- **2010-08-19** Urgency clause adopted. Senate amendments concurred in. To enrollment. (Ayes 77. Noes 0. Page 6389.) `amendment-passage, committee-passage-favorable`
- **2010-08-26** Enrolled and to the Governor at 4:45 p.m.
- **2010-09-29** Approved by the Governor. `executive-signature`
- **2010-09-29** Chaptered by Secretary of State - Chapter 554, Statutes of 2010.

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/b00e44c7-0583-460f-92b9-1c04d097a19d`. Confidence: reported (aggregated from official California legislature records).