republic-os/legislation/us/states/ca/20092010/ab-278.md

---
type: "Bill"
title: "Health information exchange: demonstration projects."
description: "Existing law establishes the Office of Health Information Integrity within the California Health and Human Services Agency to ensure the enforcement of state law mandating confidentiality of medical information and to impose administrative fines for the unauthorized use of medical information. Existing law authorizes the California Health and Human Services Agency, or one of the departments under its jurisdiction, to apply for federal funds made available through the federal American Recovery and Reinvestment Act of 2009 (ARRA) for health information technology and exchange."
jurisdiction: "us/states/ca"
legislature: "California Legislature"
session: "20092010"
identifier: "AB 278"
citation: "California AB 278 (20092010)"
classification: ["bill"]
subjects: ["Health information exchange: demonstration projects."]
status: "enacted"
primary_sponsors: ["Monning"]
version_count: 8
action_count: 25
vote_count: 8
first_action: "2009-02-12"
last_action: "2010-09-24"
source: "openstates"
source_identifier: "ocd-bill/f747df10-3949-417b-9068-3c0259bc0eda"
source_url: "http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=200920100AB278"
source_hash: "58edc35ede7f75718dc299b3e2bfcef82041e8b4fdfa50a68531645d99c71a04"
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 278 (20092010) — Health information exchange: demonstration projects.

Existing law establishes the Office of Health Information Integrity within the California Health and Human Services Agency to ensure the enforcement of state law mandating confidentiality of medical information and to impose administrative fines for the unauthorized use of medical information. Existing law authorizes the California Health and Human Services Agency, or one of the departments under its jurisdiction, to apply for federal funds made available through the federal American Recovery and Reinvestment Act of 2009 (ARRA) for health information technology and exchange.

## Version chain

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

1. **02/12/09 - Introduced** (filed) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=200920100AB278&version=20090AB27899INT)
2. **06/03/10 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=200920100AB278&version=20090AB27898AMD)
3. **06/21/10 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=200920100AB278&version=20090AB27897AMD)
4. **07/15/10 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=200920100AB278&version=20090AB27896AMD)
5. **08/17/10 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=200920100AB278&version=20090AB27895AMD)
6. **09/24/10 - Chaptered** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=200920100AB278&version=20090AB27893CHP)
7. **AB278** (committee substitute) — [source](http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=200920100AB278)
8. **09/03/10 - Enrolled** (enrolled) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=200920100AB278&version=20090AB27894ENR)

## Votes

- Senate amendments be concurred in. — **pass** (pass) · lower
- Do pass, to Consent Calendar. — **pass** (pass) · lower
- AB 278 MONNING Concurrence in Senate Amendments — **pass** (pass) · lower
- Do pass as amended. — **pass** (pass) · upper
- Assembly 3rd Reading AB278 Monning By Alquist — **pass** (pass) · upper
- AB 278 CALDERON Consent Calendar Second Day Regular Session — **pass** (pass) · lower
- Placed on Appropriations Suspense file. — **pass** (pass) · upper
- Do pass as amended, and re-refer to the Committee on Appropriations. — **pass** (pass) · upper

## Sponsors

- Monning — primary (person)

## Timeline

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

- **2009-02-12** Read first time. To print. `reading-1`
- **2009-02-13** From printer. May be heard in committee March 15.
- **2009-04-13** Referred to Com. on REV. & TAX. `referral-committee`
- **2009-05-12** From committee: Do pass. To Consent Calendar. (May 11). `committee-passage-favorable, committee-passage`
- **2009-05-13** Read second time. To Consent Calendar. `reading-2, reading-1`
- **2009-05-18** Read third time, passed, and to Senate. (Ayes 77. Noes 0. Page 1557.) `reading-3, passage, reading-1`
- **2009-05-18** In Senate. Read first time. To Com. on RLS. for assignment. `reading-1`
- **2009-06-04** Referred to Com. on RLS. `referral-committee`
- **2010-06-03** From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on RLS. `amendment-introduction, reading-2, amendment-passage, referral-committee, reading-1`
- **2010-06-10** Re-referred to Com. on HEALTH. `referral-committee`
- **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`
- **2010-07-15** From committee: Amend, do pass as amended, and re-refer to Com. on APPR. (Ayes 6. Noes 2.) (June 30). `amendment-introduction, amendment-passage, committee-passage`
- **2010-07-15** Read second time and amended. Re-referred to Com. on APPR. `reading-2, amendment-passage, referral-committee, reading-1`
- **2010-08-02** In committee: Set, first hearing. Referred to APPR suspense file. `referral-committee`
- **2010-08-16** From committee: Amend, and do pass as amended. (Ayes 7. Noes 4.) (August 12). `amendment-introduction, amendment-passage, committee-passage`
- **2010-08-17** Read second time and amended. Ordered to third reading. `amendment-passage, reading-2, reading-1`
- **2010-08-19** Read third time, passed, and to Assembly. (Ayes 23. Noes 12. Page 4681.) `reading-3, passage, reading-1`
- **2010-08-19** In Assembly. Concurrence in Senate amendments pending. May be considered on or after August 21 pursuant to Assembly Rule 77.
- **2010-08-23** Joint Rule 62(a), file notice suspended. (Page 6462.)
- **2010-08-23** Re-referred to Com. on HEALTH. pursuant to Assembly Rule 77.2. `referral-committee`
- **2010-08-25** From committee: With recommendation: That Senate amendments be concurred in. (Ayes 18. Noes 0.) (August 24). `committee-passage`
- **2010-08-26** Senate amendments concurred in. To enrollment. (Ayes 58. Noes 19. Page 6717.) `amendment-passage, committee-passage-favorable`
- **2010-09-08** Enrolled and to the Governor at 4 p.m.
- **2010-09-23** Approved by the Governor. `executive-signature`
- **2010-09-24** Chaptered by Secretary of State - Chapter 227, Statutes of 2010.

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/f747df10-3949-417b-9068-3c0259bc0eda`. Confidence: reported (aggregated from official California legislature records).