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---
type: "Bill"
title: "Health: immunizations."
description: "Existing law prohibits the governing authority of a school or other institution from unconditionally admitting any person as a pupil of any private or public elementary or secondary school, child care center, day nursery, nursery school, family day care home, or development center, unless prior to his or her first admission to that institution he or she has been fully immunized against various diseases, including hepatitis B, pertussis (whooping cough) , and varicella (chickenpox) , and any other disease deemed appropriate by the State Department of Public Health, taking into consideration the recommendations of specified entities."
jurisdiction: "us/states/ca"
legislature: "California Legislature"
session: "20092010"
identifier: "AB 354"
citation: "California AB 354 (20092010)"
classification: ["bill"]
subjects: ["Health: immunizations."]
status: "enacted"
primary_sponsors: ["Arambula"]
version_count: 8
action_count: 30
vote_count: 8
first_action: "2009-02-19"
last_action: "2010-09-29"
source: "openstates"
source_identifier: "ocd-bill/1b846da9-2ad0-4493-8af0-e5d54cb91f30"
source_url: "http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=200920100AB354"
source_hash: "9bb2dc20de1554af1ab296fa81b60d81611311e9643f7e29e691baf899ddfac5"
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 354 (20092010) — Health: immunizations.
Existing law prohibits the governing authority of a school or other institution from unconditionally admitting any person as a pupil of any private or public elementary or secondary school, child care center, day nursery, nursery school, family day care home, or development center, unless prior to his or her first admission to that institution he or she has been fully immunized against various diseases, including hepatitis B, pertussis (whooping cough) , and varicella (chickenpox) , and any other disease deemed appropriate by the State Department of Public Health, taking into consideration the recommendations of specified entities.
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **02/19/09 - Introduced** (filed) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=200920100AB354&version=20090AB35499INT)
2. **04/13/09 - Amended Assembly** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=200920100AB354&version=20090AB35498AMD)
3. **04/28/09 - Amended Assembly** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=200920100AB354&version=20090AB35497AMD)
4. **06/23/09 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=200920100AB354&version=20090AB35496AMD)
5. **08/17/10 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=200920100AB354&version=20090AB35495AMD)
6. **09/29/10 - Chaptered** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=200920100AB354&version=20090AB35493CHP)
7. **AB354** (committee substitute) — [source](http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=200920100AB354)
8. **08/30/10 - Enrolled** (enrolled) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=200920100AB354&version=20090AB35494ENR)
## Votes
- Do pass as amended. — **pass** (pass) · upper
- Assembly 3rd Reading AB354 Arambula By Kehoe — **pass** (pass) · upper
- AB 354 ARAMBULA Assembly Third Reading — **pass** (pass) · lower
- Do pass. — **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
- Do pass as amended and re-refer to Committee on Appropriations with recommendation: To Consent Calendar. — **pass** (pass) · lower
- AB 354 ARAMBULA Concurrence in Senate Amendments — **pass** (pass) · lower
## Sponsors
- Arambula — primary (person)
- Fletcher — author (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2009-02-19** Read first time. To print. `reading-1`
- **2009-02-20** From printer. May be heard in committee March 22.
- **2009-03-09** Referred to Com. on HEALTH. `referral-committee`
- **2009-03-24** In committee: Set, first hearing. Hearing canceled at the request of author.
- **2009-04-13** From committee chair, with author's amendments: Amend, and re-refer to Com. on HEALTH. Read second time and amended. `amendment-introduction, reading-2, amendment-passage, reading-1`
- **2009-04-15** Re-referred to Com. on HEALTH. `referral-committee`
- **2009-04-15** In committee: Set, second hearing. Hearing canceled at the request of author.
- **2009-04-27** From committee: Amend, and do pass as amended, and re-refer to Com. on APPR. with recommendation: To Consent Calendar. (Ayes 19. Noes 0.) (April 21). `amendment-introduction, amendment-passage, committee-passage`
- **2009-04-28** Read second time and amended. `amendment-passage, reading-2, reading-1`
- **2009-04-29** Re-referred to Com. on APPR. `referral-committee`
- **2009-05-21** From committee: Do pass. (Ayes 11. Noes 2.) (May 20). `committee-passage-favorable, committee-passage`
- **2009-05-26** Read second time. To third reading. `reading-2, reading-1`
- **2009-05-28** Read third time, passed, and to Senate. (Ayes 74. Noes 2. Page 1738.) `reading-3, passage, reading-1`
- **2009-05-28** In Senate. Read first time. To Com. on RLS. for assignment. `reading-1`
- **2009-06-04** Referred to Com. on HEALTH. `referral-committee`
- **2009-06-22** From committee: Amend, do pass as amended, and re-refer to Com. on APPR. (Ayes 9. Noes 0.) (June 17). `amendment-introduction, amendment-passage, committee-passage`
- **2009-06-23** Read second time, amended, and re-referred to Com. on APPR. `amendment-passage, referral-committee, reading-2, reading-1`
- **2009-06-29** In committee: Hearing postponed by committee.
- **2009-08-17** In committee: Hearing postponed by committee.
- **2009-08-24** In committee: Set, first hearing. Hearing canceled at the request of author.
- **2010-06-28** In committee: Placed on APPR suspense file.
- **2010-08-16** From committee: Amend, and do pass as amended. (Ayes 11. Noes 0.) (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`
- **2010-08-20** Read third time, passed, and to Assembly. (Ayes 25. Noes 5. Page 4706.) `reading-3, passage, reading-1`
- **2010-08-20** In Assembly. Concurrence in Senate amendments pending. May be considered on or after August 24 pursuant to Assembly Rule 77.
- **2010-08-23** Assembly Rule 77 suspended. (Page 6463.)
- **2010-08-23** Senate amendments concurred in. To enrollment. (Ayes 76. Noes 0. Page 6481.) `amendment-passage, committee-passage-favorable`
- **2010-09-02** Enrolled and to the Governor at 3:45 p.m.
- **2010-09-29** Approved by the Governor. `executive-signature`
- **2010-09-29** Chaptered by Secretary of State - Chapter 434, Statutes of 2010.
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/1b846da9-2ad0-4493-8af0-e5d54cb91f30`. Confidence: reported (aggregated from official California legislature records).