republic-os/legislation/us/states/ca/20212022/ab-749.md

---
type: "Bill"
title: "Skilled nursing facilities: medical director certification."
description: "Existing law provides for the licensure and regulation of health facilities, including skilled nursing facilities, by the State Department of Public Health. Existing regulations require each skilled nursing facility to employ a medical director who is responsible for standards, coordination, surveillance, and planning for improvement of medical care in the facility. Existing law makes it a misdemeanor for any person to willfully or repeatedly violate these provisions."
jurisdiction: "us/states/ca"
legislature: "California Legislature"
session: "20212022"
identifier: "AB 749"
citation: "California AB 749 (20212022)"
classification: ["bill"]
subjects: ["Skilled nursing facilities: medical director certification."]
status: "enacted"
primary_sponsors: ["Nazarian"]
version_count: 7
action_count: 23
vote_count: 8
first_action: "2021-02-16"
last_action: "2021-10-06"
source: "openstates"
source_identifier: "ocd-bill/4f060371-b53d-4995-b080-0add64f9379a"
source_url: "http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220AB749"
source_hash: "8ca97027a3dd11667e6136c60e6f1728a0a531488e76f21fde1779005db64364"
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 749 (20212022) — Skilled nursing facilities: medical director certification.

Existing law provides for the licensure and regulation of health facilities, including skilled nursing facilities, by the State Department of Public Health. Existing regulations require each skilled nursing facility to employ a medical director who is responsible for standards, coordination, surveillance, and planning for improvement of medical care in the facility. Existing law makes it a misdemeanor for any person to willfully or repeatedly violate these provisions.

## Version chain

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

1. **02/16/21 - Introduced** (filed) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220AB749&version=20210AB74999INT)
2. **06/14/21 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220AB749&version=20210AB74998AMD)
3. **06/16/21 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220AB749&version=20210AB74997AMD)
4. **08/26/21 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220AB749&version=20210AB74996AMD)
5. **10/06/21 - Chaptered** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220AB749&version=20210AB74994CHP)
6. **AB749** (committee substitute) — [source](http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220AB749)
7. **09/13/21 - Enrolled** (enrolled) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220AB749&version=20210AB74995ENR)

## Votes

- Do pass and be re-referred to the Committee on [Appropriations] — **15–0** (pass) · lower
- Special Consent AB749 — **38–0** (pass) · upper
- Do pass. To Consent Calendar. — **16–0** (pass) · lower
- Do pass as amended, but first amend, and re-refer to the Committee on [Appropriations] — **10–0** (pass) · upper
- Placed on suspense file — **6–0** (pass) · upper
- AB 749 Nazarian Concurrence in Senate Amendments — **79–0** (pass) · lower
- AB 749 Nazarian Consent Calendar Second Day — **77–0** (pass) · lower
- Do pass as amended — **7–0** (pass) · upper

## Sponsors

- Nazarian — primary (person)

## Timeline

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

- **2021-02-16** Read first time. To print. `reading-1`
- **2021-02-17** From printer. May be heard in committee March 19.
- **2021-02-25** Referred to Com. on HEALTH. `referral-committee`
- **2021-04-21** From committee: Do pass and re-refer to Com. on APPR. (Ayes 15. Noes 0.) (April 20). Re-referred to Com. on APPR. `committee-passage, committee-passage-favorable, referral-committee`
- **2021-04-28** From committee: Do pass. To Consent Calendar. (Ayes 16. Noes 0.) (April 28). `committee-passage, committee-passage-favorable`
- **2021-04-29** Read second time. Ordered to Consent Calendar. `reading-1, reading-2`
- **2021-05-06** Read third time. Passed. Ordered to the Senate. (Ayes 77. Noes 0. Page 1337.) `passage, reading-1, reading-3`
- **2021-05-06** In Senate. Read first time. To Com. on RLS. for assignment. `reading-1`
- **2021-05-19** Referred to Com. on HEALTH. `referral-committee`
- **2021-06-10** From committee: Amend, and do pass as amended and re-refer to Com. on APPR. (Ayes 10. Noes 0.) (June 10). `amendment-introduction, amendment-passage, committee-passage, referral-committee`
- **2021-06-14** Read second time and amended. Re-referred to Com. on APPR. `amendment-passage, reading-1, reading-2, referral-committee`
- **2021-06-16** From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on APPR. `amendment-introduction, amendment-passage, reading-1, reading-2, referral-committee`
- **2021-07-05** In committee: Referred to suspense file. `referral-committee`
- **2021-08-26** From committee: Amend, and do pass as amended. (Ayes 7. Noes 0.) (August 26). `amendment-introduction, amendment-passage, committee-passage`
- **2021-08-26** Read second time and amended. Ordered returned to second reading. `amendment-passage, reading-1, reading-2`
- **2021-08-30** Read second time. Ordered to third reading. `reading-1, reading-2`
- **2021-09-03** Ordered to special consent calendar.
- **2021-09-08** Read third time. Passed. Ordered to the Assembly. (Ayes 38. Noes 0. Page 2489.). `passage, reading-1, reading-3`
- **2021-09-08** In Assembly. Concurrence in Senate amendments pending.
- **2021-09-09** Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 79. Noes 0. Page 3007.). `amendment-passage, committee-passage-favorable`
- **2021-09-20** Enrolled and presented to the Governor at 3 p.m.
- **2021-10-06** Approved by the Governor. `executive-signature`
- **2021-10-06** Chaptered by Secretary of State - Chapter 586, 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/4f060371-b53d-4995-b080-0add64f9379a`. Confidence: reported (aggregated from official California legislature records).