republic-os/legislation/us/states/ca/20232024/ab-254.md

---
type: "Bill"
title: "Confidentiality of Medical Information Act: reproductive or sexual health application information."
description: "The Confidentiality of Medical Information Act (CMIA) prohibits a provider of health care, a health care service plan, a contractor, or a corporation and its subsidiaries and affiliates from intentionally sharing, selling, using for marketing, or otherwise using any medical information, as defined, for any purpose not necessary to provide health care services to a patient, except as provided. The CMIA makes a business that offers software or hardware to consumers, including a mobile application or other related device that is designed to maintain medical information in order to make the information available to an individual or a provider of health care at the request of the individual or a provider of health care, for purposes of allowing the individual to manage the individual's information or for the diagnosis, treatment, or management of a medical condition of the individual, a provider of health care subject to the requirements of the CMIA. Existing law makes a violation of these provisions that results in economic loss or personal injury to a patient punishable as a misdemeanor."
jurisdiction: "us/states/ca"
legislature: "California Legislature"
session: "20232024"
identifier: "AB 254"
citation: "California AB 254 (20232024)"
classification: ["bill"]
subjects: ["Confidentiality of Medical Information Act", "reproductive or sexual health application information"]
status: "enacted"
primary_sponsors: ["Bauer-Kahan"]
version_count: 7
action_count: 29
vote_count: 8
first_action: "2023-01-19"
last_action: "2023-09-27"
source: "openstates"
source_identifier: "ocd-bill/f1f4b16c-d3c3-4acb-9d96-b23eabfec08a"
source_url: "http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240AB254"
source_hash: "1c805d55b6c33f09ab842468e3502d85c441cdca8bb4b33748b22a8d426bf711"
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 254 (20232024) — Confidentiality of Medical Information Act: reproductive or sexual health application information.

The Confidentiality of Medical Information Act (CMIA) prohibits a provider of health care, a health care service plan, a contractor, or a corporation and its subsidiaries and affiliates from intentionally sharing, selling, using for marketing, or otherwise using any medical information, as defined, for any purpose not necessary to provide health care services to a patient, except as provided. The CMIA makes a business that offers software or hardware to consumers, including a mobile application or other related device that is designed to maintain medical information in order to make the information available to an individual or a provider of health care at the request of the individual or a provider of health care, for purposes of allowing the individual to manage the individual's information or for the diagnosis, treatment, or management of a medical condition of the individual, a provider of health care subject to the requirements of the CMIA. Existing law makes a violation of these provisions that results in economic loss or personal injury to a patient punishable as a misdemeanor.

## Version chain

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

1. **01/19/23 - Introduced** (filed) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202320240AB254&version=20230AB25499INT)
2. **04/17/23 - Amended Assembly** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202320240AB254&version=20230AB25498AMD)
3. **08/17/23 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202320240AB254&version=20230AB25497AMD)
4. **09/01/23 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202320240AB254&version=20230AB25496AMD)
5. **09/27/23 - Chaptered** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202320240AB254&version=20230AB25494CHP)
6. **AB254** (committee substitute) — [source](http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240AB254)
7. **09/11/23 - Enrolled** (enrolled) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202320240AB254&version=20230AB25495ENR)

## Votes

- Do pass. — **15–0** (pass) · lower
- Do pass and be re-referred to the Committee on [Privacy and Consumer Protection] — **13–0** (pass) · lower
- AB 254 Bauer-Kahan Concurrence in Senate Amendments — **77–0** (pass) · lower
- Do pass and be re-referred to the Committee on [Appropriations] — **10–0** (pass) · lower
- Do pass, but first be re-referred to the Committee on [Appropriations] — **11–1** (pass) · upper
- 3rd Reading AB254 Bauer-Kahan et al. By Ashby — **40–0** (pass) · upper
- Do pass, but first be re-referred to the Committee on [Health] — **9–0** (pass) · upper
- AB 254 Bauer-Kahan Assembly Third Reading — **76–0** (pass) · lower

## Sponsors

- Bauer-Kahan — primary (person)
- Addis — principal coauthor (person)
- Aguiar-Curry — coauthor (person)
- Berman — coauthor (person)
- Boerner — coauthor (person)
- Friedman — principal coauthor (person)
- Papan — coauthor (person)
- Pellerin — coauthor (person)
- Quirk-Silva — coauthor (person)
- Rubio — coauthor (person)
- Weber — coauthor (person)
- Wicks — coauthor (person)

## Timeline

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

- **2023-01-19** Read first time. To print. `reading-1`
- **2023-01-20** From printer. May be heard in committee February 19.
- **2023-02-02** Referred to Coms. on HEALTH and P. & C.P. `referral-committee`
- **2023-03-15** Coauthors revised.
- **2023-03-15** From committee: Do pass and re-refer to Com. on P. & C.P. (Ayes 13. Noes 0.) (March 14). Re-referred to Com. on P. & C.P. `committee-passage, committee-passage-favorable, referral-committee`
- **2023-04-17** From committee chair, with author's amendments: Amend, and re-refer to Com. on P. & C.P. Read second time and amended. `amendment-introduction, amendment-passage, reading-1, reading-2`
- **2023-04-18** Re-referred to Com. on P. & C.P. `referral-committee`
- **2023-04-26** Coauthors revised.
- **2023-04-26** From committee: Do pass and re-refer to Com. on APPR. (Ayes 10. Noes 0.) (April 25). Re-referred to Com. on APPR. `committee-passage, committee-passage-favorable, referral-committee`
- **2023-05-10** From committee: Do pass. (Ayes 15. Noes 0.) (May 10). `committee-passage, committee-passage-favorable`
- **2023-05-11** Read second time. Ordered to third reading. `reading-1, reading-2`
- **2023-05-22** Read third time. Passed. Ordered to the Senate. (Ayes 76. Noes 0. Page 1691.) `passage, reading-1, reading-3`
- **2023-05-23** In Senate. Read first time. To Com. on RLS. for assignment. `reading-1`
- **2023-05-31** Referred to Coms. on JUD. and HEALTH. `referral-committee`
- **2023-06-14** From committee: Do pass and re-refer to Com. on HEALTH. (Ayes 9. Noes 0.) (June 13). Re-referred to Com. on HEALTH. `committee-passage, committee-passage-favorable, referral-committee`
- **2023-07-06** From committee: Do pass and re-refer to Com. on APPR. (Ayes 11. Noes 1.) (July 5). Re-referred to Com. on APPR. `committee-passage, committee-passage-favorable, referral-committee`
- **2023-08-14** From committee: Be ordered to second reading pursuant to Senate Rule 28.8. `committee-passage, reading-2`
- **2023-08-15** Read second time. Ordered to third reading. `reading-1, reading-2`
- **2023-08-17** Read third time and amended. Ordered to second reading. `amendment-passage, reading-1, reading-3`
- **2023-08-21** Read second time. Ordered to third reading. `reading-1, reading-2`
- **2023-09-01** Read third time and amended. Ordered to second reading. `amendment-passage, reading-1, reading-3`
- **2023-09-05** Read second time. Ordered to third reading. `reading-1, reading-2`
- **2023-09-06** Read third time. Passed. Ordered to the Assembly. (Ayes 40. Noes 0. Page 2416.). `passage, reading-1, reading-3`
- **2023-09-06** In Assembly. Concurrence in Senate amendments pending. May be considered on or after September 8 pursuant to Assembly Rule 77.
- **2023-09-07** Assembly Rule 77 suspended. (Page 3011.)
- **2023-09-07** Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 77. Noes 0. Page 3037.). `amendment-passage, committee-passage-favorable`
- **2023-09-13** Enrolled and presented to the Governor at 3 p.m.
- **2023-09-27** Approved by the Governor. `executive-signature`
- **2023-09-27** Chaptered by Secretary of State - Chapter 254, Statutes of 2023. `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/f1f4b16c-d3c3-4acb-9d96-b23eabfec08a`. Confidence: reported (aggregated from official California legislature records).