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---
type: "Bill"
title: "Alameda Health System Hospital Authority."
description: "Existing law authorizes the Board of Supervisors of Alameda County to establish the Alameda Health System Hospital Authority for the management, administration, and control of the medical center in that county. Existing law prohibits the hospital authority, before January 1, 2024, from entering into a contract with any other person or entity to replace services being provided by physicians and surgeons who are employed by the hospital authority and in a recognized collective bargaining unit, with services provided by that other person or entity without clear and convincing evidence that the needed medical care can only be delivered cost effectively by that other person or entity."
jurisdiction: "us/states/ca"
legislature: "California Legislature"
session: "20232024"
identifier: "AB 722"
citation: "California AB 722 (20232024)"
classification: ["bill"]
subjects: ["Alameda Health System Hospital Authority"]
status: "enacted"
primary_sponsors: ["Bonta"]
version_count: 5
action_count: 17
vote_count: 5
first_action: "2023-02-13"
last_action: "2023-09-30"
source: "openstates"
source_identifier: "ocd-bill/6af59b31-36ee-4e4c-9ab4-604397f72377"
source_url: "http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240AB722"
source_hash: "f93df0e582c8330dab90477025fe6eb12d3c990266d31626d9c1e6f0fee51a6c"
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 722 (20232024) — Alameda Health System Hospital Authority.
Existing law authorizes the Board of Supervisors of Alameda County to establish the Alameda Health System Hospital Authority for the management, administration, and control of the medical center in that county. Existing law prohibits the hospital authority, before January 1, 2024, from entering into a contract with any other person or entity to replace services being provided by physicians and surgeons who are employed by the hospital authority and in a recognized collective bargaining unit, with services provided by that other person or entity without clear and convincing evidence that the needed medical care can only be delivered cost effectively by that other person or entity.
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **02/13/23 - Introduced** (filed) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202320240AB722&version=20230AB72299INT)
2. **04/24/23 - Amended Assembly** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202320240AB722&version=20230AB72298AMD)
3. **09/30/23 - Chaptered** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202320240AB722&version=20230AB72296CHP)
4. **AB722** (committee substitute) — [source](http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240AB722)
5. **09/08/23 - Enrolled** (enrolled) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202320240AB722&version=20230AB72297ENR)
## Votes
- AB 722 Bonta Assembly Third Reading — **600** (pass) · lower
- 3rd Reading AB722 Bonta et al. By Wahab — **363** (pass) · upper
- Do pass — **100** (pass) · upper
- Do pass, but first be re-referred to the Committee on [Health] — **70** (pass) · upper
- Do pass. — **71** (pass) · lower
## Sponsors
- Bonta — primary (person)
- Ortega — coauthor (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2023-02-13** Read first time. To print. `reading-1`
- **2023-02-14** From printer. May be heard in committee March 16.
- **2023-02-23** Referred to Com. on L. GOV. `referral-committee`
- **2023-03-29** From committee: Do pass. (Ayes 7. Noes 1.) (March 29). `committee-passage, committee-passage-favorable`
- **2023-03-30** Read second time. Ordered to third reading. `reading-1, reading-2`
- **2023-04-24** Read third time and amended. Ordered to third reading. (Page 1297.) `amendment-passage, reading-1, reading-3`
- **2023-05-08** Read third time. Passed. Ordered to the Senate. (Ayes 60. Noes 0. Page 1483.) `passage, reading-1, reading-3`
- **2023-05-09** In Senate. Read first time. To Com. on RLS. for assignment. `reading-1`
- **2023-05-17** Referred to Coms. on GOV. & F. and HEALTH. `referral-committee`
- **2023-06-21** From committee: Do pass and re-refer to Com. on HEALTH. (Ayes 7. Noes 0.) (June 21). Re-referred to Com. on HEALTH. `committee-passage, committee-passage-favorable, referral-committee`
- **2023-07-13** From committee: Do pass. (Ayes 10. Noes 0.) (July 12). `committee-passage, committee-passage-favorable`
- **2023-08-14** Read second time. Ordered to third reading. `reading-1, reading-2`
- **2023-09-06** Read third time. Passed. Ordered to the Assembly. (Ayes 36. Noes 3. Page 2392.). `passage, reading-1, reading-3`
- **2023-09-06** In Assembly. Ordered to Engrossing and Enrolling. `committee-passage`
- **2023-09-13** Enrolled and presented to the Governor at 3 p.m.
- **2023-09-30** Approved by the Governor. `executive-signature`
- **2023-09-30** Chaptered by Secretary of State - Chapter 269, 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/6af59b31-36ee-4e4c-9ab4-604397f72377`. Confidence: reported (aggregated from official California legislature records).