republic-os/legislation/us/states/ca/20232024/ajr-4.md

type, title, description, jurisdiction, legislature, session, identifier, citation, classification, subjects, status, primary_sponsors, version_count, action_count, vote_count, first_action, last_action, source, source_identifier, source_url, source_hash, vintage, source_snapshot, retrieved_at, confidence, tags

type	title	description	jurisdiction	legislature	session	identifier	citation	classification	subjects	status	primary_sponsors	version_count	action_count	vote_count	first_action	last_action	source	source_identifier	source_url	source_hash	vintage	source_snapshot	retrieved_at	confidence	tags
Bill	Relative to the Medicare Program.	This measure would request the President of the United States to immediately end the Accountable Care Organization (ACO) Realizing Equity, Access, and Community Health (REACH) Model under the federal Medicare Program, with the stated goal of eliminating corporate profiteering and expanding consumer-directed access to care established through Traditional Medicare.	us/states/ca	California Legislature	20232024	AJR 4	California AJR 4 (20232024)	joint resolution	ACO REACH Model Medicare	enacted	Schiavo	5	17	4	2023-04-12	2023-09-14	openstates	ocd-bill/1b4d7ca6-ef8c-4017-a601-a5df5dd6a063	http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240AJR4	bc2c7b20d57f3be3b9f094768c804322799ecacd763855d4d90f72905c660dee	2026-07-01	https://data.openstates.org/daily/2026-07-01/public.pgdump	2026-07-06	reported	legislation bill us-ca

California AJR 4 (20232024) — Relative to the Medicare Program.

This measure would request the President of the United States to immediately end the Accountable Care Organization (ACO) Realizing Equity, Access, and Community Health (REACH) Model under the federal Medicare Program, with the stated goal of eliminating corporate profiteering and expanding consumer-directed access to care established through Traditional Medicare.

Version chain

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

1. 04/12/23 - Introduced (filed) — source
2. 05/25/23 - Amended Assembly (committee substitute) — source
3. 09/14/23 - Chaptered (committee substitute) — source
4. AJR4 (committee substitute) — source
5. 09/11/23 - Enrolled (enrolled) — source

Votes

• 3rd Reading AJR4 Schiavo et al. By McGuire — 30–6 (pass) · upper
• Be adopted and re-referred to the Committee on [Appropriations] — 12–3 (pass) · lower
• AJR 4 Schiavo Assembly Third Reading — 63–15 (pass) · lower
• Be adopted. Ordered to third reading — 10–0 (pass) · upper

Sponsors

• Schiavo — primary (person)
• Addis — coauthor (person)
• Aguiar-Curry — coauthor (person)
• Alvarez — coauthor (person)
• Arambula — coauthor (person)
• Bains — coauthor (person)
• Bauer-Kahan — coauthor (person)
• Bennett — coauthor (person)
• Berman — coauthor (person)
• Blanca Rubio — coauthor (person)
• Bonta — coauthor (person)
• Bryan — coauthor (person)
• Calderon — coauthor (person)
• Cervantes — coauthor (person)
• Connolly — coauthor (person)
• Friedman — coauthor (person)
• Gabriel — coauthor (person)
• Garcia — coauthor (person)
• Gipson — coauthor (person)
• Grayson — coauthor (person)
• Haney — coauthor (person)
• Hart — coauthor (person)
• Holden — coauthor (person)
• Irwin — coauthor (person)
• Jackson — coauthor (person)
• Jones-Sawyer — coauthor (person)
• Juan Carrillo — coauthor (person)
• Kalra — coauthor (person)
• Lee — coauthor (person)
• Low — coauthor (person)
• Lowenthal — coauthor (person)
• Luz Rivas — coauthor (person)
• Maienschein — coauthor (person)
• McCarty — coauthor (person)
• McGuire — principal coauthor (person)
• McKinnor — coauthor (person)
• Mike Fong — coauthor (person)
• Muratsuchi — coauthor (person)
• Pacheco — coauthor (person)
• Papan — coauthor (person)
• Pellerin — coauthor (person)
• Petrie-Norris — coauthor (person)
• Quirk-Silva — coauthor (person)
• Ramos — coauthor (person)
• Rendon — coauthor (person)
• Reyes — coauthor (person)
• Robert Rivas — coauthor (person)
• Rodriguez — coauthor (person)
• Santiago — coauthor (person)
• Soria — coauthor (person)
• Stephanie Nguyen — coauthor (person)
• Ting — coauthor (person)
• Valencia — coauthor (person)
• Villapudua — coauthor (person)
• Waldron — coauthor (person)
• Ward — coauthor (person)
• Weber — coauthor (person)
• Wendy Carrillo — coauthor (person)
• Wicks — coauthor (person)
• Wilson — coauthor (person)
• Wood — coauthor (person)
• Zbur — coauthor (person)

Timeline

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

• 2023-04-12 Introduced. To print. introduction
• 2023-04-13 From printer.
• 2023-04-20 Referred to Com. on HEALTH. referral-committee
• 2023-04-26 From committee: Be adopted, and re-refer to Com. on APPR. Re-referred. (Ayes 12. Noes 3.) (April 25). Re-referred to Com. on APPR. committee-passage, committee-passage-favorable, referral-committee
• 2023-04-27 Withdrawn from committee.
• 2023-04-27 Ordered to second reading.
• 2023-05-01 Read second time. Ordered to third reading. reading-1, reading-2
• 2023-05-25 Amended. Ordered to third reading.
• 2023-05-31 Coauthors revised.
• 2023-05-31 Adopted and to Senate. (Ayes 63. Noes 15. Page 2002.) amendment-passage, passage
• 2023-06-01 In Senate. To Com. on RLS.
• 2023-06-14 Referred to Com. on HEALTH. referral-committee
• 2023-07-13 From committee: Be adopted. Ordered to Third Reading. (Ayes 10. Noes 0.) (July 12). committee-passage, committee-passage-favorable, reading-1
• 2023-09-07 Adopted and to Assembly. (Ayes 30. Noes 6. Page 2475.) amendment-passage, passage
• 2023-09-07 In Assembly. Ordered to Engrossing and Enrolling. committee-passage
• 2023-09-14 Enrolled and filed with the Secretary of State at 4 p.m.
• 2023-09-14 Chaptered by Secretary of State - Res. Chapter 172, Statutes of 2023. became-law

Source

OpenStates / OpenCivicData bulk snapshot 2026-07-01; origin ocd-bill/1b4d7ca6-ef8c-4017-a601-a5df5dd6a063. Confidence: reported (aggregated from official California legislature records).