California Health Care Quality and Affordability Act.
Existing law, the California Health Care Quality and Affordability Act, establishes within the Department of Health Care Access and Information the Office of Health Care Affordability to analyze the health care market for cost trends and drivers of spending, develop data-informed policies for lowering health care costs for consumers and purchasers, set and enforce cost targets, and create a state strategy for controlling the cost of health care and ensuring affordability for consumers and purchasers. Existing law requires the office to conduct ongoing research and evaluation on payers, fully integrated delivery systems, and providers to determine whether the definitions or other provisions of the act include those entities that significantly affect health care cost, quality, equity, and workforce stability. Existing law defines multiple terms relating to these provisions, including a health care entity to mean a payer, provider, or a fully integrated delivery system and a provider to mean specified entities delivering or furnishing health care services.
California AB 1415 (20252026) — California Health Care Quality and Affordability Act.
Existing law, the California Health Care Quality and Affordability Act, establishes within the Department of Health Care Access and Information the Office of Health Care Affordability to analyze the health care market for cost trends and drivers of spending, develop data-informed policies for lowering health care costs for consumers and purchasers, set and enforce cost targets, and create a state strategy for controlling the cost of health care and ensuring affordability for consumers and purchasers. Existing law requires the office to conduct ongoing research and evaluation on payers, fully integrated delivery systems, and providers to determine whether the definitions or other provisions of the act include those entities that significantly affect health care cost, quality, equity, and workforce stability. Existing law defines multiple terms relating to these provisions, including a health care entity to mean a payer, provider, or a fully integrated delivery system and a provider to mean specified entities delivering or furnishing health care services.
Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
Do pass as amended, but first amend, and re-refer to the Committee on [Appropriations] — 9–2 (pass) · upper
AB 1415 Bonta Concurrence in Senate Amendments — 51–19 (pass) · lower
AB 1415 Bonta Assembly Third Reading — 42–16 (pass) · lower
Do pass. — 11–4 (pass) · lower
3rd Reading AB1415 Bonta et al. By Menjivar — 26–10 (pass) · upper
Do pass as amended and be re-referred to the Committee on [Appropriations] — 11–3 (pass) · lower
Sponsors
Bonta — primary (person)
Schiavo — coauthor (person)
Timeline
The legislative action history — every referral, reading, and vote.
2025-02-21 Introduced. To print. introduction
2025-02-22 From printer. May be heard in committee March 24.
2025-02-24 Read first time. reading-1
2025-03-13 Referred to Com. on HEALTH. referral-committee
2025-04-03 In committee: Hearing postponed by committee.
2025-04-23 From committee: Amend, and do pass as amended and re-refer to Com. on APPR. (Ayes 11. Noes 3.) (April 22). amendment-introduction, amendment-passage, committee-passage, referral-committee
2025-04-24 Read second time and amended. amendment-passage, reading-1, reading-2
2025-04-28 Re-referred to Com. on APPR. referral-committee
2025-05-07 From committee: Do pass. (Ayes 11. Noes 4.) (May 7). committee-passage, committee-passage-favorable
2025-05-08 Read second time. Ordered to third reading. reading-1, reading-2
2025-05-15 Read third time. Passed. Ordered to the Senate. (Ayes 42. Noes 16. Page 1547.) passage, reading-1, reading-3
2025-05-15 In Senate. Read first time. To Com. on RLS. for assignment. reading-1
2025-05-28 Referred to Com. on HEALTH. referral-committee
2025-06-18 In committee: Set, first hearing. Hearing canceled at the request of author.
2025-06-26 From committee: Amend, and do pass as amended and re-refer to Com. on APPR. (Ayes 9. Noes 2.) (June 25). amendment-introduction, amendment-passage, committee-passage, referral-committee
2025-06-27 Read second time and amended. Re-referred to Com. on APPR. amendment-passage, reading-1, reading-2, referral-committee
2025-07-02 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
2025-08-19 From committee: Be ordered to second reading pursuant to Senate Rule 28.8. committee-passage, reading-2
2025-08-20 Read second time. Ordered to third reading. reading-1, reading-2
2025-08-21 Read third time and amended. Ordered to second reading. amendment-passage, reading-1, reading-3
2025-08-25 Read second time. Ordered to third reading. reading-1, reading-2
2025-09-04 Read third time. Passed. Ordered to the Assembly. (Ayes 26. Noes 10. Page 2506.). passage, reading-1, reading-3
2025-09-04 In Assembly. Concurrence in Senate amendments pending.
2025-09-08 Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 51. Noes 19. Page 3038.). amendment-passage, committee-passage-favorable
2025-09-15 Enrolled and presented to the Governor at 4:30 p.m.
2025-10-11 Approved by the Governor. executive-signature
2025-10-11 Chaptered by Secretary of State - Chapter 641, Statutes of 2025. became-law
Source
OpenStates / OpenCivicData bulk snapshot 2026-07-01; origin ocd-bill/45288753-8900-4c92-bf1b-acbdf134a796. Confidence: reported (aggregated from official California legislature records).