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---
type: "Bill"
title: "Health facilities: critical care units: critical care unit program flexibility."
description: "Existing law requires the State Department of Public Health to license and regulate health facilities, and requires the department to define specified bed classifications for health facilities, including general acute care, intermediate care, and specialized care, among others. Existing law generally authorizes the department or the Department of Health Care Access and Information to permit program flexibility as to various prescribed standards relating to a health facility's physical plant or staffing as long as statutory requirements are met and the program flexibility has prior written approval. A person who violates specified licensing provisions related to these health facilities is guilty of a crime."
jurisdiction: "us/states/ca"
legislature: "California Legislature"
session: "20212022"
identifier: "AB 1422"
citation: "California AB 1422 (20212022)"
classification: ["bill"]
subjects: ["Health facilities: critical care units: critical care unit program flexibility."]
status: "enacted"
primary_sponsors: ["Gabriel"]
version_count: 10
action_count: 31
vote_count: 8
first_action: "2021-02-19"
last_action: "2021-10-08"
source: "openstates"
source_identifier: "ocd-bill/b68b451e-5530-4b1f-8c17-b450d0398960"
source_url: "http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220AB1422"
source_hash: "6389d71ca975fa1b4c4441f704e734a7bf61fb9e7dd94b7cf1db4a08e9b5b8c9"
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 1422 (20212022) — Health facilities: critical care units: critical care unit program flexibility.
Existing law requires the State Department of Public Health to license and regulate health facilities, and requires the department to define specified bed classifications for health facilities, including general acute care, intermediate care, and specialized care, among others. Existing law generally authorizes the department or the Department of Health Care Access and Information to permit program flexibility as to various prescribed standards relating to a health facility's physical plant or staffing as long as statutory requirements are met and the program flexibility has prior written approval. A person who violates specified licensing provisions related to these health facilities is guilty of a crime.
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **02/19/21 - Introduced** (filed) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220AB1422&version=20210AB142299INT)
2. **04/12/21 - Amended Assembly** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220AB1422&version=20210AB142298AMD)
3. **04/22/21 - Amended Assembly** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220AB1422&version=20210AB142297AMD)
4. **05/24/21 - Amended Assembly** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220AB1422&version=20210AB142296AMD)
5. **06/29/21 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220AB1422&version=20210AB142295AMD)
6. **07/08/21 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220AB1422&version=20210AB142294AMD)
7. **09/03/21 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220AB1422&version=20210AB142293AMD)
8. **10/08/21 - Chaptered** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220AB1422&version=20210AB142291CHP)
9. **AB1422** (committee substitute) — [source](http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220AB1422)
10. **09/14/21 - Enrolled** (enrolled) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220AB1422&version=20210AB142292ENR)
## Votes
- 3rd Reading AB1422 Gabriel et al. By Leyva — **299** (pass) · upper
- Do pass as amended. — **124** (pass) · lower
- AB 1422 Gabriel Assembly Third Reading — **5718** (pass) · lower
- Placed on suspense file — **70** (pass) · upper
- AB 1422 Gabriel Concurrence in Senate Amendments — **5918** (pass) · lower
- Do pass as amended, but first amend, and re-refer to the Committee on [Appropriations] — **81** (pass) · upper
- Do pass as amended and be re-referred to the Committee on [Appropriations] — **122** (pass) · lower
- Do pass — **52** (pass) · upper
## Sponsors
- Gabriel — primary (person)
- Santiago — coauthor (person)
- Stone — coauthor (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2021-02-19** Introduced. To print. `introduction`
- **2021-02-20** From printer. May be heard in committee March 22.
- **2021-02-22** Read first time. `reading-1`
- **2021-03-11** Referred to Com. on HEALTH. `referral-committee`
- **2021-04-12** From committee chair, with author's amendments: Amend, and re-refer to Com. on HEALTH. Read second time and amended. `amendment-introduction, amendment-passage, reading-1, reading-2`
- **2021-04-13** Re-referred to Com. on HEALTH. `referral-committee`
- **2021-04-13** In committee: Hearing postponed by committee.
- **2021-04-21** From committee: Amend, and do pass as amended and re-refer to Com. on APPR. (Ayes 12. Noes 2.) (April 20). `amendment-introduction, amendment-passage, committee-passage, referral-committee`
- **2021-04-22** Read second time and amended. `amendment-passage, reading-1, reading-2`
- **2021-04-26** Re-referred to Com. on APPR. `referral-committee`
- **2021-05-05** In committee: Set, first hearing. Referred to APPR. suspense file. `referral-committee`
- **2021-05-20** From committee: Amend, and do pass as amended. (Ayes 12. Noes 4.) (May 20). `amendment-introduction, amendment-passage, committee-passage`
- **2021-05-24** Read second time and amended. Ordered returned to second reading. `amendment-passage, reading-1, reading-2`
- **2021-05-25** Read second time. Ordered to third reading. `reading-1, reading-2`
- **2021-06-01** Read third time. Passed. Ordered to the Senate. (Ayes 57. Noes 18. Page 1794.) `passage, reading-1, reading-3`
- **2021-06-02** In Senate. Read first time. To Com. on RLS. for assignment. `reading-1`
- **2021-06-16** Referred to Com. on HEALTH. `referral-committee`
- **2021-06-29** From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on HEALTH. `amendment-introduction, amendment-passage, reading-1, reading-2, referral-committee`
- **2021-07-07** From committee: Amend, and do pass as amended and re-refer to Com. on APPR. (Ayes 8. Noes 1.) (July 7). `amendment-introduction, amendment-passage, committee-passage, referral-committee`
- **2021-07-08** Read second time and amended. Re-referred to Com. on APPR. `amendment-passage, reading-1, reading-2, referral-committee`
- **2021-08-16** In committee: Referred to suspense file. `referral-committee`
- **2021-08-26** From committee: Do pass. (Ayes 5. Noes 2.) (August 26). `committee-passage, committee-passage-favorable`
- **2021-08-26** Read second time. Ordered to third reading. `reading-1, reading-2`
- **2021-09-03** Read third time and amended. Ordered to second reading. `amendment-passage, reading-1, reading-3`
- **2021-09-07** Read second time. Ordered to third reading. `reading-1, reading-2`
- **2021-09-08** Read third time. Passed. Ordered to the Assembly. (Ayes 29. Noes 9. Page 2531.). `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 59. Noes 18. Page 2979.). `amendment-passage, committee-passage-favorable`
- **2021-09-20** Enrolled and presented to the Governor at 3 p.m.
- **2021-10-08** Approved by the Governor. `executive-signature`
- **2021-10-08** Chaptered by Secretary of State - Chapter 716, 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/b68b451e-5530-4b1f-8c17-b450d0398960`. Confidence: reported (aggregated from official California legislature records).