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---
type: "Bill"
title: "Hospital and Emergency Physician Fair Pricing Policies."
description: "Existing law requires a hospital to maintain a written charity care policy and a discount payment policy for uninsured patients or patients with high medical costs who are at or below 400 percent of the federal poverty level. Existing law requires the written policy regarding discount payments to also include a statement that an emergency physician who provides emergency medical services in a hospital that provides emergency care is also required by law to provide discounts to uninsured patients or patients with high medical costs who are at or below 400 percent of the federal poverty level. Existing law authorizes an emergency physician to choose to grant eligibility for a discount payment policy to patients with incomes over 350% of the federal poverty level. Existing law defines \"high medical costs\" for these purposes to mean, among other things, specified annual out-of-pocket costs incurred by the individual at the hospital or a hospital that provided emergency care."
jurisdiction: "us/states/ca"
legislature: "California Legislature"
session: "20232024"
identifier: "AB 2297"
citation: "California AB 2297 (20232024)"
classification: ["bill"]
subjects: ["Hospital and Emergency Physician Fair Pricing Policies"]
status: "enacted"
primary_sponsors: ["Friedman"]
version_count: 8
action_count: 30
vote_count: 8
first_action: "2024-02-12"
last_action: "2024-09-24"
source: "openstates"
source_identifier: "ocd-bill/c0eae60a-ed20-4898-b973-e4c14f6ca30a"
source_url: "http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240AB2297"
source_hash: "68c398c92820dce2986daf596bbdc1b45af8a001fa5ba4308f14aa9fb4068666"
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 2297 (20232024) — Hospital and Emergency Physician Fair Pricing Policies.
Existing law requires a hospital to maintain a written charity care policy and a discount payment policy for uninsured patients or patients with high medical costs who are at or below 400 percent of the federal poverty level. Existing law requires the written policy regarding discount payments to also include a statement that an emergency physician who provides emergency medical services in a hospital that provides emergency care is also required by law to provide discounts to uninsured patients or patients with high medical costs who are at or below 400 percent of the federal poverty level. Existing law authorizes an emergency physician to choose to grant eligibility for a discount payment policy to patients with incomes over 350% of the federal poverty level. Existing law defines "high medical costs" for these purposes to mean, among other things, specified annual out-of-pocket costs incurred by the individual at the hospital or a hospital that provided emergency care.
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **02/12/24 - Introduced** (filed) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202320240AB2297&version=20230AB229799INT)
2. **04/11/24 - Amended Assembly** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202320240AB2297&version=20230AB229798AMD)
3. **06/17/24 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202320240AB2297&version=20230AB229797AMD)
4. **08/05/24 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202320240AB2297&version=20230AB229796AMD)
5. **08/23/24 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202320240AB2297&version=20230AB229795AMD)
6. **09/24/24 - Chaptered** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202320240AB2297&version=20230AB229793CHP)
7. **AB2297** (committee substitute) — [source](http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240AB2297)
8. **09/03/24 - Enrolled** (enrolled) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202320240AB2297&version=20230AB229794ENR)
## Votes
- Do pass and be re-referred to the Committee on [Appropriations] — **92** (pass) · lower
- 3rd Reading AB2297 Friedman et al. By Limón — **317** (pass) · upper
- AB 2297 Friedman Assembly Third Reading — **566** (pass) · lower
- Do pass as amended and be re-referred to the Committee on [Judiciary] — **132** (pass) · lower
- AB 2297 Friedman Concurrence in Senate Amendments — **600** (pass) · lower
- Do pass as amended, but first amend, and re-refer to the Committee on [Judiciary] — **72** (pass) · upper
- Do pass. — **112** (pass) · lower
- Do pass, but first be re-referred to the Committee on [Appropriations] — **92** (pass) · upper
## Sponsors
- Friedman — primary (person)
- Kalra — coauthor (person)
- McKinnor — coauthor (person)
- Wood — coauthor (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2024-02-12** Read first time. To print. `reading-1`
- **2024-02-13** From printer. May be heard in committee March 14.
- **2024-02-26** Referred to Coms. on HEALTH and JUD. `referral-committee`
- **2024-03-26** In committee: Hearing postponed by committee.
- **2024-04-10** From committee: Amend, and do pass as amended and re-refer to Com. on JUD. (Ayes 13. Noes 2.) (April 9). `amendment-introduction, amendment-passage, committee-passage, referral-committee`
- **2024-04-11** Read second time and amended. `amendment-passage, reading-1, reading-2`
- **2024-04-15** Re-referred to Com. on JUD. `referral-committee`
- **2024-04-23** Coauthors revised.
- **2024-04-23** From committee: Do pass and re-refer to Com. on APPR. (Ayes 9. Noes 2.) (April 23). Re-referred to Com. on APPR. `committee-passage, committee-passage-favorable, referral-committee`
- **2024-05-08** From committee: Do pass. (Ayes 11. Noes 2.) (May 8). `committee-passage, committee-passage-favorable`
- **2024-05-09** Read second time. Ordered to third reading. `reading-1, reading-2`
- **2024-05-20** Read third time. Passed. Ordered to the Senate. (Ayes 56. Noes 6. Page 5316.) `passage, reading-1, reading-3`
- **2024-05-21** In Senate. Read first time. To Com. on RLS. for assignment. `reading-1`
- **2024-05-29** Referred to Coms. on HEALTH and JUD. `referral-committee`
- **2024-06-13** From committee: Amend, and do pass as amended and re-refer to Com. on JUD. (Ayes 7. Noes 2.) (June 12). `amendment-introduction, amendment-passage, committee-passage, referral-committee`
- **2024-06-17** Read second time and amended. Re-referred to Com. on JUD. `amendment-passage, reading-1, reading-2, referral-committee`
- **2024-06-26** From committee: Do pass and re-refer to Com. on APPR. (Ayes 9. Noes 2.) (June 25). Re-referred to Com. on APPR. `committee-passage, committee-passage-favorable, referral-committee`
- **2024-07-29** In committee: Hearing postponed by committee.
- **2024-08-05** 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`
- **2024-08-12** From committee: Be ordered to second reading pursuant to Senate Rule 28.8. `committee-passage, reading-2`
- **2024-08-13** Read second time. Ordered to third reading. `reading-1, reading-2`
- **2024-08-23** Read third time and amended. Ordered to second reading. `amendment-passage, reading-1, reading-3`
- **2024-08-26** Read second time. Ordered to third reading. `reading-1, reading-2`
- **2024-08-28** Read third time. Passed. Ordered to the Assembly. (Ayes 30. Noes 7.). `passage, reading-1, reading-3`
- **2024-08-28** In Assembly. Concurrence in Senate amendments pending. May be considered on or after August 30 pursuant to Assembly Rule 77.
- **2024-08-29** Assembly Rule 77 suspended.
- **2024-08-29** Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 60. Noes 0.). `amendment-passage, committee-passage-favorable`
- **2024-09-11** Enrolled and presented to the Governor at 4 p.m.
- **2024-09-24** Approved by the Governor. `executive-signature`
- **2024-09-24** Chaptered by Secretary of State - Chapter 511, Statutes of 2024. `became-law`
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/c0eae60a-ed20-4898-b973-e4c14f6ca30a`. Confidence: reported (aggregated from official California legislature records).