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---
type: "Bill"
title: "Emergency medical services."
description: "Existing law, the Emergency Medical Services System and the Prehospital Emergency Medical Care Personnel Act, creates the Emergency Medical Services Authority, which is responsible for the coordination of various state activities concerning emergency medical services. Among other duties, existing law requires the authority to develop planning and implementation guidelines for EMS systems, provide technical assistance to existing agencies, counties, and cities for the purpose of developing the components of EMS systems, and receive plans for the implementation of EMS and trauma care systems from local EMS agencies. Existing law makes a violation of the act or regulations adopted pursuant to the act punishable as a misdemeanor."
jurisdiction: "us/states/ca"
legislature: "California Legislature"
session: "20232024"
identifier: "AB 40"
citation: "California AB 40 (20232024)"
classification: ["bill"]
subjects: ["Emergency medical services"]
status: "enacted"
primary_sponsors: ["Rodriguez"]
version_count: 9
action_count: 29
vote_count: 9
first_action: "2022-12-05"
last_action: "2023-10-13"
source: "openstates"
source_identifier: "ocd-bill/c3c53fba-3099-44c9-a9ce-999ba87a884e"
source_url: "http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240AB40"
source_hash: "9038e9229d4aa415eaa8ad06df0c4246e3c2bd63cb8c2b7527b64564be0f8576"
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 40 (20232024) — Emergency medical services.
Existing law, the Emergency Medical Services System and the Prehospital Emergency Medical Care Personnel Act, creates the Emergency Medical Services Authority, which is responsible for the coordination of various state activities concerning emergency medical services. Among other duties, existing law requires the authority to develop planning and implementation guidelines for EMS systems, provide technical assistance to existing agencies, counties, and cities for the purpose of developing the components of EMS systems, and receive plans for the implementation of EMS and trauma care systems from local EMS agencies. Existing law makes a violation of the act or regulations adopted pursuant to the act punishable as a misdemeanor.
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **12/05/22 - Introduced** (filed) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202320240AB40&version=20230AB4099INT)
2. **03/15/23 - Amended Assembly** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202320240AB40&version=20230AB4098AMD)
3. **04/20/23 - Amended Assembly** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202320240AB40&version=20230AB4097AMD)
4. **05/18/23 - Amended Assembly** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202320240AB40&version=20230AB4096AMD)
5. **07/05/23 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202320240AB40&version=20230AB4095AMD)
6. **09/01/23 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202320240AB40&version=20230AB4094AMD)
7. **10/13/23 - Chaptered** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202320240AB40&version=20230AB4092CHP)
8. **AB40** (committee substitute) — [source](http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240AB40)
9. **09/12/23 - Enrolled** (enrolled) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202320240AB40&version=20230AB4093ENR)
## Votes
- Do pass and be re-referred to the Committee on [Health] — **50** (pass) · lower
- Do pass as amended — **61** (pass) · upper
- Placed on suspense file — **70** (pass) · upper
- Do pass as amended and be re-referred to the Committee on [Appropriations] — **150** (pass) · lower
- Do pass, but first be re-referred to the Committee on [Appropriations] — **100** (pass) · upper
- AB 40 Rodriguez Concurrence in Senate Amendments — **740** (pass) · lower
- 3rd Reading AB40 Rodriguez et al. — **314** (pass) · upper
- Do pass as amended. — **120** (pass) · lower
- AB 40 Rodriguez Assembly Third Reading — **730** (pass) · lower
## Sponsors
- Rodriguez — primary (person)
- Cervantes — coauthor (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2022-12-05** Read first time. To print. `reading-1`
- **2022-12-06** From printer. May be heard in committee January 5.
- **2023-01-26** Referred to Coms. on E.M. and HEALTH. `referral-committee`
- **2023-03-15** From committee chair, with author's amendments: Amend, and re-refer to Com. on E.M. Read second time and amended. `amendment-introduction, amendment-passage, reading-1, reading-2`
- **2023-03-16** Re-referred to Com. on E.M. `referral-committee`
- **2023-03-28** From committee: Do pass and re-refer to Com. on HEALTH. (Ayes 5. Noes 0.) (March 27). Re-referred to Com. on HEALTH. `committee-passage, committee-passage-favorable, referral-committee`
- **2023-04-19** From committee: Amend, and do pass as amended and re-refer to Com. on APPR. (Ayes 15. Noes 0.) (April 18). `amendment-introduction, amendment-passage, committee-passage, referral-committee`
- **2023-04-20** Read second time and amended. `amendment-passage, reading-1, reading-2`
- **2023-04-24** Re-referred to Com. on APPR. `referral-committee`
- **2023-05-10** In committee: Set, first hearing. Referred to APPR. suspense file. `referral-committee`
- **2023-05-18** From committee: Amend, and do pass as amended. (Ayes 12. Noes 0.) (May 18). `amendment-introduction, amendment-passage, committee-passage`
- **2023-05-18** Read second time and amended. Ordered returned to second reading. `amendment-passage, reading-1, reading-2`
- **2023-05-22** Read second time. Ordered to third reading. `reading-1, reading-2`
- **2023-05-25** Read third time. Passed. Ordered to the Senate. (Ayes 73. Noes 0. Page 1789.) `passage, reading-1, reading-3`
- **2023-05-26** In Senate. Read first time. To Com. on RLS. for assignment. `reading-1`
- **2023-06-07** Referred to Com. on HEALTH. `referral-committee`
- **2023-07-03** In committee: Set, first hearing. Hearing canceled at the request of author.
- **2023-07-05** 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`
- **2023-07-13** From committee: Do pass and re-refer to Com. on APPR. (Ayes 10. Noes 0.) (July 12). Re-referred to Com. on APPR. `committee-passage, committee-passage-favorable, referral-committee`
- **2023-08-14** In committee: Referred to APPR suspense file. `referral-committee`
- **2023-09-01** From committee: Amend, and do pass as amended. (Ayes 6. Noes 1.) (September 1). `amendment-introduction, amendment-passage, committee-passage`
- **2023-09-01** Read second time and amended. Ordered returned to second reading. `amendment-passage, reading-1, reading-2`
- **2023-09-05** Read second time. Ordered to third reading. `reading-1, reading-2`
- **2023-09-07** Read third time. Passed. Ordered to the Assembly. (Ayes 31. Noes 4. Page 2461.). `passage, reading-1, reading-3`
- **2023-09-07** In Assembly. Concurrence in Senate amendments pending. May be considered on or after September 9 pursuant to Assembly Rule 77.
- **2023-09-11** Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 74. Noes 0. Page 3185.). `amendment-passage, committee-passage-favorable`
- **2023-09-15** Enrolled and presented to the Governor at 4 p.m.
- **2023-10-13** Approved by the Governor. `executive-signature`
- **2023-10-13** Chaptered by Secretary of State - Chapter 793, 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/c3c53fba-3099-44c9-a9ce-999ba87a884e`. Confidence: reported (aggregated from official California legislature records).