Juan Carrillo
- Democratic
- Assemblymember
- District 39
Author
Existing law, the Emergency Medical Services System and the Prehospital Emergency Medical Care Personnel Act (act) , establishes the Emergency Medical Services Authority, which is responsible for the coordination of various state activities concerning emergency medical services (EMS) . The act authorizes a county to develop an EMS program by designating a local EMS agency. Existing law also requires the Commission on Emergency Medical Services to review and approve regulations, standards, and guidelines to be developed by the authority. Existing law generally makes a violation of the act a misdemeanor. This bill would require, by January 1, 2027, a public safety agency that provides "911" call processing services for emergency medical response to provide prearrival medical instructions to "911" callers requiring medical assistance, including, among other things, airway and choking medical instructions for infants, children, and adults and administration of naloxone for narcotics overdoses. The bill would require prearrival medical instructions to be approved by the local EMS agency medical director and implemented consistent with the medical protocols and procedures adopted by the public safety agency. By expanding the scope of a crime, and to the extent that the bill would create new duties for a public safety agency, the bill would impose a state-mandated local program. The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement. This bill would provide that with regard to certain mandates no reimbursement is required by this act for a specified reason. With regard to any other mandates, this bill would provide that, if the Commission on State Mandates determines that the bill contains costs so mandated by the state, reimbursement for those costs shall be made pursuant to the statutory provisions noted above.
Approved by the Governor.
Chaptered by Secretary of State - Chapter 273, Statutes of 2025.
Enrolled and presented to the Governor at 4:30 p.m.
Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 79. Noes 0. Page 3030.).
In Assembly. Concurrence in Senate amendments pending.
Read third time. Passed. Ordered to the Assembly. (Ayes 39. Noes 0. Page 2521.).
Ordered to special consent calendar.
From committee: Do pass. (Ayes 7. Noes 0.) (August 29).
Read second time. Ordered to third reading.
Read second time and amended. Re-referred to Com. on APPR.
From committee: Amend, and do pass as amended and re-refer to Com. on APPR. with recommendation: To Consent Calendar. (Ayes 10. Noes 0.) .
From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on HEALTH.
In Senate. Read first time. To Com. on RLS. for assignment.
Read third time. Passed. Ordered to the Senate. (Ayes 70. Noes 0. Page 1603.)
Read second time. Ordered to third reading.
From committee: Do pass. (Ayes 15. Noes 0.) (May 14).
From committee: Do pass and re-refer to Com. on APPR. (Ayes 6. Noes 0.) (April 28). Re-referred to Com. on APPR.
Measure version as amended on April 24 corrected.
From committee chair, with author's amendments: Amend, and re-refer to Com. on E.M. Read second time and amended.
From committee: Do pass and re-refer to Com. on E.M. (Ayes 13. Noes 0.) (April 22). Re-referred to Com. on E.M.
Coauthors revised.
In committee: Hearing postponed by committee.
From committee chair, with author's amendments: Amend, and re-refer to Com. on HEALTH. Read second time and amended.
From printer. May be heard in committee March 16.
Read first time. To print.
| Bill Text Versions | Format |
|---|---|
| AB645 | HTML |
| 02/13/25 - Introduced | |
| 03/24/25 - Amended Assembly | |
| 04/24/25 - Amended Assembly | |
| 07/07/25 - Amended Senate | |
| 07/17/25 - Amended Senate | |
| 09/10/25 - Enrolled | |
| 10/03/25 - Chaptered |
| Document | Format |
|---|---|
| 04/18/25- Assembly Health | |
| 04/25/25- Assembly Emergency Management | |
| 05/12/25- Assembly Appropriations | |
| 05/15/25- ASSEMBLY FLOOR ANALYSIS | |
| 07/14/25- Senate Health | |
| 08/15/25- Senate Appropriations | |
| 08/29/25- Sen. Floor Analyses | |
| 09/04/25- ASSEMBLY FLOOR ANALYSIS |
Data on Open States is updated periodically throughout the day from the official website of the California State Legislature.
If you notice any inconsistencies with these official sources, feel free to file an issue.