SB 278

  • California Senate Bill
  • 2025-2026 Regular Session
  • Introduced in Senate Feb 04, 2025
  • Passed Senate May 29, 2025
  • Passed Assembly Sep 08, 2025
  • Signed by Governor Oct 13, 2025

Health data: HIV test results.

Bill Subjects

Hivtestresults Healthdata

Abstract

Existing law establishes the Medi-Cal program, which is administered by the State Department of Health Care Services and under which qualified low-income individuals receive health care services. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Existing law generally imposes penalties on a person who negligently, willfully, or maliciously discloses the results of a human immunodeficiency virus (HIV) test to a third party in a manner that identifies or provides identifying characteristics of the person to whom the test results apply, as specified. Existing law, notwithstanding the above-described restrictions, authorizes the recording of the HIV test results by the physician who ordered the test in the test subject's medical record and authorizes other disclosure of the results without written authorization of the test subject, or the subject's representative, to the test subject's providers of health care, excluding a regulated health care service plan, for purposes of diagnosis, care, or treatment of the patient. This bill would authorize a provider of health care to disclose the results of an HIV test that identifies or provides identifying characteristics of a Medi-Cal beneficiary without written authorization of the test subject, or the subject's representative, to the Medi-Cal managed care plan to which the beneficiary is assigned, if applicable, and to external quality review organizations conducting external quality reviews of Medi-Cal managed care plans, for the purpose of administering quality improvement programs, including, but not limited to, value-based payment programs and healthy behavior incentive programs, designed to improve HIV care for Medi-Cal beneficiaries. Under the bill, HIV test results that do not identify or provide identifying characteristics of the test subjects would be authorized for disclosure without written authorization by the Medi-Cal managed care plan to departmental staff for the above-described purpose. The bill would make certain clarifying or declaratory statements with regard to related provisions.

Bill Sponsors (10)

Votes


Actions


Oct 13, 2025

California State Legislature

Approved by the Governor.

California State Legislature

Chaptered by Secretary of State. Chapter 748, Statutes of 2025.

Sep 16, 2025

California State Legislature

Enrolled and presented to the Governor at 3 p.m.

Sep 09, 2025

Senate

Assembly amendments concurred in. (Ayes 40. Noes 0. Page 2711.) Ordered to engrossing and enrolling.

Sep 08, 2025

Senate

In Senate. Concurrence in Assembly amendments pending.

Assembly

Read third time. Passed. (Ayes 79. Noes 0. Page 2999.) Ordered to the Senate.

Sep 03, 2025

Assembly

Read second time. Ordered to third reading.

Sep 02, 2025

Assembly

Read second time and amended. Ordered to second reading.

Aug 29, 2025

Assembly

From committee: Do pass as amended. (Ayes 11. Noes 0.) (August 29).

Aug 20, 2025

Assembly

August 20 set for first hearing. Placed on APPR. suspense file.

Jul 17, 2025

Assembly

Read second time and amended. Re-referred to Com. on APPR.

  • Amendment-Passage
  • Reading-1
  • Reading-2
  • Referral-Committee
Com. on APPR.

Assembly

From committee: Do pass as amended and re-refer to Com. on APPR. with recommendation: To consent calendar. (Ayes 15. Noes 0.) (July 16).

Assembly

Assembly Rule 63 suspended. (Ayes 49. Noes 15. Page 2578.)

Jun 19, 2025

Assembly

From committee with author's amendments. Read second time and amended. Re-referred to Com. on P. & C.P.

  • Amendment-Passage
  • Committee-Passage
  • Reading-1
  • Reading-2
  • Referral-Committee
Com. on P. & C.P.

Jun 17, 2025

Assembly

From committee: Do pass and re-refer to Com. on P. & C.P. with recommendation: To consent calendar. (Ayes 15. Noes 0.) (June 17). Re-referred to Com. on P. & C.P.

  • Committee-Passage
  • Committee-Passage-Favorable
  • Referral-Committee
Com. on P. & C.P.

Jun 05, 2025

Assembly

Referred to Coms. on HEALTH and P. & C.P.

  • Referral-Committee
Coms. on HEALTH and P. & C.P.

May 29, 2025

Assembly

In Assembly. Read first time. Held at Desk.

Senate

Read third time. Passed. (Ayes 38. Noes 0. Page 1324.) Ordered to the Assembly.

May 27, 2025

Senate

Ordered to special consent calendar.

May 23, 2025

Senate

Read second time. Ordered to third reading.

Senate

From committee: Do pass. (Ayes 6. Noes 0. Page 1194.) (May 23).

May 16, 2025

Senate

Set for hearing May 23.

Apr 21, 2025

Senate

April 21 hearing: Placed on APPR. suspense file.

Apr 10, 2025

Senate

Set for hearing April 21.

Apr 09, 2025

Senate

From committee: Do pass and re-refer to Com. on APPR. with recommendation: To consent calendar. (Ayes 13. Noes 0. Page 706.) (April 8). Re-referred to Com. on APPR.

  • Committee-Passage
  • Committee-Passage-Favorable
  • Referral-Committee
Com. on APPR.

Apr 01, 2025

Senate

Set for hearing April 8.

Mar 28, 2025

Senate

From committee with author's amendments. Read second time and amended. Re-referred to Com. on JUD.

  • Amendment-Passage
  • Committee-Passage
  • Reading-1
  • Reading-2
  • Referral-Committee
Com. on JUD.

Mar 26, 2025

Senate

From committee: Do pass and re-refer to Com. on JUD. with recommendation: To consent calendar. (Ayes 10. Noes 0. Page 566.) (March 26). Re-referred to Com. on JUD.

  • Committee-Passage
  • Committee-Passage-Favorable
  • Referral-Committee
Com. on JUD.

Mar 17, 2025

Senate

Set for hearing March 26.

Senate

From committee with author's amendments. Read second time and amended. Re-referred to Com. on HEALTH.

  • Amendment-Passage
  • Committee-Passage
  • Reading-1
  • Reading-2
  • Referral-Committee
Com. on HEALTH.

Feb 14, 2025

Senate

Referred to Coms. on HEALTH and JUD.

  • Referral-Committee
Coms. on HEALTH and JUD.

Feb 05, 2025

Senate

From printer. May be acted upon on or after March 7.

Feb 04, 2025

Senate

Introduced. Read first time. To Com. on RLS. for assignment. To print.

Bill Text

Bill Text Versions Format
SB278 HTML
02/04/25 - Introduced PDF
03/17/25 - Amended Senate PDF
03/28/25 - Amended Senate PDF
06/19/25 - Amended Assembly PDF
07/17/25 - Amended Assembly PDF
09/02/25 - Amended Assembly PDF
09/12/25 - Enrolled PDF
10/13/25 - Chaptered PDF

Related Documents

Document Format
03/24/25- Senate Health PDF
04/04/25- Senate Judiciary PDF
04/18/25- Senate Appropriations PDF
05/26/25- Sen. Floor Analyses PDF
06/13/25- Assembly Health PDF
07/14/25- Assembly Privacy and Consumer Protection PDF
08/18/25- Assembly Appropriations PDF
09/03/25- ASSEMBLY FLOOR ANALYSIS PDF
09/08/25- Sen. Floor Analyses PDF

Sources

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