Legislation Tracker

The California HIV/AIDS Policy Research Center tracks a number of bills and policies that impact people living with or at-risk for HIV/AIDS in California. Here are the bills we are tracking for 2025-2026 (Year 1).

LAST UPDATED: 6/4/2025

Harm Reduction

  • AB 309
    Introduction

    Introduced in Assembly on 1/23/25

    First Chamber Passage

    Passed Assembly on 5/15/25

    Status: in progress

    Allows pharmacists the discretion to continue providing sterile syringes and adults to continue possessing syringes for personal use without a prescription beyond the existing law’s end date of January 2026

Health Access

  • AB 4
    Introduction

    Introduced in Assembly on 12/2/24

    Status: in progress

    Authorizes Covered California to develop a parallel market offering undocumented state residents qualified health plans similar to those available to other Californians and sets the basis for providing undocumented individuals state-based affordability assistance

  • SB 242
    Introduction

    Introduced in Senate on 1/30/25

    Status: in progress

    Requires that seniors and people younger than 65 with end-stage renal disease be offered access to Medigap plans without regard to their age or pre-existing conditions and that health insurance companies establish an annual open enrollment period for this purpose

  • AB 224
    Introduction

    Introduced in Assembly on 1/9/25

    First Chamber Passage

    Passed Assembly on 5/29/25

    Status: in progress

    Requires new essential health benefits benchmark plan to include certain benefits, such as specified fertility services (e.g., artificial insemination, cryopreservation of gametes and embryos, etc.) and durable medical equipment (e.g., mobility devices, augmented communication devices, portable oxygen, etc.)

  • SB 62
    Introduction

    Introduced in Senate on 1/9/25

    First Chamber Passage

    Passed Senate on 5/27/25

    Status: in progress

    Requires new essential health benefits benchmark plan to include certain benefits, such as specified fertility services (e.g., artificial insemination, cryopreservation of gametes and embryos, etc.) and durable medical equipment (e.g., mobility devices, augmented communication devices, portable oxygen, etc.)

  • SB 41
    Introduction

    Introduced in Senate on 12/3/24

    First Chamber Passage

    Passed Senate on 5/28/25

    Status: in progress

    Requires pharmacy benefit managers (PBMs) to be licensed and prohibits them from engaging in spread pricing (i.e., charging a health plan more for a drug than it pays a pharmacy), negotiating exclusive deals with drug, device, and other manufacturers, and steering patients to an affiliated pharmacy rather than the latter’s preferred in-network pharmacy

  • AB 910
    Introduction

    Introduced in Assembly on 2/19/25

    Status: in progress

    Requires pharmacy benefit managers (PBMs) to exercise fiduciary duty in its contracts with health care service plans; to wholly remit rebates, discounts, and other remuneration to these plans; to report affiliated entities and group purchasing organizations; and to refrain from spread pricing

Sexual and Reproductive Health

  • SB 278
    Introduction

    Introduced in Senate on 2/4/25

    First Chamber Passage

    Passed Senate on 5/29/25

    Status: in progress

    Authorizes disclosure of health data by state and local public health agency staff to the Medi-Cal program to coordinate the care and treatment of HIV-positive persons, as well as HIV test results needed to administer Medi-cal’s quality improvement programs

  • AB 50
    Introduction

    Introduced in Assembly on 12/2/24

    First Chamber Passage

    Passed Assembly on 4/28/25

    Status: in progress

    Removes the application of pharmacy-related standardized protocols to over-the-counter (OTC) contraceptives and limits these procedures to prescription-only, self-administered contraceptives and allows a pharmacist to provide a patient up to a 12-month supply of OTC contraceptives on request

  • AB 554
    Introduction

    Introduced in Assembly on 2/11/25

    First Chamber Passage

    Passed Assembly on 6/3/25

    Status: in progress

    Prevents most health care and insurance plans from requiring prior authorization or step therapy for antiretroviral drugs, except in certain circumstances, and also requires HIV/AIDS prevention drugs to be covered without cost sharing or utilization review requirements

  • SB 608
    Introduction

    Introduced in Senate on 2/20/25

    Status: in progress

    Stops a public school serving grades 7 to 12 from preventing access to condoms at school-based health centers and bans retail outlets from refusing to provide over-the-counter contraception based on age

Affected Communities

  • AB 1084
    Introduction

    Introduced in Assembly on 2/20/25

    Status: in progress

    Expedites court orders for name and gender marker changes for transgender and nonbinary people needed for state identification essential to daily life, including obtaining health care

  • SB 59
    Introduction

    Introduced in Senate on 1/8/25

    First Chamber Passage

    Passed Senate on 6/2/25

    Status: in progress

    Makes all court records pertaining to name and gender marker changes confidential

  • SB 497
    Introduction

    Introduced in Senate on 2/19/25

    First Chamber Passage

    Passed Senate on 6/2/25

    Status: in progress

    Requires warrants for law enforcement access to the state’s prescription drug database and prohibits healthcare providers from complying with subpoenas demanding disclosure of transgender and nonbinary persons’ sensitive medical information

  • AB 82
    Introduction

    Introduced in Assembly on 12/20/24

    First Chamber Passage

    Passed Assembly on 6/2/25

    Status: in progress

    Limits the sharing of sensitive patient data related to abortions and reproductive health care sought by transgender and nonbinary Californians and expands protections for patients, their families, and health care professionals seeking or providing such services against harassment, violence and hostile out-of-state actors