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.

LAST UPDATED: 3/3/2025

Harm Reduction

  • AB 309
    Introduction

    Introduced in Assembly on 1/23/25

    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 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/SB 62
    Introduction

    Introduced in Assembly and Senate, respectively, on 1/9/25

    Status: in progress

    Declares the legislature’s intent to establish a new health benefits benchmark plan that covers essential health benefits

  • SB 41
    Introduction

    Introduced in Senate on 12/3/24

    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 affiliated pharmacies rather than the in-network pharmacy that suits their needs

Sexual and Reproductive Health

  • SB 278
    Introduction

    Introduced in Senate on 2/4/25

    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

    Status: in progress

    Allows people on Medi-Cal to access over-the-counter contraceptives without a prescription or out-of-pocket costs, similar to people with private health insurance

  • AB 554
    Introduction

    Introduced in Assembly on 2/11/25

    Status: in progress

    Prevents health care and insurance plans from requiring prior authorization or step therapy for all antiretroviral drugs, including injectable medications, and also requires HIV/AIDS prevention drugs to be covered without cost sharing or utilization review requirements

  • AB 602
    Introduction

    Introduced in Assembly on 2/13/25

    Status: in progress

    Requires health insurance or service plans to cover specified HIV/AIDS prevention drugs, including those for pre- and post-exposure prophylaxis (PrEP and PEP), and prohibits cost-sharing or utilization review requirements. It also establishes that a long-acting injectable (LAI) drug is not therapeutically equivalent to an LAI of different duration.

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

    Status: in progress

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

  • AB 715
    Introduction

    Introduced in Assembly on 2/14/25

    Status: in progress

    Shields attorneys providing legal services to patients, medical providers, and others seeking or offering health care services that are lawful in California but may be illegal in other states

  • SB 497
    Introduction

    Introduced in Senate on 2/19/25

    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