AB 849: Health providers: medical chaperones.

Official summary

Legislative Counsel’s Digest (official, as of the latest version). Written by nonpartisan legislative staff; reproduced verbatim.

Existing law requires the State Department of Public Health to license and regulate health facilities and clinics. Existing law generally makes a violation of those provisions a crime.

Existing law also specifies the settings in which an ultrasound or similar medical imaging device procedure may be offered, which includes licensed health facilities and clinics, and certain providers and facilities that are not subject to licensure and regulation by the department.

Existing law requires a licensed health facility that provides specified prenatal screening ultrasound to require that the ultrasound be performed by a sonographer that is nationally certified, as specified.

This bill would, except as specified, require a provider, as defined, that offers a sensitive examination to provide notice to patients that a medical chaperone will be made available, upon their request, to assist or observe the sensitive examination. The bill would require the notice be provided as a hard copy, an electronic transmission, or verbally to the patient or their legal guardian, as specified. The bill would provide that the provider has the right to decline performing a sensitive examination in the absence of a medical chaperone if the provider determines that a medical chaperone must be present. The bill would require a provider to educate sonographers and clinical and nonclinical staff who may serve as a medical chaperone regarding specified topics, including, among others, appropriate observational and intervention techniques. The bill would require, if a patient requests a medical chaperone, a provider to document a medical chaperone’s presence in the patient’s health record. The bill would define various terms for purposes of these provisions, including that sensitive examination means an ultrasound examination performed by a sonographer of certain areas of the body, including genitalia. The bill would make these provisions operative on January 1, 2027.

By creating new requirements for health facilities and clinics, the violation of which would be a crime, this 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.

Sponsors

Sponsors by party (alphabetical): Democratic 3

“Support” is shown only as formal sponsorship recorded by the legislature. Roll-call votes are available on the official bill page.

Recent official actions

1. October 7, 2025Chaptered by Secretary of State - Chapter 442, Statutes of 2025.
2. October 7, 2025Approved by the Governor.
3. September 24, 2025Enrolled and presented to the Governor at 3 p.m.
4. September 12, 2025Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 78. Noes 0. Page 3380.).
5. September 12, 2025In Assembly. Concurrence in Senate amendments pending.
6. September 11, 2025Read third time. Passed. Ordered to the Assembly. (Ayes 37. Noes 0. Page 2923.).
7. September 8, 2025Read second time. Ordered to third reading.
8. September 4, 2025Read third time and amended. Ordered to second reading.
9. September 2, 2025Read second time. Ordered to third reading.
10. August 29, 2025Read second time and amended. Ordered returned to second reading.
11. August 29, 2025From committee: Amend, and do pass as amended. (Ayes 5. Noes 0.) (August 29).
12. August 18, 2025In committee: Referred to suspense file.