Legally protected activities.
Extends California’s legally protected health care protections to acts performed in other states if lawful there, and restricts extradition based on such acts unless specific writt
Extends California’s legally protected health care protections to acts performed in other states if lawful there, and restricts extradition based on such acts unless specific writt
AB 2164 aims to extend California’s protections for individuals engaging in legally protected health care activities (notably reproductive health care and gender-affirming care) to include actions taken in other U.S. jurisdictions that would have been protected in California if undertaken here. The bill seeks to limit extradition and cooperation related to criminal liability tied to such activities when those acts were permissible where they occurred, and to clarify the governor’s extradition authority consistent with this approach.
Key policy aim:
- Provide cross-jurisdictional shield for individuals who, while located in another U.S. state, engaged in acts to aid or encourage reproductive health care or gender-affirming health care that would be lawful in that jurisdiction.
- Ensure California does not apply out-of-state-law protections or extradite individuals for legally protected activities that were legal where the acts occurred.
1) Health and Safety Code – new Section 123469.5
- Extends protections for “legally protected health care activity” to cover a person who previously undertook acts or omissions in another U.S. state to aid or encourage, or attempt to aid or encourage, rights to reproductive health care or gender-affirming health care that would have been protected in California if done here.
- Definitions:
- Reproductive health care services: same meaning as Civil Code section 1798.300.
- Gender-affirming health care services and gender-affirming mental health care services: as defined in Welfare and Institutions Code section 16010.2(b)(3).
- Effect: Protections applicable to activities lawful in California shall also apply to those acts or omissions performed in another state, provided those acts were permissible under that state’s laws at the time.
2) Penal Code – amendments to extradition provisions
- Section 1549.1 (amended): Governor may surrender a person in California charged in another state for acts in California or a third state that intentionally resulted in a crime, so long as the acts would be punishable by California law if the claimed result occurred here. Maintains that these provisions apply even if the accused was not physically in the demanding state at the time.
- Section 1549.13 (new): Extradition demands may not be recognized based on legally protected health care activity, except as required by federal law, unless the demanding state’s executive authority provides in writing that the accused was physically present in the demanding state at the time of the crime and subsequently fled that state.
- Scope: Extradition requests tied to legally protected health care activity cannot be recognized unless narrow, written conditions are met.
3) Penal Code – addition of Section 1549.15 (referenced in definitions)
- The bill references a definition for legally protected health care activity (to be aligned with Section 1798.300 of Civil Code for reproductive health care, and Section 16010.2(b)(3) for gender-affirming care).
Compiled from official sources — confirm details with the bill’s official record.
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