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Bill

Bill

SB 43

Substance use disorder: addiction treatment referral agencies.

2025-2026 Regular Session Introduced by Tom Umberg

SB 43 requires California healthcare providers and emergency responders to refer individuals with substance use disorders to addiction treatment agencies, establishing standardized pathways to care.

May 23 hearing: Held in committee and under submission.
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Bill Summary · SB 43

Legislative bill overview

SB 43 establishes a system requiring healthcare providers and emergency responders to refer individuals with substance use disorders to addiction treatment agencies. The bill aims to create a standardized pathway connecting people struggling with addiction to available treatment resources rather than leaving them without post-crisis support.

Why is this important

Substance use disorder is a major public health challenge, and research shows that immediate referral to treatment following crisis intervention significantly improves outcomes. Currently, many people who interact with emergency services or healthcare providers lack clear pathways to treatment, often cycling through emergency rooms without addressing underlying addiction. This bill attempts to close that gap by formalizing referral protocols.

Potential points of contention

  • Implementation burden: Healthcare providers and emergency responders may argue the bill creates administrative costs and workload demands without adequate funding or staffing resources
  • Treatment capacity: California may lack sufficient treatment beds and programs to accommodate all referrals, raising questions about whether infrastructure exists before mandating referrals
  • Patient autonomy and enforcement: Unclear whether referrals are mandatory for patients to accept, and how non-compliance by providers would be enforced or penalized

Compiled from official sources — confirm details with the bill’s official record.

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