The California Health and Safety Code is the codification of general statutory law covering the subject areas of health and safety in the state of California. It is one of the 29 California Codes and was originally signed into law by the Governor of California on April 7, 1939. Notable laws The code contains various laws, including: Healthcare In Division 2, licensing of healthcare providers and facilities a pharmaceutical surplus program, first passed in 2005 and expanded in 2012 and 2016; although as of 2018, 38 states had laws for such programs, in over a dozen states these were nonoperational. As of 2018, California had an operational program and in 2016 a nonprofit surplus pharmacy opened a ban on copay coupon discounts when an equivalent generic is available for cheaper, passed in 2017 and subject to various exceptions Division 107, Chapter 2.5 contains a "charity care" law for fair hospital pricing California End of Life Option Act in Division 1. Section 443 - 443.22 laws regarding vaccine exemptions, including in 2015 California Senate Bill 277, which removed a personal belief exemption to vaccines for children public schools, and in 2019 SB 276, which further limited exemptions AB 315 (2018) which regulates pharmacy benefit management establishing various agencies under the California Health and Human Services Agency, although the top agency itself is created by Government Code section 12800 Health insurance In Division 2, the Knox-Keene Health Care Service Plan Act of 1975 in Division 2. Chapter 2.2., 1340 - 1399.864, which is enforced by the California Department of Managed Health Care and regulates most health insurance in California, although some plans are regulated by the California Department of Insurance (CDI) with sometimes similar "companion" statutes in the California Insurance Code. Within this section are various laws affecting transparency and mandated benefits for health insurance plans, which are part of a broader movement among states including: a standard formulary jointly developed with the CDI which was passed in 2014 for prescription prior authorization, SB 866 passed in 2011 mandated a standardization of forms jointly developed with CDI which became effective by 2015 with Form 61-211; this was further amended by SB 282 in 2016 which allowed prescribers flexibility to use other methods such as the SCRIPT system a limit to prescription drug cost-sharing first passed as AB 339 in 2015 and then extended by SB 1021 in 2018 like all states, California