Does SB 525's July 2026 Wage Hike Actually Apply to Your SNF?

If your skilled nursing facility is owned, operated, or controlled by a hospital or an integrated health system, the answer is yes — Labor Code §1182.14 puts your covered workers at $23/hour starting July 1, 2026. If you’re an independent or freestanding SNF, the honest answer is no, not yet. The statute that was supposed to bring you the same raise, §1182.15, has never actually switched on. Here’s why, and what that means for your facility either way.
SB 525 quietly created two parallel tracks for SNFs — only one of them is live
SB 525 (Durazo), signed into law in October 2023, built a phased, statewide minimum wage schedule for "covered health care employees" at "covered health care facility employers." It did this by adding two sections to the Labor Code, back to back: §1182.14 and §1182.15. They read almost identically — same tiers, same dollar figures, same phase-in dates. The difference that actually matters is which one applies to you, and whether it’s turned on yet.
Is your SNF "hospital-affiliated" or "independent"? That one word decides everything
§1182.14 covers a licensed skilled nursing facility under Health & Safety Code §1250(c) only "if owned, operated, or controlled by a hospital or integrated health care delivery system or health care system." That’s a specific ownership test, not a size or licensure test. If your SNF is a distinct-part unit of a hospital, or sits inside a health system like Sutter or Kaiser, you’re in this bucket. If you’re an independent operator — even a large multi-facility chain — you’re not covered by §1182.14 at all. You fall to its neighbor, §1182.15, instead. And that’s where the story changes.
Hospital-affiliated and integrated-system SNFs: $23/hour starts July 1, 2026
For facilities §1182.14 actually reaches, the wage floor for covered employees runs: $21/hour from July 1, 2024 through June 30, 2026, then $23/hour from July 1, 2026 through June 30, 2028, then $25/hour from July 1, 2028 onward, with cost-of-living adjustments after that. That $23/hour step is the "July 2026 wage hike" this post’s title is asking about — and if your facility falls under §1182.14, it’s not optional and it’s not new; you’ve had two years of runway to plan for it.
Independent and freestanding SNFs: why §1182.15 has never actually turned on
Here’s the part that gets lost in a lot of secondhand coverage of this law: §1182.15 was written to cover "a licensed skilled nursing facility… that is not covered by Section 1182.14" — in other words, every independent and freestanding SNF — on the exact same dollar schedule above. But the legislature built in a trigger.
This section shall only take effect when a patient care minimum spending requirement applicable to skilled nursing facilities… is in effect.Cal. Labor Code §1182.15
No such spending requirement currently exists. The Department of Industrial Relations’ own FAQ confirms it directly: "there is no minimum spending requirement that must be met for skilled nursing facilities." Until one exists, §1182.15 stays dormant — which means most independent SNFs in California are, right now, outside SB 525’s wage floor entirely, despite headlines that make it sound like a universal industry-wide mandate.
The bill that was supposed to flip the switch died in 2024
The spending requirement §1182.15 is waiting on would have come from AB 1537, a 2023–2024 bill that would have required SNFs to spend a minimum share of revenue on direct patient care. It never got there — the Senate ordered it to the inactive file on August 29, 2024, at the request of its own author’s colleague, and it officially died there on November 30, 2024. As of this post’s research date, no 2025–2026 bill has surfaced that reintroduces an equivalent SNF-specific spending mandate. That’s an absence-of-evidence finding, not a guarantee nothing’s coming — which is exactly why this post is flagged for a check-in come January 2027, near the start of the next legislative cycle.
Even SB 525’s own start date slipped twice — don’t assume any date on this law is final
If you’re inclined to treat "July 1, 2026" as locked in stone, it’s worth knowing that SB 525’s own effective date moved twice before the law ever took effect at all — first by SB 828, then by SB 159:
Three dates, two delays, one that finally stuck
June 1, 2024 — the date SB 525 was chaptered with
As signed in October 2023, SB 525’s wage schedule was set to begin June 1, 2024.
July 1, 2024 — SB 828 pushes it back a month
Signed May 31, 2024 — the day before the original start date would have hit.
October 16, 2024 — SB 159 sets the date that finally held
Signed June 29, 2024. County-operated facilities got until January 1, 2025.
None of that changes the dollar amounts or the coverage rules above — but it’s a real pattern, and it’s a reason to keep an eye on this law rather than filing it away as settled once you’ve read this post.
Which of your staff actually count as "covered health care employees"?
This is where facilities under either §1182.14 or a future §1182.15 sometimes get the scope wrong. "Covered health care employee" isn’t limited to nurses, CNAs, or other clinical staff.
It’s not just clinical staff
Housekeeping, food service, groundskeeping, security, clerical and scheduling staff, and billing and coding staff all count — anyone working at a covered facility. Managerial employees are the one carve-out.
See the DIR’s definitionIf you’re budgeting for the $23/hour step and only modeling it against your clinical payroll, you’re almost certainly underestimating the number.
Who actually enforces this — DIR or CDPH?
If you’re a hospital-affiliated SNF trying to figure out where to go with a compliance question, it’s not your licensing agency. The California Department of Public Health hasn’t published SB 525-specific guidance as of this writing. The two agencies actually in play are the Department of Industrial Relations, which owns wage-and-hour compliance and publishes the FAQ cited throughout this post, and the Department of Health Care Services, which handles the Medi-Cal rate and financing mechanics that intersect with facility costs. Start with DIR’s FAQ for a coverage or wage-rate question; it’s the most current, most specific guidance actually published on this law.
If you’re an independent SNF, should you just wait and see?
Legally, you’re not required to raise wages under §1182.15 until it actually takes effect — and right now, it hasn’t. But "not legally required yet" and "safe to ignore" aren’t the same thing. The labor market doesn’t wait for a statute’s trigger clause: if a hospital-affiliated SNF down the street is paying $23/hour for the same CNA or housekeeping role your facility is trying to fill, that’s a retention problem regardless of what the Labor Code says. Treat January 2027 as your own calendar reminder, and build a rough sense now of what a future §1182.15 activation would cost your facility, so you’re not doing that math for the first time under a compliance deadline.
Frequently asked questions
Does the SB 525 $23/hour wage apply to my skilled nursing facility?
It depends entirely on ownership. If your SNF is owned, operated, or controlled by a hospital or an integrated health care system, yes — §1182.14 puts covered employees at $23/hour starting July 1, 2026. If you’re independent or freestanding, no — the parallel statute written for you, §1182.15, hasn’t taken effect.
Cal. Labor Code §1182.14What’s the actual difference between Labor Code §1182.14 and §1182.15?
They cover different ownership structures with the identical wage schedule. §1182.14 reaches hospital-affiliated and integrated-system SNFs and is already in effect. §1182.15 reaches every independent SNF §1182.14 doesn’t cover, but only takes effect once a "patient care minimum spending requirement" exists for SNFs — and as of this post’s research date, that requirement doesn’t exist, so §1182.15 is dormant.
Cal. Labor Code §1182.15When does the $23/hour rate actually start?
For facilities §1182.14 covers, July 1, 2026, running through June 30, 2028, before stepping up again to $25/hour. That schedule has been in place since the law’s amended text was finalized and hasn’t moved. For independent SNFs under the still-dormant §1182.15, there’s no effective date yet at all.
What happened to the bill that was supposed to activate §1182.15 for independent SNFs?
AB 1537, which would have created the spending requirement §1182.15 needs, died on the California Senate’s inactive file on November 30, 2024. No confirmed successor bill has surfaced as of this post’s research date — worth re-checking in early 2027.
AB 1537 bill historyDo non-clinical staff like housekeeping or billing count as "covered health care employees"?
Yes. The definition reaches housekeeping, food service, groundskeeping, security, clerical/scheduling, and billing/coding staff at a covered facility — it isn’t limited to clinical roles. Managerial employees are the one carve-out.
Which state agency should I contact with a compliance question about this law?
The Department of Industrial Relations for wage-and-hour coverage questions — its Health Care Worker Minimum Wage FAQ is the most current published guidance. No CDPH-specific guidance on this law has been published as of this writing.
DIR Health Care Worker Minimum Wage FAQDisclaimer
This post is informational, not legal advice. Confirm how SB 525’s wage tiers apply to your specific facility’s ownership structure with your own counsel or state association before changing payroll practices.
Sources
- California Legislative Information, Cal. Labor Code §1182.14 (SB 525 wage schedule, hospital-affiliated SNFs)
- California Legislative Information, Cal. Labor Code §1182.15 (independent SNF wage schedule, not yet in effect)
- California Legislative Information, Cal. Health & Safety Code §1250 (skilled nursing facility licensure definition)
- California Legislative Information, SB 525 (Durazo) chaptered bill text and history, 2023-10-13
- California Legislative Information, SB 828 bill text (first effective-date delay), 2024-05-31
- California Department of Industrial Relations, Health Care Worker Minimum Wage FAQ
- California Legislative Information, AB 1537 (2023–2024) bill history and status, 2024-11-30
More for the People Running Your Facility

The Federal Nurse Staffing Mandate Is Dead — Why California SNFs Barely Notice
CMS repealed the federal nursing home staffing mandate in 2026. Here's why California SNFs are barely affected — and where the real compliance risk lives.

AB 843 Is Dead: What Actually Governs Interpreter Access at Your California SNF
AB 843 never bound SNFs directly, and it's dead. See what Section 1557 actually requires for interpreter access at your California facility.


