I think a relevant question is whether California should be legislating these things at all. Look for example at prop 23 (a doctor must be present for dialysis

I think a relevant question is whether California should be legislating these things at all. Look for example at prop 23 (a doctor must be present for dialysis). There's a clear interest group here (dialysis clinics are in existential crisis) but if you look at a bigger picture, you may see why it might not be economically feasible for clinics in less densely populated areas to hire full time doctors, considering the associated costs and even just the general supply of doctors. In that light, does it make sense to try to pass blanket regulation that can have wildly different outcomes depending on hyperlocal factors such as population density? I recently watched a debate between a couple of right leaning folks and they talked about how the left tends to lean towards trying to generalize universally, and this seems like a pathological example where such an approach might not make sense, compared to hyperlocal municipality-driven regulation, or even no regulation at all.