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[[File:The_City_of_San_Francisco,_panorama_by_Currier_&_Ives,_1878.jpg|thumbnail|left|380px|San Francisco 1878]]

Finally, in March 1876, after a year of debate in the legislature, the California Assembly and Senate passed an act to “Regulate the Practice of Medicine in the State of California.”<ref> “Annual Address by the President”, A.B. Nixon, M. D., <i>Transactions of the Medical Society of the State of California During the Years of 1875-1876</i>, (Sacramento, 1876): 25, http://books.google.com/ebooks.</ref> It permitted graduates of medical schools to practice without being tested by an examining board, but it differed somewhat from other licensing laws passed the 1870s, because it authorized “each State Medical Society, incorporated and inactive existence” when the bill was passed to appoint seven people to separate boards of examiners.