What the fuck is wrong with California?

Everything, pretty much, but they keep making things worse. Having decided that they don't need no stinking immigration laws, they also have decided that you will be made to care, under penalty of law. Specifically, if you don't call transgender people by the pronoun that those people choose, you will be punished:

California health care workers who “willfully and repeatedly” decline to use a senior transgender patient's “preferred name or pronouns” could face punishments ranging from a fine to jail time under a newly signed law.
...
Among the unlawful actions are “willfully and repeatedly” failing to use a transgender person’s “preferred name or pronouns” after he or she is “clearly informed of the preferred name or pronouns.”
The law states that if provisions are violated, the violator could be punished by a fine “not to exceed one thousand dollars” or “by imprisonment in the county jail for a period not to exceed one year,” or both.

If you don't think California will extend such punishments to everyone eventually, you haven't been paying attention to California lately. If the preferred pronoun is xi, xe, xis or whatever, you better fucking use it if you work in a nursing home. And soon, no doubt, it will be in every workplace. That's how California rolls. Do they care if the First Amendment bars the government from dictating what people say or don't say? Oh, hell no. First Amendment? We don't need no stinking First Amendment:

Get used to it, kids. That's how California rolls.