The short answer
California adds chemicals to the Prop 65 list through four routes, including the Labor Code route tied to IARC, authoritative bodies, the state's own qualified experts, and formal labeling requirements. Listing is a hazard determination, not a measure of your risk.
There are four mechanisms for adding a chemical to the Prop 65 list.
The Labor Code route ties listing to chemicals identified by IARC.
The state's own qualified experts can also add chemicals.
Agencies formally requiring a chemical to be labeled can trigger listing too.
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Four doors onto the list
A common question about Proposition 65 is simple. How does a chemical end up on the list in the first place? California law provides four separate mechanisms. Understanding them explains why the list looks the way it does. It also explains why it overlaps so heavily with the IARC and NTP carcinogen lists.
1. The Labor Code mechanism
Under California's Labor Code (section 6382), chemicals identified by the International Agency for Research on Cancer (IARC) as causing cancer can be listed. In practice this is a major pathway. When IARC classifies a chemical as a carcinogen, it can flow onto the Prop 65 list.
2. The 'authoritative bodies' mechanism
A chemical must be listed if a body that California treats as an "authoritative body" has formally identified it as causing cancer. The state keeps its own criteria for which bodies count. See OEHHA's page for the current list.
3. The state's qualified experts
California has its own panels of state's qualified experts. A chemical must be listed if one of these committees decides it has been clearly shown, through scientifically valid testing, to cause cancer. This lets the state act on its own scientific judgment, not only on other bodies' conclusions.
4. The 'formally required to be labeled' mechanism
Finally, a chemical can be listed if a state or federal agency formally requires it to be labeled or identified as causing cancer or reproductive harm.
Why this design matters
The Labor Code route ties directly to IARC. Other routes rely on other bodies' findings or on California's own experts. So many listings overlap with the carcinogen lists in this section's pages on IARC groups and the Report on Carcinogens.
It also means Prop 65 listings are largely hazard-based. Being listed says a chemical can cause cancer. That is a hazard determination, not a finding that any given exposure is dangerous. The question of how much exposure matters is handled separately, through safe-harbor levels.
The bottom line
Chemicals reach the Prop 65 list through four doors. One is wired to IARC through the Labor Code. One runs through authoritative bodies. One runs through California's own experts. One runs through labeling requirements. That structure explains both the list's scientific grounding and its hazard-based character.
Sources

Common questions
How does a chemical get on the Prop 65 list?
Through one of four mechanisms: the Labor Code route (which incorporates chemicals identified by IARC), the 'authoritative bodies' route, the state's qualified experts route, or the formally-required-to-be-labeled route.
Why does the list overlap with IARC?
Because the Labor Code route ties directly to IARC determinations. When IARC identifies a carcinogen, it can be added to California's list.
Who are the 'state's qualified experts'?
Committees of scientists that California's OEHHA uses. A chemical must be listed if one of them decides it has been clearly shown to cause cancer through scientifically valid testing.
Does listing mean a chemical is dangerous at any dose?
No. Listing is a hazard determination. Whether real-world exposure poses meaningful risk is a separate question, addressed in part by safe-harbor levels.
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