CEO Message

CEO Message: 2020 Advocacy Check-In

There’s been a flurry of movement around some bills and budget proposals in the past few weeks, at both the state and federal levels.

At its meeting last month, the CHA board gave the green light to a robust set of advocacy priorities for hospitals, so we’re prepared to address legislation with a solid educational and advocacy roadmap for the year. Our priorities stem from a commitment to two simple but fundamental goals: protect patients and communities, and build better health and a better health care system — with a focus on protecting Medicare and Medi-Cal funding, modifying seismic compliance mandates, improving behavioral health care, and expanding coverage.

While it’s early in the year and there’s much to be done on advancing our key advocacy priorities, I’d like to update you on two of them:

  • Seismic compliance — Late last month the Assembly and Senate health committees held a joint informational hearing on hospital seismic compliance. Legislators heard from state engineers and emergency services providers, the Rand Corporation (which testified that the cost of compliance could be upward of $100 billion), and three hospital leaders who shared the impact of compliance on their organizations and communities. The hearing was well attended and valuable in that both committee chairs well understand the economic concerns of compliance and appreciate the complexity of providing care during and after a disaster. With the hearing behind us, the hard work of in-depth, one-on-one conversations with legislators begins.
  • Office of Health Care Affordability — It’s been almost a month since Gov. Gavin Newsom released his 2020 budget, in which he called for the creation of an Office of Health Care Affordability, designed to curb the rate of cost growth in health care. To do this right, in a way that is both impactful and sustainable, there must be a thoughtful plan that includes addressing costs from all involved in the delivery of health care, including commercial insurance carriers and those responsible for hospitals’ input costs, like pharmaceutical companies. We’re working to develop a proposal that ensures two things:
    • Hospitals can continue, in the most effective way possible, to meet their mission of care and quality.
    • Hospitals are at the table in offering solutions to the health care affordability issue that will provide economic relief to Californians.

Stay tuned in the coming months for more on key bills and other developments. And don’t forget to check in for regular updates via our Weekly Advocacy Review in your Friday email.

– Carmela

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Regulations

CHA News Article

CHA Issues Summary of Proposed Notice of Benefit and Payment Parameters for 2021
For CEOs, CFOs, government relations executives

CHA has issued a summary, prepared by Health Policy Alternatives, of the proposed Notice of Benefit and Payment Parameters for 2021 issued by the Centers for Medicare & Medicaid Services (CMS). The notice proposes policy changes including regulatory and financial standards for payers participating on federal and state exchanges such as Covered California.

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Federal Advocacy

CHA News Article

Register Now to Participate in Annual Washington, D.C. Advocacy Program
For CEOs, government relations

Register now to join hospital leaders from throughout California for the CHA/American Hospital Association (AHA) Annual Advocacy Program. Participants will head to Washington, D.C. April 19-22 to meet personally with members of Congress about the health care issues of greatest importance to hospitals — and to the people and communities they serve.

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Post-Acute Care

CHA News Article

Court Issues Order in Unrepresented Patients Case
For case managers

On Jan. 27, the Alameda County Superior Court issued an order about who can consent to treatment on behalf of so-called “unrepresented patients” in nursing homes — residents who lack the capacity to make health care decisions and have no family members or friends willing to act on their behalf.

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Education

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Legislation

CHA News Article For Members

CHA Posts Legislative Update

As CHA continues to work on its legislative agenda, an update on bills currently being tracked on behalf of hospitals is available in our Legislative Update.

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Coverage

CHA News Article

DHCS Issues Monthly Stakeholder Update
For CEOs, CFOs, government relations staff

The Department of Health Care Services has released its monthly Stakeholder Communication Update. Among other topics, the February edition includes information on the department’s leadership transitions; the Governor’s proposed budget; the Behavioral Health Integration Incentive Program; the Drug Medi-Cal Organized Delivery System; the medication-assisted treatment expansion project; the transition of pharmacy services from Medi-Cal managed care to fee-for-service; nonmedical transportation providers in Medi-Cal fee-for-service; Medicaid optional benefits restoration; trauma screenings; and upcoming meetings and webinars.

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Medi-Cal

CHA News Article

DHCS to Host Webinar Feb. 26 on ACEs Aware Initiative
For CEOs, CFOs, government relations executives

The Department of Health Care Services (DHCS) is hosting a live webinar from noon to 1 p.m. (PT) on Feb. 26 with California’s Surgeon General Dr. Nadine Burke Harris, MD, MPH. The webinar marks the first in a series and will provide an overview of the Adverse Childhood Experiences (ACEs) Aware initiative.

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HHS News Roundup

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Education

Publication

CHA Education Events

For a full listing of education programs, visit www.calhospital.org/education.

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