CEO Message

CEO Message: Fate of ACA in the Hands of the High Court

On Tuesday, the U.S. Supreme Court heard oral arguments in California v. Texas, a case that has the potential to strike down parts, or all, of the Affordable Care Act (ACA).  

It’s encouraging that several key justices signaled they would vote to reject the latest challenge, as upending the ACA would devastate Californians who rely on coverage provided under the law’s umbrella. Among the biggest impacts if the law is negated: 

  • Millions of Californians would lose access to health care services. 
  • Massive delays in care would lead to more advanced disease burdens and more costly treatment. 
  • 7 million Californians could be denied coverage due to pre-existing conditions.
  • 900,000 Californians could be denied coverage due to COVID-19 as a pre-existing condition. 
  • Value-based care incentives would be eliminated, driving a return to a volume-driven system. 
  • An estimated $4,200 annual increase in out-of-pocket costs for individual insurance market enrollees

And the state would face detrimental fiscal effects, including the loss of 269,000 jobs statewide, $15-18 billion in federal funding for Medi-Cal, $29.3 billion in state GDP, and $2.2 billion in lost state and local tax revenue. 

The court’s decision won’t be available until February at the earliest, but possibly as late as spring of next year. In the meantime, we’ve issued a joint media statement with multiple state organizations to assert our support for the ACA, including the California Medical Association, Health Access, Service Employees International Union, Western Center for Law and Poverty, and more. 

We’ve also created a web page with news articles, key messages, and an infographic to help hospitals discuss what’s at stake as the court deliberates. We’ll continue to update the site as new information become available. 

Depending on the outcome of the case, the coming year could bring another challenge for hospitals as we work to protect the health of all Californians. 

~ Carmela

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Medicare

CHA News Article

CMS Announces Coverage, Payment Policies for COVID-19 Monoclonal Antibody Therapies
For CFOs, billing & coding staff

Following the approval by the U.S. Food and Drug Administration (FDA) of emergency use authorization for the investigational monoclonal antibody therapy, bamlanivimab, the Centers for Medicare & Medicaid Services (CMS) announced it will cover monoclonal antibody therapies, with no beneficiary cost-sharing for the duration of the COVID-19 public health emergency.

CHA News Article

HHS to Host Webinar on Hospital Data Reporting Requirements Tomorrow, Nov. 13
For COVID-19 tracker designees

The Health & Human Services’ (HHS) Office of Intergovernmental and External Affairs will host an additional webinar on the updated guidance for its interim final rule on COVID-19 data reporting requirements tomorrow, Nov. 13, at 10 a.m. (PT).  The webinar will include time for Q&A.  

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Federal Advocacy

CHA News Article

CHA Alert Urges Congress to Provide Additional Funding, Relief During Lame Duck Session
For CEOs, government relations executives

On Nov. 9, CHA issued an Advocacy Alert asking members to reach out to their representatives about helping protect providers with much-needed additional funding and relief during the lame duck congressional session. 

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Regulations

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Post-Acute Care

CHA News Article

CDPH Issues AFL on Infection Prevention Requirements for Skilled-Nursing Facilities
For skilled-nursing facility leaders, compliance officers, infection preventionists

The California Department of Public Health (CDPH) has issued All Facilities Letter (AFL) 20-85, which informs skilled-nursing facilities (SNFs) of the requirement that they have a full-time dedicated infection preventionist, a plan for infection prevention control, and annual training for all health care personnel, as provided in Assembly Bill (AB) 2644.   

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Education

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CMS News Roundup

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Education

Publication

CHA Education Events

For more information about CHA education programs, visit www.calhospital.org/education.

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