CEO Message

CEO Message: As Political Landscape Shifts, Priorities for Hospitals Persist

“Let us never forget that government is ourselves and not an alien power over us. The ultimate rulers of our democracy are not a President and senators and congressmen and government officials, but the voters of this country.”
~ Franklin D. Roosevelt

The 2020 federal and state elections are now in the books (mostly). As of Thursday afternoon, at the federal level: 

  • The presidency remains up for grabs, with five key states working to finalize their votes: North Carolina, Nevada, Arizona, Georgia, and Pennsylvania.  
  • Republicans are likely to retain control of the U.S. Senate with a thin margin, though there is a narrow path for Democrats.
  • Democrats retain control of the House of Representatives, though with a smaller margin.

And at the state level, the counting continues, but more is known. At this point: 

  • A local initiative to institute a 3% annual tax on the only hospital in Lynwood is trailing in the polls (CHA opposed this measure). 
  • On statewide ballot initiatives of interest, results are tracking below: 
    - Proposition 14, which funds stem cell research, is passing.  
    - Proposition 15 (split roll), which would raise taxes for commercial properties, is too close to call (CHA opposed this measure). 
    - Proposition 16, which would allow affirmative action in state admissions and employment, failed (CHA supported this measure). 
    - Proposition 22, which designates gig economy drivers as independent contractors, passed. 
    - Proposition 23, which would have more heavily regulated dialysis clinics, failed (CHA opposed this measure). 
  • Two Senate seats look like they will flip from Republican to Democrat. 
  • Assembly party makeup will remain virtually unchanged. 

All these changes underscore an indisputable concept that health care leaders have been sharing with politicians for years: No matter who is in office, no matter what party has control of what branch, the issues of importance to hospitals won’t change, because your mission to meet the needs of your communities does not change based on who wins elections.  

That’s why in the coming year, we’ll be focused on a few high-priority issues, including: additional COVID-19 relief, an integrated framework for pandemic response, enhanced coordination on PPE supply and distribution, preservation of Medicare and Medi-Cal resources for patient care, engagement on health care affordability, seismic mandate reform, and more. 

No matter what your personal politics, the hard work of advancing policies and laws that help hospitals do their work is best served when there is a balance of viewpoints, and good ideas can be honestly debated and refined. That tenet will serve as a strong foundation as we navigate the purple federal landscape and the deep blue state environment in 2021 and beyond. 

~ Carmela

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Federal Advocacy

CHA News Article

AHA to Host All-Member Live Advocacy Event on Nov. 10
For CEOs, government relations executives & staff

The American Hospital Association (AHA) will host an all-member live virtual advocacy event on Nov. 10 at 11 a.m. (PT) to share advocacy priorities and strategies for the lame-duck session. CHA encourages California hospitals that are AHA members to register for this important event. 

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Regulations

CHA News Article

CMS Finalizes Payment Policies for End-Stage Renal Disease Prospective Payment System
For CEOs, CFOs, government relations staff, post-acute care staff

The Centers for Medicare & Medicaid Services (CMS) has issued a final rule updating payment policies and rates under the end-stage renal disease (ESRD) prospective payment system (PPS) for calendar year (CY) 2021. The rule also finalizes updates to the acute kidney injury dialysis payment rate and finalizes changes to the ESRD Quality Incentive Program. 

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COVID-19

CHA News Article

CHA Responds to Wall Street Journal Story on Patient Transfers
For government relations & public relations executives

CHA has submitted a letter to the editor (unpublished as of today) to The Wall Street Journal correcting misinformation in a recent story on the transfer of more than 600 COVID-19 patients from Imperial County to hospitals in other parts of the state.  

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Post-Acute Care

CHA News Article

CDPH Issues AFL on Infection Prevention, QASP Program
For skilled-nursing facility leaders, compliance officers, infection preventionists

The California Department of Public Health (CDPH) has issued All Facilities Letter (AFL) 20-84, which informs skilled-nursing facilities about infection prevention recommendations and incorporation into the Quality and Accountability Supplemental Payment Program. 

CHA News Article

CMS Establishes One-Stop SNF Resource Center
For skilled-nursing facility leaders, case managers

The Centers for Medicare & Medicaid Services (CMS) has launched the Nursing Home Resource Center to consolidate information, guidance, and data on skilled-nursing facilities. 

CHA News Article

CDPH Issues AFL on Interdisciplinary Team Treatment Decisions in SNFs
For skilled-nursing facility leaders, case managers, compliance officers

The California Department of Public Health (CDPH) has issued All Facilities Letter (AFL) 20-83, regarding the interdisciplinary team (IDT) medical decision-making process for skilled-nursing facility residents who are unable to provide informed consent and do not have a representative to make decisions on their behalf.  

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Quality & Patient Safety

CHA News Article

Resources Available to Address Disparities and Bias in Maternity Care
For CEOs, leaders in clinical areas, operations, quality & patient safety, labor & delivery, person-centered care, diversity & inclusion, organizational development, human resources staff

Senate Bill (SB) 464 (Mitchell, D-Los Angeles) requires California hospitals to educate perinatal care staff about implicit bias. This requirement is in response to racial and ethnic disparities that have continued to persist in maternal mortality and morbidity, despite strong strides California hospitals have made to improve the overall maternity care. 

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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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