The California Hospital Association provides member hospitals and health systems with representation and advocacy in the legislative and regulatory arenas. CHA advocates to maintain and improve access to high-quality, cost-effective, safe hospital and hospital-related services.
Whether policy is being shaped at the state or federal level, the power and impact of our collective voices strengthen CHA's effectiveness. CHA's dynamic team works collaboratively to maintain a unified statewide network for legislative action, educating and advocating on behalf of hospitals.
The California Hospital Association provides member hospitals and
health systems with representation and advocacy in the
legislative and regulatory arenas. CHA advocates to
maintain and improve access to high-quality, cost-effective, safe
hospital and hospital-related services.
Whether policy is being shaped at the state or federal level, the
power and impact of our collective voices strengthen CHA’s
effectiveness. CHA’s dynamic team works collaboratively to
maintain a unified statewide network for legislative action,
educating and advocating on behalf of hospitals.
CHA collaborates on policies and strategies for health care
issues with the American Hospital Association (AHA) and other
national health care organizations. The association maintains a
full-time presence in Washington D.C. to effectively advocate
on legislative and regulatory policy. CHA provides input on
developing federal legislation and regulatory proposals, and
helps shape national positions on important health care issues.
Federal advocacy activities include the annual California
Congressional Action Program held in Washington, D.C.
Supported by the Regional Associations and a number of key
constituency groups, CHA influences public policy development on
behalf of members through both legislative and regulatory
advocacy efforts. This includes effectively lobbying the
Legislature and establishing close working relationships with
state agency officials, regulatory representatives, and the
Administration. The state advocacy program includes the annual
Health Policy Legislative Day in Sacramento.
CHA’s state and federal advocacy program is supported by the
grassroots efforts of the Regional Associations. Regional
activities, such as hosting legislators and meeting with local
officials, are critical to developing and maintaining a unified
network for legislative and regulatory action.
Yesterday, CHA issued two Advocacy Alerts:
one on Senate Bill (SB) 227 (Leyva, D-Chino), which creates
unnecessary and duplicative penalties for hospitals that don’t
meet nurse staffing rations, and
one on Assembly Bill 5 (Gonzalez Fletcher, D-San Diego),
which threatens hospitals’ ability to contract with independent
businesses — such as nurse registries, staffing agencies or other
employers — for critical patient services.
The CHA website now prominently features Our Health California — CHA’s digital community of more than 1 million supporters — with links to stories that positively position hospitals, as well as health-related articles, data, and more.
On Aug. 12, the Department of Homeland Security (DHS)
finalized a rule to change the policy under which the federal
government can deny immigrants U.S. entry or adjustment to their
legal permanent resident status (e.g., green card) if they are
determined likely to become public charges (see
CHA’s response). The final rule expands the list of programs
that may be considered for determining public charge status, to
include not only cash assistance and long-term care but also
certain health care, nutrition, and housing programs.
One of CHA’s highest legislative priorities this year has been
(SB) 227 (Leyva, D-Chino), which would
create duplicative and mandatory fines for hospitals if they
do not meet required nurse staffing ratios. With help from
member hospitals, our advocacy generated key amendments last
An exemption for hospitals that — in response to an
unforeseeable and uncontrollable fluctuation — promptly make an
effort to maintain staffing requirements
A 50% reduction in the fines (now $15,000 for the first
violation and $30,000 subsequently)
A reduction in the length of time required to revert to a
first violation (lowered from six years to three)
CHA has finalized the 2018 Report on
Legislation, summarizing important state health care
legislation enacted during the second year of the
2017-18 legislative session. Developed to help hospitals
understand the implications of the year’s significant bills, the
report also serves as a reference tool for the broad range of
legislative activity that occurred this session.
In a victory for California hospitals and patients, yesterday
Gov. Brown signed CHA-sponsored AB 2798 (Maienschein, R-San
Diego), which requires the California Department of Public Health
(CDPH) to process all hospital applications — including
performing any necessary on-site survey — within 100
days. In addition, if an application relates to expanding a
service the hospital currently provides and is currently
approved, CDPH must approve the expansion within 30 business days
and issue an updated license, unless the hospital is out of
compliance with existing laws governing that service. An expanded
service approved in accordance with this legal deadline remains
licensed for not more than 18 months, until CDPH approves the
license for a longer period.
AB 2798 also requires CDPH to fully automate the application
process and develop an assistance unit to help hospitals navigate
the application process. CHA sponsored this bill in response to
myriad complaints by hospital members that CDPH processing delays
were impeding access to care for patients.