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.
Following a decision
last week by the U.S. Supreme Court, U.S. Citizenship and
Immigration Services has announced it will implement the “public
charge” final rule beginning Feb. 24. The rule allows the federal
government to exclude from entry any immigrant — after
considering their age, health, family status, education and
skills, and financial resources — who has used, or is likely to
use, certain health care, nutrition, or housing programs for more
than 12 months in a 36-month period.
The Assembly and Senate Health Committees held a joint
informational hearing Jan. 28 about hospital seismic safety and
the 2030 requirement to be fully operational after an earthquake
event. The hearing provided an opportunity to raise awareness
among lawmakers about the 2030 mandate for hospitals, as well as
for CHA and representatives from hospitals in different parts of
the state to testify about hospital preparedness and the impact
of the 2030 requirement.
Yesterday, the U.S. Supreme Court
set aside the preliminary injunction from New York that
prevented the Department of Homeland Security (DHS) public charge
rule from taking effect nationwide. This was the last of the
three district court nationwide injunctions standing, which means
the DHS rule can go into effect nationwide — except in Illinois —
while the litigation challenging it continues. CHA President
& CEO Carmela Coyle issued
a statement denouncing the rule.
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)