About Affordability

Health care is a basic human need, one that Californians rely on to live, grow, and prosper. Unfortunately, the cost of care has become too high for many working families. For years, California’s hospitals have made headway toward controlling costs. To ensure care for every Californian, the entire health care field must tighten its belt — insurance companies, physicians, labor unions, hospitals, pharmaceutical companies, and more. California’s hospitals stand ready to tackle this challenge through engagement with the Office of Health Care Affordability

Major OHCA Developments to Track in 2024

What’s happening: OHCA ended 2023 with a proposed preliminary spending target of 3% annually for five years and it finalized cost and market impact review regulations.  

What else to know: OHCA’s policy development and implementation is expected to accelerate in 2024, specifically related to the adoption of an initial health care spending target. 

CHA Seeks Greater Transparency in OHCA Data Collection Process

What’s happening: On Dec. 1, CHA submitted a comment letter on the Office of Health Care Affordability’s (OHCA) total health care expenditure draft regulations.  

What else to know: These regulations will determine how health spending is attributed to providers and who will be accountable under the statewide spending target.    

OHCA Releases Rules on Cost and Market Impact Review Process

What’s happening: On Nov. 28, the Office of Health Care Affordability (OHCA) released a revised version of the cost and market impact review regulations, alongside an accompanying notice.  

What else to know: The final regulations are expected to be effective on Jan. 1, 2024, for transactions intended to be completed on or after April 1, 2024. Stakeholders will have five days to comment on the regulations once officially filed.