About Laws & Regulations
Navigating the vast network of health care laws and regulations is difficult. To help hospitals, CHA produces manuals and guidebooks, including the Consent Manual, a one-stop resource for all legal requirements related to patient consent for medical treatment, release of medical information, reporting requirements and more; the Model Medical Staff Bylaws and Rules, which outline the framework for working relationships among medical staff, hospital administrators and governing bodies; and the California Hospital Compliance Manual, which covers high-risk compliance issues. CHA also represents California hospitals’ interests in court on issues, including reimbursement, labor and employment, and more.
Summaries Available for CY 2026 Home Health, End-Stage Renal Disease Payment Final Rules
What’s happening: Summaries of the calendar year (CY) 2026 home health prospective payment system (PPS) and end-stage renal disease (ESRD) PPS final rules are available for CHA members.
Summary of CY 2026 PFS Final Rule Includes Impact Analysis for 100+ Medicare Specialties
What’s happening: A summary of the calendar year (CY) 2026 physician fee schedule (PFS) final rule is available for CHA members.
CMS Proposes Changes to MA and Part D Star Ratings for Contract Year 2027
What’s happening: The Centers for Medicare & Medicaid Services (CMS) issued the contract year 2027 proposed rule for Medicare Advantage (MA) and Part D plans.
CHA Issues Summary of CY 2026 OPPS Final Rule
What’s happening: A detailed summary of the finalized provisions of the calendar year (CY) 2026 outpatient prospective payment system (OPPS) final rule is available for members.
CMS Repeals Minimum Staffing Standards for Skilled-Nursing Facilities
What’s happening: On Dec. 2, the Centers for Medicare & Medicaid Services issued an interim final rule that repeals minimum staffing standards for long-term care facilities, which were finalized in 2024.
Some Psychiatric Hospitals See Uptick in Requests to Admit Former State Hospital Patients
What’s happening: Acute psychiatric hospitals and units located in Sonoma and Orange counties have recently reported increased local pressure to admit individuals who local courts have placed on a “Murphy” conservatorship following treatment in a state hospital.
CMS to Decrease Home Health Payments 1.3% in 2026
What’s happening: On Nov. 28, the Centers for Medicare & Medicaid Services (CMS) issued the calendar year (CY) 2026 home health prospective payment system final rule.
CHA to Host 2025 Legislative Wrap-Up Webinar on Dec. 3
What’s happening: On Dec. 3 from 2:30- 4 p.m. (PT), a panel of CHA experts will cover key legislation from the 2025 session, highlight crucial deadlines, and answer members’ questions.
Comments on Trauma/Specialty Care Regulations Due Next Week
What’s happening: Last week, the Emergency Medical Services Authority (EMSA) released updated critical care and specialty program regulations.
Department of Homeland Security Proposes Changes to Public Charge Policies
What’s happening: A proposed rule released this week by the Department of Homeland Security (DHS) would rescind a 2022 final rule that prevented immigration officers from denying immigrants’ applications for permanent residency if the applicant had received, or was expected to receive, certain public benefits — including most Medicaid benefits.