Laws & Regulations

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.

CMS Finalizes Medicare Observation Appeals Processes

What’s happening: The Centers for Medicare & Medicaid Services (CMS) has established appeals processes for Medicare beneficiaries who were admitted as inpatient but whose status changed to outpatient observation during their hospital stay.  

What else to know: The appeals processes only apply to patients enrolled in traditional Medicare, not patients enrolled in Medicare Advantage.  

Correction Notices Issued for Medicare Payment Final Rules

What’s happening: The Centers for Medicare & Medicaid Services issued correction notices to the federal fiscal year (FFY) 2025 Medicare payment final rules.  

What else to know: The changes are minor, and the inpatient prospective payment system (IPPS) final rule changes are not reflective of the low-wage index interim final rule.  

2024 CDPH Leadership Updates and District Sessions

This post has been archived and contains information that may be out of date.

CDPH and CHA will once again gather virtually to discuss all things licensing – including program flexes due to potential surges, the status of re-licensing and recertification surveys, and CDPH’s plans to modify Title 22.

Participants can speak with their district office representatives in separate breakout sessions. Now is the time to gain licensing clarification and a better understanding of CDPH policies and protocols.

Go ahead and register! It’s that easy.

OSHPD to Host Webinar on Hospital Construction Review Process

What’s happening: The Department of Health Care Access and Information’s (HCAI) Office of Statewide Hospital Planning and Development (OSHPD) is hosting a webinar to share updates about its review process for hospital construction projects. 

What else to know: The webinar is scheduled for Sept. 25 at 1 p.m. (PT) and is free. Registration is open.  

Mental Health Parity Rules Finalized

What’s happening: The departments of the Treasury, Labor, and Health and Human Services have finalized rules to improve access to mental health services by requiring health plans to make changes when inadequate access is provided.   

What else to know: The final rule reinforces the Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA), which requires health plans to ensure that access to mental health or substance use disorder care is not more restrictive than access to medical and surgical benefits.