Legal, Regulatory, & Licensing

About Legal, Regulatory, & Licensing

Navigating the vast network of health care laws, regulations, and licensing requirements is difficult. To help hospitals, CHA produces manuals and guidebooks, including the California Health Information Privacy Manual, which compares privacy requirements under HIPAA to state laws; 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.

Committee Shakeup Brings New Opportunities for Engagement

Last week, California Assembly Speaker Robert Rivas announced new chairs for many Assembly policy committees. The women and men in some of these roles will play an important part in shaping health care policy and their appointments present CHA and hospital leaders with an opportunity to engage and educate a new crop of policymakers about the threats to hospital care in California. 

Summary: Details of Final Outpatient Payment Rule

What’s Happening: A comprehensive summary of the finalized payment updates and policy changes to the Medicare outpatient prospective payment system for calendar year 2024 is available.  

What Else to Know: The provisions are generally effective Jan. 1, 2024.  

Updated Guide on Final Rule Implementation Now Available

What’s happening: A members-only guide from the American Hospital Association to support hospitals in the implementation of the Medicare Advantage (MA) final rule is now available for calendar year 2024.  

What else to know: The document provides a summary of key provisions of the final rule, which seeks to align MA coverage with traditional Medicare more clearly and to increase oversight of MA plans.  

New Requirements for Hospital Supplier Diversity Reporting Coming in 2025

What’s happening: Assembly Bill (AB) 1392 (2023) expands the Hospital Supplier Diversity program by requiring additional reporting information for hospitals, effective July 1, 2025.   

What else to know: A fact sheet from the Department of Health Care Access and Information (HCAI) outlines the statutory changes and time frames for program implementation. 

Physicians Will See Medicare Payment Cuts Next Year

What’s happening: The Centers for Medicare & Medicaid Services’ (CMS) 2024 physician fee schedule final rule reduces Medicare payments to physicians by 1.23% compared to the prior year.  

What else to know: The final 2024 physician fee schedule conversion factor is $32.74, a decrease of $1.15, or 3.4%, from 2023.