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.
CMS Issues Proposed Skilled-Nursing Facility Staffing Standards
The Centers for Medicare & Medicaid Services (CMS) has issued a proposed rule that would establish new staffing standards for long-term care facilities, including skilled-nursing facilities. Comments on the proposed rule are due Nov. 6.
CHA Comments on OPPS, Physician Fee Schedule Proposed Rules
CHA has submitted comments on the calendar year (CY) 2024 outpatient prospective payment system (OPPS) and physician fee schedule (PFS) proposed rules.
CHA Comments on Proposed OPPS 340B Remedy
CHA has submitted comments on the proposed remedy issued by the Centers for Medicare & Medicaid Services (CMS) for its 340B-acquired drug payment policy that was in effect from 2018-2022 for hospitals paid under the outpatient prospective payment system.
District Court Disallows Certain Provisions Related to No Surprises Act
For the third time, the U.S. District Court for the Eastern District of Texas ruled to set aside certain regulations implementing the No Surprises Act. The Texas Medical Association, joined by several air ambulance providers and supported by an amicus brief filed by the American Hospital Association, successfully argued that the methodology used to calculate the qualifying payment amount (QPA) favors insurers during the arbitration process.
Cyberattack: Preparing for and Reacting to a Breach
“Hospitals with a cybersecurity plan in place prior to an attack have a better chance at minimizing damage.” Mary Massey, CHA Vice President of Emergency Management The Internet represents one of the biggest tools hospitals utilize to function successfully. It is also one of the largest vulnerabilities. Safeguarding devices, networks, and data from cyberattacks is […]
CHA Comments on CY 2024 Home Health PPS Proposed Rule
CHA submitted comments on the calendar year (CY) 2024 home health (HH) prospective payment system proposed rule. In the letter, CHA raised concerns about the impact of CMS’ proposed payment adjustments. CHA requested that CMS take steps to eliminate punitive and unwarranted decreases in reimbursement that have negatively impacted access to HH care. CHA specifically […]
Register for Upcoming DataGen Webinar on FFY 2024 IPPS Final Rule
CHA encourages members to register for DataGen’s webinar on the federal fiscal year 2024 inpatient prospective payment system final rule and analysis on Aug. 30 at noon (PT). Registration is required.
CHA Resource on Public Service Loan Forgiveness Program Eligibility Now Available
CHA has created a two-page resource on the new requirements, including revisions to the definition of “employee” and “qualifying employer,” that will enable California’s nonprofit hospitals to certify physician employment under the Public Service Loan Forgiveness (PSLF) program.
CHA Issues Summary of FFY 2024 Long-Term Care Hospital PPS Final Rule
CHA has issued a members-only summary, prepared by Health Policy Alternatives, Inc., of the federal fiscal year (FFY) 2024 long-term care hospital (LTCH) prospective payment system (PPS) final rule.
FAQS Issued on Independent Dispute Resolution Process Administrative Fee
The departments of Health and Human Services, Labor and the Treasury have released frequently asked questions (FAQs) regarding the No Surprises Act independent dispute resolution (IDR) administrative fee. The FAQs are in response to the Texas Medical Association v. United States Department of Health and Human Services opinion and order to vacate the established $350 administrative fee.