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.
CA Supreme Court to Address Whether Hospitals Must Disclose ER Visit Fees Before Treating Patient
For over a decade, at least 15 different class action lawsuits have been filed against California hospitals for failing to disclose their facility fees before patients were treated. The suits claim that hospitals failed to advise patients arriving at their emergency rooms that they would be charged an “evaluation and management services fee” (EMS fee), which violated the state’s unfair competition law (Bus. & Prof. Code § 17200 et seq.) and Consumers Legal Remedies Act (Civ. Code § 1750 et seq.).
CHA Issues Summary of FFY 2024 SNF PPS Final Rule
CHA has issued a members-only summary, prepared by Health Policy Alternatives, Inc., of the federal fiscal year 2024 skilled-nursing facility (SNF) prospective payment system final rule.
CHA Issues Summary of CY 2024 OPPS Proposed Rule, Will Hold Webinar on Aug. 21
CHA has issued a comprehensive summary of the calendar year (CY) 2024 outpatient prospective payment system proposed rule.
CMS Finalizes Policies and Payment Updates for Long-Term Care Hospitals, Hospice Facilities
The Centers for Medicare & Medicaid Services (CMS) finalized payment updates and policies for long-term care hospitals (LTCH) and hospice facilities for federal fiscal year (FFY) 2024. The regulations are effective Oct. 1.
CMS Finalizes Policies on Medicare DSH Calculation
As part of the federal fiscal year 2024 inpatient prospective payment system final rule, the Centers for Medicare & Medicaid Services (CMS) also finalized its proposal to limit how Medicaid 1115 demonstration days count for purposes of the Medicare disproportionate share hospital (DSH) calculation.
CMS Issues FFY 2024 Skilled-Nursing Facility PPS Final Rule
The Centers for Medicare & Medicaid Services (CMS) has released its final rule on payments to skilled-nursing facilities (SNFs) for federal fiscal year (FFY) 2024.
HCAI Publishes Draft Regulations on Hospital Transactions
On July 31, the Department of Health Care Access and Information (HCAI) published draft regulations to implement new requirements for hospitals and other health care entities to notify HCAI’s Office of Health Care Affordability (OHCA) prior to engaging in certain transactions, including mergers, acquisitions, and affiliations.
CMS Issues FFY 2024 Inpatient Prospective Payment System Final Rule
The Centers for Medicare & Medicaid Services (CMS) issued its federal fiscal year (FFY) 2024 inpatient prospective payment system (IPPS) final rule.
CHA Will Host Webinar on OPPS, PFS Proposed Rules
On Aug. 21, CHA is hosting a members-only webinar to discuss key provisions in the Centers for Medicare & Medicaid Services (CMS) calendar year 2024 outpatient prospective payment system (OPPS) proposed rule and physician fee schedule (PFS) proposed rule.
Explaining CMS’ 2024 OPPS and PFS Proposed Rules Webinar
On July 13, the Centers for Medicare & Medicaid Services (CMS) issued its calendar year (CY) 2024 outpatient prospective payment system (OPPS) proposed rule and physician fee schedule (PFS) proposed rule. CHA is hosting a members-only webinar to discuss key proposals in these proposed rules on August 21 from 9-10:30 a.m. (PT) ahead of the comment deadline.