About Medi-Cal

Every year, California’s hospitals treat millions of patients, many of them covered by Medi-Cal, the state’s health care safety net. This includes numerous essential health care services, including care for more than 50% of all births, 51% of behavioral health-related emergency department visits, and 49% of rural hospital patient care But for low-income Californians who rely on Medi-Cal for coverage — two-thirds of whom are people of color — their care is at serious risk. Communities with high Medi-Cal enrollment already suffer from a severe lack of health care providers and with hospital services at risk of being reduced and outright closures looming, California’s most vulnerable, including people living in rural and underserved areas, are in jeopardy.

CHA State-Federal Alert Seeks Attention on Emergency Funding and Medi-Cal Reimbursements, Upcoming DSH Cuts 

Last week, CHA issued a joint state-federal alert seeking members’ attention and action on two issues:  
Support for one-time state funding to stabilize hospitals and long-term increases in Medi-Cal reimbursements 
Support for a federal bill to delay Medicaid disproportionate share hospital (DSH) cuts 
For the state portion of the alert, CHA is asking hospital leaders to send a letter to the state senator and Assembly member who represent your hospital to voice your support for a one-time request for funds to stabilize distressed hospitals, as well as increases in Medi-Cal reimbursements. A letter framework with a high-level guide to the messages that should be included is available for members’ use. Letters should be sent by May 10; please send a copy to Mark Farouk at
For the federal bill, CHA is asking hospital leaders to call or email their U.S. representative by May 11 to ask them to: 
Co-sponsor the Supporting Safety Net Hospitals Act (H.R. 2665), legislation to delay the Medicaid DSH cuts that are scheduled for Oct. 1. 
Sign a letter to the leadership of the House of Representatives calling for urgent action on the legislation. 

CHA Issues Summary of Proposed Rule to Expand Health Care Access to DACA Recipients

CHA has issued a members-only summary, prepared by Health Policy Alternatives, Inc., of the proposed rule released by the Centers for Medicare & Medicaid Services (CMS) to amend regulatory definitions of “lawfully present” in specific health programs. These proposed changes would allow Deferred Action for Childhood Arrivals (DACA) recipients to enroll in the programs. Comments […]

CMS Issues Proposed Rules on Medicaid Access and Payment Rates

The Centers for Medicare & Medicaid Services (CMS) has issued two proposed rules related to Medicaid programs. The proposed rules are designed to improve access to care, quality, and health outcomes, and better promote health equity for Medicaid beneficiaries across fee-for-service and managed care delivery systems. Comments on both proposed rules are due to CMS […]

U.S House Holds Multiple Hearings on Hospital Issues

CHA thanks members for responding to the targeted alert calling for hospitals to contact their congressional representatives ahead of the four House subcommittee hearings on transparency, disproportionate share hospital (DSH) payments, outpatient payments, 340B, physician-owned hospitals, tax-exempt status, and many other hospital issues.   

New Report Shows Patients Served by One in Five California Hospitals Are at Risk of Losing Their Hospital Due to Closure

SACRAMENTO (April 12, 2023) — The latest report from national health care management consulting firm Kaufman Hall shows that one in five California hospitals — dozens throughout the state — is at risk of closure. Hospitals have faced a perfect storm of COVID-related losses, crippling inflation, and systemic underfunding by government payers — Medi-Cal and […]