About Workforce

The shortage of health care professionals in California is deepening every year and affects every aspect of care. Statewide, more than 11 million people live in an area without enough primary care providers, and according to a UC San Francisco study of the state’s nursing shortage, it will take until 2026 to close the state’s current nursing gap. All told, California needs to add 500,000 new allied health care professionals by 2024 in order to provide needed care. The COVID-19 pandemic has exacerbated health care staffing shortages. Many front-line health care workers have reached their breaking point and are choosing to leave the profession altogether (hundreds of thousands of health care jobs have been lost since the pandemic began).

Rural and low-income communities are disproportionately affected by the scarcity — and there’s a second disparate impact we must address as the state works to rebuild a depleted workforce: According to the California Future Health Workforce Commission, people of color will be a majority of Californians by 2030 but are severely underrepresented in the health care workforce.

Each year hospitals invest millions of dollars in training California’s next generation of health care providers, but closing the massive gaps ahead will require additional long- and short-term solutions:

  • Partnerships among all who recognize the need to protect the health of Californians: employers, workers, policymakers, colleges, licensing entities, and others
  • Public investments in workforce training through college and university programs to both retain current workers and build a pipeline of future professionals
  • Regulatory changes to improve efficiency and transparency in licensing, address limitations on scope of practice, and enhance education and training for nurses and nurse assistants

Hospitals: Final Step to Expand Coverage for All Included in January Budget Proposal Will Deliver Care to Millions

“Governor Newsom’s budget proposal to expand health care coverage to all income-eligible adults ages 26-49 regardless of immigration status is the final step needed to ensure that California becomes the first state in the nation to achieve universal health care coverage,” said Carmela Coyle, President & CEO of the California Hospital Association. “Delivering coverage for […]

CMS Finalizes Teaching and Organ Acquisition Provisions in FFY 2022 IPPS Rule

On Dec. 17, the Centers for Medicare & Medicaid Services (CMS) issued a final rule with comment period. The rule implements legislative changes to Medicare payments to teaching hospitals contained in the Consolidated Appropriations Act (CAA) and addresses organ acquisition payment policies through changes, clarifications, and codifications relative to organ procurement organizations (OPOs), transplant hospitals, and donor community hospitals.  Related to Medicare Indirect Medical Education and Direct Graduate Medical […]

CHA Updates FAQs for Hospitals Facing Critical Staffing Shortage

As the number of patients needing hospital care for COVID-19 again rises, CHA has updated its FAQs for Hospitals Facing Critical Staffing Shortages. These provide important resources for hospitals preparing for or experiencing workforce shortages.   In addition, CHA’s COVID-19: FAQs & Resources for California Hospitals provides important information for hospitals on how to request additional staff from the Medical Health […]

Courts Rule in Federal Vaccine Mandate Cases

Last week, two courts issued rulings in separate lawsuits challenging federal COVID-19 vaccine mandates.   As a reminder, there are three federal vaccine mandates:   The Centers for Medicare & Medicaid Services (CMS) mandate that applies to hospitals and other facilities participating in the Medicare or Medicaid program  A mandate that applies to some (not all) federal contractors  The federal OSHA mandate that applies to businesses with more than […]

Federal Court Temporarily Halts CMS Vaccine Mandate Interim Final Rule

On Nov. 30, a federal district court in Louisiana issued a preliminary injunction temporarily blocking enforcement of the Centers for Medicare & Medicaid Services (CMS) interim final rule requiring COVID-19 vaccinations for workers in most health care settings that receive Medicare or Medicaid reimbursement. 

CHA Webinar to Address Workplace Violence Prevention

As hospital staff report an increase in the frequency of violent acts in the emergency department, inpatient, and outpatient settings, CHA will host a members-only webinar on Dec. 15 from 9 to 10:15 a.m. (PT) that will review Cal/OSHA workplace violence mitigation plan requirements.   The webinar will also discuss the American Hospital Association Hospitals Against Violence Initiative, featuring the Creating Safer Workplaces guide. […]

U.S. House Democrats Advance Physical Infrastructure Bill  

Late Friday, the U.S. House of Representatives voted 228-206 to advance President Biden’s $1 trillion physical infrastructure legislation, the Infrastructure Investment and Jobs Act.   The five-year spending bill includes a CHA-supported provision to invest $65 billion in broadband as well as funding to improve cybersecurity. The majority of the bill’s funding is directed toward roads, bridges, ports, rail transit, […]