Workforce

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

House Advances CHA-Supported Bill to Support Front-Line Health Care Workers

On Nov. 4, the House Energy & Commerce Health Subcommittee passed by voice vote a modified version of the CHA-supported Dr. Lorna Breen Health Care Provider Protection Act (H.R. 1667). The version that passed aligns with the bill (S. 610) that the Senate passed in August.   The bipartisan legislation is named for a doctor who led the emergency […]

CMS, OSHA Issue Regulations on COVID-19 Vaccination Requirements

The Centers for Medicare & Medicaid Services (CMS) has issued an interim final rule with comment period, requiring COVID-19 vaccinations for workers in most health care settings that receive Medicare or Medicaid reimbursement, including but not limited to hospitals, dialysis facilities, ambulatory surgical settings, home health agencies, and long-term care facilities.  

CHA Key Messages Address Workforce Shortages

As workforce shortages continue to threaten health care for Californians, CHA has prepared key messages that hospitals can use or customize when talking with policy makers, the media, or the public about this issue.   

Learn About GME Reimbursement in Webinar Series

An upcoming two-part webinar series — free and hosted by Physicians for a Healthy California’s GME Startup Solutions and HORNE LLP — seeks to empower graduate medical education (GME) champions to grow and diversify California’s physician workforce pipeline.

Biden Issues COVID-19 Action Plan with Vaccine Requirements for Health Care Workers, Federal Employees & Contractors, Private Sector Employees

Today President Biden announced his COVID-19 Action Plan. As part of the plan, President Biden issued an executive order requiring all federal executive branch workers to be vaccinated with no option for being regularly tested as an alternative and an executive order directing that this standard be extended to employees of contractors that do business with the federal government.  

CHA Reminds Members That Despite Federal Standards, Cal/OSHA COVID-19 ETS Still Applies in California

As hospitals under the federal Occupational Safety and Health Administration (OSHA) authority have been actively implementing the emergency temporary standard (ETS) released on June 10, the American Hospital Association has been encouraging hospitals to comment on the regulation, arguing that the “OSHA COVID-19 ETS would jeopardize … the collective efforts by the field to follow […]

BRN’s Nurse Practitioner Full Practice Authority Regulations Begin

Assembly Bill (AB) 890 (Wood, D-Santa Rosa), which was signed into law on Sept. 29, will authorize a nurse practitioner who meets certain requirements to practice without physician supervision. The new law will improve access to health care by allowing nurse practitioners greater freedom and flexibility to practice in communities with insufficient primary care services. Details about the changes that will be implemented with AB 890 are available here.