About Workforce

California’s shortage of health care workers, which was already struggling to keep pace with the growing demand for services before the pandemic, has only been exacerbated by COVID-19. Statewide, more than 11 million Californians live in an area without enough primary care providers. These patients often face a health care system lacking enough nurses, physicians, pharmacists, behavioral health professionals, lab scientists, geriatric specialists, and physical therapists to provide the care they need. To care for patients across the state, California needs to add 500,000 new allied health care professionals — such as medical assistants, imaging specialists, and other non-nursing staff — by 2024.   

Health care offers Californians solid career paths with upward mobility and economic stability, and each year hospitals invest millions of dollars in training California’s next generation of health care providers. But closing the gaps will require partnerships among all who recognize the need to protect the health of Californians: employers, workers, policymakers, colleges, licensing entities, and others. Regulatory changes are needed to improve efficiency and transparency in licensing, address limitations on scope of practice, and enhance education and training for nurses and nurse assistants.  

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, […]

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 […]