Office of Health Care Affordability

OHCA, established in 2022, will profoundly shape health care in California. Its legislated goals are to slow health care spending growth, promote high-value system performance, and assess market consolidation. CHA is actively engaged in the implementation process, advocating to improve affordability for patients while ensuring hospitals are able to make much-needed investments to improve access, quality, and equity.

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In addition to in-person advocacy at OHCA meetings, CHA has submitted the following comment letters.

“[OHCA’s] final recommendation for California’s first statewide spending target misses the mark — putting patient care in jeopardy.”

CHA letter to OHCA Board Chair Dr. Mark Ghaly – January 18, 2024

Read the full letter

“Spending targets must strike a balance between promoting affordability and access to a high-quality, equitable health care system.”

CHA letter to OHCA Board Chair Dr. Mark Ghaly – December 13, 2023

Read the full letter

Previous Letters


Senate Bill 184, part of the 2022-23 state budget package, established the Office of Health Care Affordability within the Department of Health Care Access and Information (HCAI). The office’s objectives and responsibilities are to:

Jurisdiction. The office’s authority extends to payers, such as health plans and public health care coverage programs; providers, including hospitals and physician groups; and fully-integrated delivery systems.

Governance. OHCA is housed within the Department of Health Care Access and Information and is overseen by an eight-member board with input from an advisory committee.

See OHCA’s website for links to public meetings, laws and regulations, and additional information.

Implementation of the office will occur gradually over the next several years:

The office’s work coincides with a period of unparalleled financial distress for hospitals. Rising costs, — including expenses for workforce and other needs, along with state-mandated capital improvement projects — mean that hundreds of California’s hospitals are operating with negative margins, losing money every day to care for patients.


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