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“The cuts to the Medicaid program will mean real harm to real people in communities large and small across California,” said Carmela Coyle, President & CEO of the California Hospital Association. “These are the largest cuts to our health care system ever enacted and are far too deep for hospitals simply to ‘absorb.’”

“Hospitals will be forced to make difficult decisions, and access to vital health care services will be jeopardized for all Californians — not just those who rely on Medi-Cal for their health care coverage,” Coyle said.

“While the final tally of the damage that will be inflicted is still unknown, California hospitals could lose up to 30% of their Medi-Cal revenues over the next decade,” Coyle said. “And this estimate does not include the increase in uncompensated care losses that hospitals will incur resulting from coverage losses and the cuts the state will inevitably be forced to make due to federal funding reductions.”

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What’s happening: All Facilities Letter (AFL) 25-19 changes the application review process for all applications submitted to the California Department of Public Health’s (CDPH’s) Centralized Applications Branch. 

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What’s happening: In a June 30 letter to the California congressional delegation, CHA urges members to cosponsor and support the Preserving Emergency Access in Key Sites (PEAKS) Act (S. 1960/H.R. 3778).  

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What’s happening: In recently submitted comments, CHA requested that the Centers for Medicare & Medicaid Services (CMS) revise the fixed-loss outlier threshold in the long-term care hospital (LTCH) prospective payment system.   

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What’s happening: After launching mandatory reporting of certain diseases through the California Neurodegenerative Disease Registry on July 1, the California Department of Public Health (CDPH) has now expanded the list of reportable diseases to include amyotrophic lateral sclerosis (ALS). 

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What’s happening: On July 1, the Collaborative Healthcare Patient Safety Organization (CHPSO) — a division of the Hospital Quality Institute — released its 2024 Annual Report, which shares analyses of patterns in diagnostic errors, recaps the year’s signal detection data, summarizes advancements in data quality among CHPSO’s growing membership, and more. 

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What’s happening: U.S. Department of Health and Human Services leadership has received commitments from multiple insurance companies to streamline prior authorization processes by cutting red tape, accelerating care decisions, and enhancing transparency for patients and providers.  

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“I would also say to anybody who’s designed their business model depending on federal government funding: Get a new model.” – Sen. Ron Johnson (R-Wis.) 

“People say, ‘Well, my hospital is not doing very well.’ Give me the financial statements. I’ll be glad to go through them.” – Sen. Rick Scott (R-Fla.) 

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What’s happening: On Tuesday, the U.S. Senate passed, largely along party lines and with Vice President JD Vance casting the tiebreaking vote, its version of the One Big Beautiful Bill Act (H.R. 1) — making even deeper cuts to Medicaid than the House of Representatives’ version that passed just a few weeks ago. California Sens. Adam Schiff (D) and Alex Padilla (D) voted against the legislation.  

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What’s happening: On June 23, the Office of Administrative Law approved the Emergency Medical Services Authority’s (EMSA’s) emergency regulations to implement Assembly Bill (AB) 40 (2023), establishing standards, protocols, and tools to improve ambulance patient offload times (APOTs) within California’s emergency medical services system.  

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