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CAH Financial Plan Meeting Registration

February 20, 2025 | 11:30 a.m. – 5:00 p.m., PTFebruary 21, 2025 | 8:00 a.m. – 12:00 p.m., PTHyatt Regency Sacramento – Capitol View Room1209 L StreetSacramento, CA 95814 The Hyatt Sacramento has rooms available at a discounted rate. For reservations, call (800) 233-1234 and mention the “CAH Financial Plan Meeting” or book online.  

Federal, State Updates in Response to LA Fires

This page provides the latest information on federal and state actions regarding the Los Angeles fires. The resources and information about official actions can help your hospital respond to the fires and continue to treat patients.

If you have any questions, contact Trina Gonzalez, Vice President, Policy at tgonzalez@calhospital.org.

Federal

  • Blanket Waivers from CMS — Includes wavier of the SNF 3-day acute care stay requirement, other space/environment, medical staff, and telehealth waivers. Hospitals do not need to make requests to CMS to avail themselves to blanket waivers
  • Noridian Response to California Wildfire PHE — Includes instructions for use of mandatory disaster modifiers for Medicare claims impacted by PHE and provider enrollment relief
  • Public Health Emergency — Declaration to Aid California Health Care Response
  • Medicare waivers/flexibilities – CMS has established a portal for facilities to apply for 1135 waivers of certain Medicare Conditions of Participation and certification, as well as flexibilities that help ensure patient access to care during a disaster. A sample request would be a waiver of the skilled nursing facility three-day prior hospitalization requirements.
  • Waivers of Sanctions under the Physician Self-Referral Law during Emergencies
  • Limited Waiver of HIPAA Sanctions and Penalties During a Declared Emergency: 2025 Public Health Emergency for California in Response to Wildfires and Straight-Line Winds
  • State

  • Staffing — For hospitals and SNFs experiencing a surge of patients or staffing shortages resulting from fire or windstorm impacts, including school closures or an emergency such as a public safety power shutoff, staffing waivers can be requested via CDPH’s Program Flex portal.
  • Licensure — For change of beds and services, hospitals must submit a Program Flex application, but approval is not required before providing care.
  • Space — Hospitals may convert the use of existing space and use additional space, including surge tents, to allow additional patients access to care.
  • Department of Health Care Services (DHCS) — DHCS has set up a site dedicated to the LA fires for Medi-Cal enrollees, plans, and providers. Facility flexibilities and other waivers from DHCS will be continuously updated on this site.
  • EMSA has released instructions on the approval process and procedures for health care facilities
  • DMHC Resource Guide — This includes language from the guidance DMHC sent last week and phone numbers and website links for the plans that are operating in the affected area.
  • Health Plans — All Plan Letter: Enrollees’ Continued Access to Health Care
  • Pharmacy — Waiver of standard practices, waiver of staffing ratio provisions, waiver related to remote processing, waiver related to the delivery of provisions
  • First Executive Order — CHA summary and guidance on governor’s first executive order
  • 2025 Emergency Services Forum

    Join us for the 2025 Emergency Services Forum, returning to beautiful Newport Beach! This conference is dedicated to the uniqueness of hospital ED management and its intersection with emergency services and the community. We’re finalizing an exceptional lineup of speakers and engaging topics. The 2024 Emergency Services Forum sold out – this is an event you and your colleagues don’t want to miss! 

    HHS Proposes Updates to HIPAA Security Rule

    What’s happening: The U.S. Department of Health and Human Services’ (HHS) proposed revisions to the Health Insurance Portability and Accountability Act (HIPAA) Security Rule aim to strengthen cybersecurity protections for electronic protected health information (ePHI). 

    What else to know: Comments on the proposed rule are due by March 7. 

    Lois Quam Named CEO of Blue Shield of California

    What’s happening: On Jan. 8, the Blue Shield Board of Directors announced that, following the departure of Paul Markovich, Lois Quam will become the organization’s first female CEO in its 86-year history. 

    What else to know: Quam came to Blue Shield of California after serving as CEO of Pathfinder, a nonprofit global health organization serving women and girls.

    Gov. Newsom Previews 2024-25 State Budget Proposal Ahead of Jan. 10 Release

    What’s happening: In a high-level preview to reporters on Jan. 6, Gov. Gavin Newsom shared that his budget proposal features improved revenue projections, which help to keep the $322 billion spending plan in balance.  

    What else to know: The preview took place during Newsom’s tour of the Central Valley to promote his economic vision for the state, which includes key themes of government accountability, reducing the cost of living, and keeping California competitive. 

    Federal Funding Will Bolster Medi-Cal Reimbursement for Inpatient Psychiatric Care

    What’s happening: On Dec. 16, California was approved for the large BH-CONNECT behavioral health demonstration project, which is estimated to bring $5 billion of new federal Medicaid dollars for California over the next five years.  

    What else to know: During this time, BH-CONNECT will use the funds to test new approaches to behavioral health treatment, housing, and workforce development.  

    2025 Rural Health Care Symposium Is Fast Approaching

    What’s happening: In just two months, on March 10-11, the 40th Rural Health Care Symposium will take place in Sacramento and will address the most pressing issues facing rural hospitals today.  

    What else to know: The symposium will cover emerging trends and legislative challenges, updates on the Office of Health Care Affordability and the Hospital Quality Assurance Fee Program, and leveraging data to streamline operations and boost efficiencies, among many other topics. 

    Timeline Undetermined for Implementation of AB 40 Regulations

    What’s happening: Due to state budget constraints, the state Office of Administrative Law (OAL) has not yet approved the Emergency Medical Services Authority’s (EMSA) Assembly Bill (AB) 40 (2023) regulations for public comment. 

    What else to know: AB 40 passed in 2023 with the intent of improving long ambulance patient offload times (APOTs). Despite the delay on implementation, CHA continues pursuing opportunities to collaborate with health care partners to improve long APOTs, which affect the entire health care delivery system.