Summaries Available for CY 2026 Home Health, End-Stage Renal Disease Payment Final Rules

What’s happening: Summaries of the calendar year (CY) 2026 home health prospective payment system (PPS) and end-stage renal disease (ESRD) PPS final rules are available for CHA members.   

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CA Medical Board Reminds Providers of Three-Day Rule for Narcotic Prescriptions

What’s happening: The Medical Board of California has distributed its annual notice reminding prescribers that, under federal law, certain authorized practitioners may dispense a three-day supply of Schedule II medications in emergency situations in order to initiate maintenance or detoxification treatment.  

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Summary of CY 2026 PFS Final Rule Includes Impact Analysis for 100+ Medicare Specialties

What’s happening: A summary of the calendar year (CY) 2026 physician fee schedule (PFS) final rule is available for CHA members.  

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EMSA Approves Specialty Designation Regulations, Highlights Continued APOT Reduction Challenges

What’s happening: At its quarterly meeting last week, the Commission on Emergency Medical Services reviewed ongoing implementation challenges related to Assembly Bill (AB) 40’s ambulance patient offload time (APOT) requirements, under which hospitals must submit APOT reduction protocols annually.  

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Reflection, Contemplation, and Gratitude

“We all get the exact same 365 days. The only difference is what we do with them.” — Hillary DePiano 

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OHCA Board Continues Aggressive Enforcement Planning, Signals Spending Targets Won’t be Changed

What’s happening: The Office of Health Care Affordability’s (OHCA’s) board met on December 17 to discuss several issues, including enforcement of and updated data related to the spending targets, as well as the office’s recent work to develop a methodology for measuring hospital spending.  

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CMS Proposes Changes to MA and Part D Star Ratings for Contract Year 2027

What’s happening: The Centers for Medicare & Medicaid Services (CMS) issued the contract year 2027 proposed rule for Medicare Advantage (MA) and Part D plans.   

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CMS Updates Hospital Surveyor Guidance to Address Discharge Planning, Notification Requirements, and More

What’s happening: The Centers for Medicare & Medicaid Services (CMS) has revised Appendix A of the State Operations Manual to include new interpretive guidelines and survey processes.   

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CHA Issues Summary of CY 2026 OPPS Final Rule

What’s happening: A detailed summary of the finalized provisions of the calendar year (CY) 2026 outpatient prospective payment system (OPPS) final rule is available for members. 

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IRF Review Choice Demonstration to begin in CA in 2026

What is happening: The Centers for Medicare & Medicaid Services (CMS) has announced that it will be expanding the Review Choice Demonstration (RCD) for Inpatient Rehabilitation Facility (IRF) Services to California, beginning May 1, 2026. 

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