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Prop 35 Advisory Committee Presents Revised 2025-26 Spending Plan at January Meeting
This post has been archived and contains information that may be out of date.
What’s happening: At its Jan. 14 meeting, the Proposition 35 Protect Access to Health Care Act Stakeholder Advisory Committee was presented a revised spending plan for calendar years 2025 and 2026. The spending plan reflects investments supported by managed care organization (MCO) tax proceeds generated from taxes imposed on Medi-Cal managed care plans.
Insurers Pledge to Improve Prior Authorization System
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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.
CHA Emphasizes Provider Perspectives at Latest Future of Medi-Cal Commission Advisory Group Meeting
What’s happening: The California Health Care Foundation’s Future of Medi-Cal Commission Advisory Group met last week, with discussion focused on implementing reforms well, strengthening accountability, simplifying Medi-Cal while protecting core benefits, and using data and technology to improve the member experience.
CMS Approves Hospital Fee Program 9
What’s happening: Last week, the Centers for Medicare & Medicaid Services approved the most critical components of California’s 2025 Hospital Fee Program (Program 9).
CalAIM Section 1115 Renewal Open for Public Comment Until March 12
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What’s happening: The Department of Health Care Services (DHCS) has opened a 30-day public comment period — ending on March 12 — to solicit feedback on a five-year renewal request of the California Advancing and Innovating Medi-Cal (CalAIM) Section 1115 demonstration.
Ahead of June 1 Deadline for Psych Staffing Ratios, CDPH Accepting Program Flex Requests
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What’s happening: As the June 1 deadline for free-standing acute psychiatric hospitals staffing ratios approaches, CHA is continuing conversations and advocacy with the California Health and Human Services Agency and the California Department of Public Health (CDPH) to urge adjustments to the department’s draft regulations.
Anthem to Impose 10% Penalty on Hospital Claims Involving Non-Participating Providers
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What’s happening: Anthem Blue Cross of California announced in a provider bulletin that, on June 1, it will implement a controversial policy that applies a 10% payment penalty on facility claims when hospitals provide care to patients involving non-participating physicians or providers.
DHCS’ Revised Prop. 35 Spending Plan Fails to Align with Voter Intent
What’s happening: At the May 28 “Protect Access to Health Care Act” Stakeholder Advisory Committee meeting, the Department of Health Care Services (DHCS) put forth a revised spending plan that fails to align funding with the intent of the voter-approved Proposition 35.
Court Agrees with Key CHA Arguments in Anthem Lawsuit But Will Not Hear Rest of Case
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What’s happening: A Los Angeles Superior Court Judge has ruled on CHA’s lawsuit against Anthem Blue Cross, finding that it is the responsibility of health plans to arrange for and transition to post-acute care services for their members.