About Legal, Regulatory, & Licensing
CHA’s legal department works on behalf of member hospitals and health systems in a variety of ways:
- Advocating before the courts both as a party in litigation and as amicus curiae in important appellate cases
- Assisting hospital compliance officers, privacy officers, and other staff with compliance with the myriad federal and state laws that govern hospital administration and the delivery of health care. This includes CHA’s California Health Information Privacy Manual, a California-specific resource that compares privacy requirements under HIPAA to state laws, and the California Hospital Compliance Manual, which covers high-risk compliance issues.
- Representing the interests of California hospitals before state and federal courts in lawsuits involving MICRA, reimbursement, labor and employment, medical staff, and other issues
- Assistance with medical staff bylaws
- Expertise in mental health law
This section also includes information about the California Department of Public Health’s (CDPH) Licensing and Certification Division, which is responsible for the licensure, regulation, inspection, and certification of health care facilities and certain health care professionals in California.
CALAIM INCENTIVE PAYMENT PLAN PROGRAM UPDATE: The California Advancing and Innovating Medi-Cal (CalAIM) Incentive Payment Program is intended to support the implementation and expansion of enhanced care management and community supports by incentivizing managed care plans (MCPs) to drive MCP delivery system investment in provider capacity and delivery system infrastructure. It is also intended to bridge current silos across physical and behavioral health care service delivery; reduce health disparities and promote health equity; achieve improvements in quality performance; and encourage take-up of community supports. More information on the MCP Incentive Payment Plan Program Year 1 Gap Filling Plan is available by county (San Diego and Imperial included) on the Department of Health Care Services website. Additional general information on the Incentive Payment Program can be found on the CalAIM Roundtables by Region web pages for San Diego and Imperial counties.
MEDI-CAL ELIGIBILITY FOR NEW UKRAINIAN ARRIVALS: The Department of Health Care Services (DHCS) has released a Medi-Cal Eligibility Division Information Letter to provide guidance to counties on the Medi-Cal eligibility of Ukrainian nationals arriving in California. It is anticipated that a significant number will resettle in California. The federal government has not provided any special benefit eligibility for this population, but has authorized the use of Temporary Protected Status (TPS) for Ukrainian arrivals who qualify. Many of the Ukrainian arrivals may enter under TPS or as humanitarian parolees and may not be eligible for the traditional federal services offered to immigrants granted refugee status. However, they may qualify for state-funded programs, including state-funded full-scope Medi-Cal. The letter provides guidance on how to establish Medi-Cal eligibility for this population (based on current Medi-Cal policy) for state and federal Medi-Cal benefits. DHCS will work closely with the state Office of Refugee Health and stakeholders to ensure that new Ukrainian arrivals receive the Medi-Cal benefits to which they are entitled.
SAN DIEGO COUNTY BOARD OF SUPERVISORS: On Oct. 19, the Board of Supervisors passed a motion to increase shelters and safe parking lots with wrap-around services for those experiencing homelessness in the East County. The board took the following actions:
Hazard Pay: The San Diego County Board of Supervisors voted to spend $36 million of American Rescue Plan funding on hazard pay for the county’s essential employees. Mandatory bonus pay has been the subject of much discussion around the state as we emerge from the pandemic. The Culver City Council has passed an ordinance that requires $5 per hour hero pay for employees at the city’s only hospital, and Assembly Bill (AB) 650 would mandate bonuses of up to $10,000 for hospital employees and contractors. However, AB 650 was moved to the Assembly Inactive File on June 3 and is now a two-year bill.