activities · 11
what they do
direct service · 1
- Regulatory Guidance for Hospitals Performance Data Collection & AnalysisProvides guidance to California inpatient rehabilitation facilities on compliance with federal programs such as the Medicare Review Choice Demonstration, including deadlines like the April 14, 2026, election between pre-claim or post-payment review.
advocacy · 8
- Engagement with State Health Policy Bodies Health Access Policy AdvocacyEngages directly with the Office of Health Care Affordability (OHCA) on health care cost issues and advocates during policy implementation to support hospital investments in access, quality, and equity while improving patient affordability.
- Financial Impact Analysis and Reporting Healthcare Data & Policy AnalysisConducts and reports on financial trends affecting hospitals, including analysis projecting revenue losses, job cuts, and economic impacts due to OHCA spending caps, and reports that 53% of California hospitals operate at a daily financial loss.
- Health Care Union Reform AdvocacySupports the Health Care Union Transparency, Accountability & Union Member Right to Vote Act, a ballot measure requiring health care union members to vote on the use of their dues for political campaigns.
- Hospital Safety and Regulatory AdvocacyAdvocates for policies to protect hospitals from physical and operational threats, including compliance with California’s 2030 seismic safety requirements for hospital facilities.
- Insurance Payment and Coverage Advocacy Health Access Policy AdvocacyAdvocates for policies that hold private insurers accountable for fair payment and coverage practices to ensure hospital financial sustainability.
- Legal Advocacy through Amicus Participation Amicus Litigation for Medical FreedomFiles amicus briefs and letters in judicial cases—participating in approximately 40 appellate cases in California over the past decade—that have broad implications for hospitals and health systems.
- Legislative Advocacy and Bill Tracking Legislative & Regulatory Tracking ServiceTracks hundreds of health care-related bills annually and provides members with a daily updated bill tracker that includes summaries, organizational positions, status updates, and hearing information.
- Political Campaign FinancingProvides financial support to candidates and officeholders in California who advocate for health care issues aligned with hospital interests.
capacity building · 2
- Data Tool Development for Hospital Compliance Healthcare Data & Policy AnalysisDeveloped a data tool that enables hospitals to replicate the Office of Health Care Affordability’s (OHCA) calculations to identify "high-cost" hospitals and assess proximity to regulatory thresholds.
- Legal Education and Training for Hospital StaffOrganizes the 2026 Consent Law Seminar to help hospital staff understand and navigate legal complexities related to patient consent and decision-making.
strategies · 10
how they think
Theories of action extracted from this org's own source material. Click any to see the full field of orgs running the same approach.
- Balanced Affordability Advocacy balanced affordability advocacyAdvocates for health care affordability policies that balance cost containment with the need for sustained hospital capacity to invest in access, quality, and equity, ensuring financial sustainability without sacrificing care.
- Comprehensive Care Access Advocacy comprehensive_care_advocacyAdvocates for broad, equitable access to health care delivery across diverse patient populations in California, ensuring inclusive and comprehensive health system coverage.
- Health Care Partnerships and System Integration health_care_partnershipsPromotes collaboration between hospitals and other health care entities to improve care delivery and system efficiency through coordinated, cross-sector partnerships.
- Health Equity Advocacy health_equityAdvocates for policies and practices that reduce disparities and improve access to care for underserved populations, embedding equity as a core objective in health system reform.
- Integrated Continuum of Care Advocacy continuum_of_careAdvocates for integrated systems of care that connect acute, post-acute, and community-based services to improve patient outcomes and reduce fragmentation in the health care system.
- Judicial Advocacy through Amicus Briefs judicial advocacy through amicus briefsEngages in judicial advocacy by submitting amicus briefs that provide factual context and legal analysis from the hospital and health system perspective to influence court decisions affecting health care policy.
- Legislative Monitoring and Advocacy legislative monitoring and advocacyMonitors and analyzes state legislation to inform advocacy positions and provide member hospitals with timely, actionable policy intelligence, ensuring hospitals can respond effectively to emerging regulatory and legislative changes.
- Legislative Relationship Building legislative relationship buildingFosters long-term relationships with state legislators by supporting the election and education of officials who understand the role of hospitals, thereby building durable political support for hospital interests.
- Provider Reimbursement Advocacy provider reimbursement advocacyAdvocates for policy and funding mechanisms that improve hospital reimbursement, particularly for Medi-Cal, seniors, and low-income populations, to ensure hospitals can sustain access to care.
- Union Dues Transparency and Accountability union_dues_transparencyAdvocates for greater transparency and accountability in the use of health care union dues for political campaigns, emphasizing member voting rights and informed consent.
named programs · 14
what they call their work
Amicus Activity Program
Judicial advocacy program that files friend-of-the-court briefs in key legal cases impacting hospitals and health systems, particularly around liability and regulatory issues
CHA Amicus Activity Tracker
Summarizes CHA's amicus ("friend of the court") briefs filed in cases with potential broad impact on hospitals and health systems.
CHA On-Demand Learning
Library of on-demand educational topics for members.
CHPAC
Political advocacy arm that provides campaign financing to officeholders and candidates committed to better health care for Californians.
California Hospital Political Action Committee (CHPAC)
Political advocacy arm that supports candidates committed to better health care in California by providing campaign financing and building relationships with legislators
Consent Law Seminar
Educational seminar preparing attendees to make decisions related to consent laws, addressing legal nuances and litigation threats.
Federal Legislative Tracker
Tracks federal legislation relevant to hospitals and health systems for members.
Medicare IRF Review Choice Demonstration – What You Need to Know
Educational program on CMS's expansion of the Review Choice Demonstration for Inpatient Rehabilitation Facility Services to California.
OHCA Impact Dashboard
Tool to project losses in revenue, jobs, and economic activity for hospitals resulting from OHCA’s spending caps.
OHCA “High-Cost” Hospital Calculation Tool
Data tool to help members replicate calculations used by OHCA to identify "high-cost" hospitals and assess proximity to thresholds.
Office of Health Care Affordability (OHCA) Advocacy
Advocacy initiative to influence OHCA implementation, protect hospital funding, and ensure affordability policies do not harm access to care
Securing Hospitals Initiative
Advocacy effort focused on protecting Medi-Cal and Medicare reimbursement, preserving the Hospital Quality Assurance Fee Program, and addressing financial challenges facing California hospitals
State Bill Tracker
Comprehensive tracking and analysis of high-priority state legislation affecting hospitals, including positions, status updates, and hearing information
Upcoming Federal Reporting Requirements for Hospital Outreach Laboratories
Educational program on federal reporting requirements for hospital outreach laboratories.
relationships · 6
who they work with
- California Dental Association Partner — Collaborates with CHA on an amicus committee to file briefs representing the health care provider perspective.
- California Medical Association Partner — Collaborates with CHA on an amicus committee to file briefs representing the health care provider perspective.
- Centers for Medicare & Medicaid Services Government — Collaborates on implementation guidance for the Medicare Inpatient Rehabilitation Facility Review Choice Demonstration in California.
- Medi-Cal Government — Collaborates on initiatives related to provider reimbursement and access to care for low-income Californians.
- Medicare Government — Works to support Medicare as a key payer for hospital services in California.
- Office of Health Care Affordability Government — CHA engages with OHCA in policy implementation and advocacy regarding health care spending and hospital designations.