Legislative advocacy is one of the primary benefits of being a member of the California Association of Health Facilities (CAHF), and one of the most important activities in which we engage on behalf of long-term care facilities in the state. CAHF has a proven track record of promoting and protecting the long-term care profession’s interests and practices through aggressive lobbying, grass roots campaigns, and fighting for policies that support access to quality long-term care services at the local, state and federal levels.
Look in this section for information on hot legislative topics, CAHF-sponsored bills and other priority bills which may affect your business, finding your state legislator, grassroots activities and other links of interest. Stay informed and make a difference!
Yvonne Choong, Vice President, Policy
(916) 441-6400
cahf-governmentaffairsteam@cahf.org
AB 92 –
Patient Visitation (Gallagher). The bill would require
health facilities to develop alternate visitation protocols, if circumstances
require a health facility to restrict visitor access to the facility due to
health or safety concerns, that allow visitation to the greatest extent
possible while maintaining patient, visitor, and staff health and safety.
Additionally, the bill would prohibit a health facility from prohibiting
in-person visitation in end-of-life situations unless the patient has indicated
to the health facility staff that the patient does not want this person to
visit, as specified, and would authorize a health facility to require visitors
to adhere to personal protective equipment and testing protocols not greater
than those required of facility staff for the duration of their visit. AB 92
failed to meet the legislative deadline and can be acted upon when the
legislature reconvenes in January 2026.
AB 220 – Medi-Cal Subacute Care Services
(Jackson). AB 220 would require a health facility that
provides pediatric or adult subacute care services to submit an electronic
treatment authorization request along with the treatment authorization request.
The bill would also prohibit a managed care plan from developing or using its
own criteria to decide if a patient for specialized subacute care.
Additionally, AB 220 requires the California Department of Health Care Services
to develop and implement procedures, and impose sanctions, to ensure compliance
from managed care plans. AB 220 has passed out of the Senate but was held
at the Senate Desk prior to being sent to the Assembly for
concurrence.
AB 251 – Elders and Dependent Adults: Abuse or
Neglect (Kalra). AB 251 is a
reintroduction of AB 2773 from the previous session. This bill would
apply a preponderance of the evidence standard to any claim brought against a
residential care facility for the elderly or a skilled nursing facility, except
as specified, for remedies sought pursuant to the above provisions, upon
circumstances in which spoliation of evidence, as defined, has been committed
by the defendant, as specified. AB 251 has been sent to the Governor’s desk and is awaiting a signature or a
veto.
AB 583 – Death Certificates (Pellerin). AB 583 would authorize the medical and health section data and the time
of death on a death certificate to be completed and attested to by a licensed
nurse practitioner in the case where a patient is in a skilled nursing or
intermediate care facility. AB 583 has been sent to the Governor’s desk
and is awaiting a signature or a veto.
AB 960 – Patient Visitation (R. Garcia). AB 960 would require a health facility to
allow a patient with dementia, and demonstrated need, to have a family or
friend caregiver with them as needed unless certain conditions are met. These
conditions include, but are not limited to, the facility reasonably determining
that the presence of the visitor poses health, safety, or operational risks, or the patient does not
wish for them to visit. AB 960 would give health facilities the authorization
to require visitors adhere to personal protective equipment and testing
protocols and allows for the health facility to establish other reasonable
restrictions on visitation. The bill stipulates that there are no new
liabilities and there are no additional costs for local agencies. AB 960
has been sent to the Governor’s desk and is awaiting a signature or a
veto.
AB 974 – Medi-Cal Managed Care Plans: Exemption
from Mandatory Enrollment (Patterson). AB 974 would exempt dual eligible and non-dual-eligible
individuals who receive regional center services and use a Medi-Cal
fee-for-service as secondary health care coverage to opt out of mandatory Medi-Cal
Managed Care enrollment. AB 974 failed to meet the legislative deadline and can be acted upon
when the legislature reconvenes in January 2026.
AB 1220 – Regional Centers: Transparency and
Accountability (Arambula). The Lanterman
Developmental Disabilities Services Act requires the State Department of
Developmental Services to contract with regional centers to provide services
and supports to individuals with developmental disabilities and their families. AB 1220 would introduce legislation focused on enhancing
transparency and accountability within the regional center system and includes
relevant findings and declarations to support this goal. AB 1220 failed
to meet the legislative deadline and can be acted upon when the legislature
reconvenes in January 2026.
AB 1415 – California Health Care Quality and
Affordability Act (Bonta). The California Health
Care Quality and Affordability Act established the Office of Health Care
Affordability to monitor and manage health care costs, develop cost-lowering
policies, and ensure affordability through setting and enforcing cost targets.
Current law defines multiple terms relating to these provisions, including
“health care gentility” and “provider.” AB 1415 would expand and update
definitions applying to these provisions to include “management services
organization” as well as expand the definition of “provider” and “health
system.” Additionally, AB 1415 requires health care and related entities, like
private equity groups and hedge funds, to notify the Office of Health Care
Affordability about significant transactions or agreements affecting material
assets. AB 1415 has been sent to the Governor’s desk and is awaiting a
signature or a veto.
SB 29 – Civil Actions: Decedents Cause of Death
(Laird). SB 29 would
eliminate restrictions on recovering damages for pain, suffering, or
disfigurement and remove the reporting requirements, allowing for all pre-death
damages to be generally recoverable by the decedent’s representative or
successor. SB 29 has been sent to the Assembly Appropriations
Committee.
SB 250 – Medi-Cal Provider Directory: Skilled
Nursing Facilities (Ochoa Bogh). SB 250 would require
the California Department of Health Care Services, as a part of the Medi-Cal
Managed Care Health Care Options website, include skilled nursing facilities as
one of the available searchable provider types. SB 250 has been sent back to
the Senate with new amendments for concurrence.
SB 422 – California Workforce Development Board:
Developmental Services (Grayson). SB 422 would require the California Workforce Development
Board to review existing recommendations and create a report for the Governor
and the Legislature outlining strategies for tackling workforce shortages in
California’s developmental services system. Additionally, the bill
requires the state Department of Developmental Services to provide staff
support and expertise to the board for this purpose. SB 422 failed to meet the legislative deadline and
can be acted upon when the legislature reconvenes in January 2026.
SB 435 – Residential Care Facilities for the
Elderly: Emergency Backup Power Source (Wahab). SB 435 would require residential care facilities for the elderly
(RCFE) to have an alternative power source by January 1, 2027 to protect
residents’ health and safety for no fewer than 72 hours during any type of
power outage. It would impose specific compliance requirements based on
whether the facility uses a generator as its alternative source of power, or
batteries or a combination of batteries in tandem with a renewable electrical
generation facility as well as require RCFEs to indicate information on the
source of power within the emergency and disaster plan by January 1,
2027. The bill imposes a state-mandated local program. SB 435
failed to meet the legislative deadline and can be acted upon when the
legislature reconvenes in January 2026.
SB 471 – Office of the Lanterman Ombudsperson
(Menjivar). SB 471 would
establish the Office of the Lanterman Ombudsperson within the state Department
of Developmental Services to provide individuals with intellectual and developmental
disabilities who work with regional centers with issues related to their care,
placement, or services. This office would help resolve issues for individuals using
developmental services by providing information, training, and investigating
complaints. Additionally, the bill would clarify that the Office of the
Self-Determination Ombudsperson is a separate office, but would also require
the Lanterman Ombudsperson to oversee the Office of the Self-Determination
Ombudsperson. SB 471 has been sent back to the Senate with new amendments for
concurrence.
SB 582 – Residential Care Facilities for the
Elderly: Skilled Nursing Facilities (Stern). Current law provides for the licensure and regulation of health
facilities, defined to include skilled nursing facilities, by the State
Department of Public Health. This bill would state the intent of the
Legislature to enact legislation relating to the licensure of residential care
facilities for the elderly and skilled nursing facilities. SB 582 has been sent
to the Assembly floor for a third reading.
SB 660 – California Health and Human Services Data Exchange Framework (Menjivar). SB 660 would require the Center for Data Insights and Innovation, within the California Health and Human Services Agency, on or before January 1, 2026, and subject to an appropriation in the annual Budget Act, to take over the establishment, implementation, and all of the functions related to the California Health and Human Services Data Exchange Framework. This includes the data sharing agreement and policies and procedures, from the agency as well as expanding the California Health and Human Services Data Exchange Framework to include social services information. SB 660 has been sent back to the Senate with new amendments for concurrence.
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