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 Appropriations
Committee and has been sent to the Senate floor for a third reading.
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 passed out of the Senate Appropriations
Committee and has been sent to the Senate floor for a third reading.
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 Senate floor for
a third reading.
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 passed out of the Senate Appropriations Committee and sent to the
Senate floor for a third reading.
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 has been held in the Senate Appropriations Committee.
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 passed out of the Senate Appropriations Committee and has
been sent to the Senate floor for a third reading.
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 postponed by the
Assembly Appropriations Committee and can be acted upon when the legislature reconvenes in January 2026.
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 been sent to the Assembly floor
for a third reading.
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 to the Assembly floor for a second reading.
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 second 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 to the Assembly floor for a second reading.