Legislative advocacy is one of the primary benefits of CAHF membership 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






AB 486 (Kalra) - Long-term health facilities: citation appeals. This bill would delete the civil action provisions for contesting a class “AA” or “A” citation under these provisions, and would make those citation classifications subject to the administrative proceedings applicable for contesting a class “B” citation.  CAHF has met with the author’s staff and has taken an oppose unless amended position on the bill, with proposed amendments to provide an option for binding arbitration in lieu of the facility filing a civil case in superior court.  The bill passed out of the Assembly Health Committee and will be heard in the Assembly Appropriations Committee. AB 486 is in the Senate.

AB 1331 (Wood) - California Health and Human Services Data Exchange Requirements. This bill would require the Center for Data Insights and Innovation to take over establishment, implementation, and all the functions related to the California Health and Human Services Data Exchange Framework on or before January 1, 2024, subject to an appropriation in the annual Budget Act. The bill would require the center to establish the CalHHS Data Exchange Board, with specified membership, to develop recommendations and to review, modify, and approve any modifications to the Data Exchange Framework data sharing agreement, among other things. The bill would require the center to submit an annual report to the Legislature that includes required signatory compliance with the data sharing agreement, assessment of consumer experiences with health information exchange, and evaluation of technical assistance and other grant programs. The bill would require the center, by July 1, 2024, to establish a process to designate qualified health information organizations according to specified criteria. AB 1331 is in the Senate.

AB 1537 (Wood) - Skilled nursing facilities: direct care spending requirement. This bill would require a SNF to expend at least 85% of its non-federal health-related revenue on direct patient care, including rent/lease costs and professional liability insurance.  This is a re-introduction of AB 2079 which was passed out of the Legislature in 2022 and vetoed by the Governor.  CAHF had no position on AB 2079 due to the addition of requested amendments.  CAHF will be assessing its position on AB 1537 pending the release of additional amendments from the author. AB 1537 is in the Senate.

AB 2075 (Alvarez) - Resident-Designated Support Persons Act. This bill would enact the Resident-Designated Support Persons Act. The act would provide a resident of a long-term care facility with the right to in-person, onsite access to a designated support person or a health care and social services provider during a public health emergency in which visitation rights of residents are curtailed by a state or local order, as specified. The act would provide how a resident may leave their long-term care facility on outings during a public health emergency. The act would require a long-term care facility, among other things, to provide safety protocols required of care staff, designated support persons, and other visitors to the residents, resident representatives, and residents’ designated support persons orally and in writing.

AB 3129 (Wood) - Health care system consolidation. This bill would require a private equity group or a hedge fund, as defined, to provide written notice to, and obtain the written consent of, the Attorney General prior to a change of control or an acquisition between the private equity group or hedge fund and a health care facility or provider group, as those terms are defined, except as specified. The bill would require the notice to be submitted at the same time that any other state or federal agency is notified pursuant to state or federal law, and otherwise at least 90 days before the change in control or acquisition. The bill would authorize the Attorney General to extend that 90-day period under certain circumstances. The bill would additionally require a private equity group or hedge fund to provide advance written notice to the Attorney General prior to a change of control or acquisition between a private equity group or hedge fund and a nonphysician provider, or a provider with specified annual revenue


SB 1354 (Wahab) - Health Facilities Payment Source. This bill would require a long-term health care that participates as a provider under the Medi-Cal program to provide aid, care, service, or other benefits available under Medi-Cal to Medi-Cal beneficiaries in the same manner, by the same methods, and at the same scope, level, and quality as provided to the general public, regardless of payment source