Welcome to the archive of Program & Policy, CAPH’s member newsletter. Here you can easily access past issues, organized for quick reference, to stay connected with key updates and advocacy priorities.

2025

August 15, 2025: Discusses the devastating impact of the enacted H.R. 1 federal budget reconciliation bill on Medicaid and outlines CAPH’s multi-front advocacy strategy to fight the cuts and protect access to care.

August 1, 2025: Addresses immigration enforcement impacts on patients avoiding care due to fear, resulting in increased no-shows and operational challenges for health care systems during state legislative summer recess.

July 18, 2025: Focuses on CAPH’s analysis of H.R. 1 implications for public health care systems and warns of ongoing federal administrative threats to Medicaid financing, including potential DSH cuts.

July 3, 2025: Reports on the passage of California’s 2025-2026 state budget and Senate advancement of the federal budget reconciliation bill, with continued advocacy efforts to protect Medicaid.

June 20, 2025: Updates on federal budget reconciliation developments including Senate Finance Committee’s proposed Medicaid cuts and ongoing state budget negotiations between Governor Newsom and the Legislature.

June 6, 2025: Covers California’s $12 billion budget deficit and proposed cuts to Medi-Cal coverage for undocumented individuals, alongside federal budget reconciliation threats to Medicaid funding.

May 23, 2025: Covers House passage of the “One Big Beautiful Bill” with devastating Medicaid cuts and California’s May Revise addressing a $12 billion deficit. Includes legislative appropriations updates, federal budget reconciliation details, and new executive orders targeting drug costs.

May 2, 2025: Highlights innovation examples from public health systems while warning about $880 billion in federal spending cuts targeting Medicaid. Includes MCO tax stakeholder updates, OHCA high-cost hospital target decisions, and federal restrictions on gender-affirming care.

April 18, 2025: Focuses on continued Medicaid advocacy during congressional spring recess and messaging strategies for protecting Medicaid from federal cuts. Covers Proposition 35 advisory committee launch, new psychiatric emergency care requirements, and federal 340B drug pricing executive order.

April 4, 2025: Recaps successful State Lobby Day with 20 participants conducting 50+ legislative meetings on Medicaid protection and OHCA concerns. Includes updates on hospital regulatory guidance, emergency medical services regulations, and Proposition 35 implementation.

March 21, 2025: Covers advocacy efforts following continuing resolution passage and showcases Arrowhead Regional Medical Center’s “I Matter” advocacy video. Provides updates on state lobby day, federal continuing resolution impacts, and court decisions on gender-affirming care.

March 7, 2025: Features a patient success story from Alameda Health System to highlight the importance of public health care systems. Includes state budget hearing updates, OHCA high-cost hospital proposals, and various new laws and regulatory guidance.

February 7, 2025: Discusses strategies for managing constant policy changes and provides updates on state legislation and CalHHS Secretary confirmation. Covers OHCA developments, federal lobby planning, and Trump administration executive order on gender affirming care for minors.

January 24, 2025: Focuses on continued wildfire response and federal administration proposals affecting public health care systems. Includes updates on Medi-Cal support for wildfire victims, immigration policy changes, and various state program developments.

January 10, 2025: Addresses LA wildfire impacts on public health systems and announces new health committee chairs for the 2025-2026 legislative session. Features California’s approval of the BH-CONNECT behavioral health waiver and CMS approval of MCO tax waiver amendment securing $7.2 billion.

2024

December 13, 2024: Covers CAPH Annual Conference recap and federal lobby day meetings with California senators and representatives about DSH payments, telehealth waivers, and Medicaid concerns. Also includes state updates on weapons detection requirements, CalAIM funding, and federal telehealth prescribing waiver extensions.

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