About HCAI

Laws & Regulations

Program Statutes

Statutory authorization for the Department of Health Care Access and Information (HCAI) and its programs is primarily found in Division 107 of the Health and Safety Code, §127000 et seq.

Division 107 is divided into parts that roughly correlate to the Offices within the Department. Some HCAI Offices administer more than one program. (Note that specific program statutes may be located in other areas of the Health and Safety Code, or in other Codes.)

  • Office of Health Care Affordability – Part 2, Chapter 2.6, commencing with §127500
  • CalRx Program—Part 2, Chapter 10, commencing with §127690
  • Office of Health Workforce Development– Part 3, commencing with §127750
  • Office of Information Services– Part 5, commencing with §128675
  • Office of Health Facility Loan Insurance – Part 6, commencing with §129000
  • Office of Statewide Hospital Planning and Development– Part 7, commencing with §129675
  • Hospital Fair Billing Program (Hospital Bill Complaint Program) – Part 2, Chapter 2.5, commencing with §127400

California Codes, including the Health and Safety Code, can be accessed through the Official California Legislative Information website. Select “California Law” and then “Health and Safety Code”.

Program Regulations

Most HCAI program regulations are found in Division 7 of Title 22 of the California Code of Regulations (CCR), commencing with §90001.

Division 7 is divided into chapters – HCAI Offices may have regulations in more than one chapter.

  • Office of Health Workforce Development (Note that specific program regulations may be found in other parts of the CCR)
    • Chapter 6, commencing with §92001
    • Chapters 14 – 17, commencing with §97700.1
  • Office of Information Services
    • Chapter 9, commencing with §96040,
    • Chapter 9.5, commencing with §96060,
    • Chapter 10, commencing with §97003
  • Office of Health Facility Loan Insurance
    • Chapter 5, commencing with §91401
  • Office of Health Care Affordability
    • Chapter 11.5, commencing with §97431
  • Hospital Fair Billing Program (Hospital Bill Complaint Program)
    • Chapter 9.2, commencing with §96051

Office of Statewide Hospital Planning and Development adopts building standards that are found in Title 24.

The California Code of Regulations (except for Title 24) can be accessed through the Office of Administrative Law or directly through the California Code of Regulations.

Newly Adopted, Amended, or Repealed Regulations

Posted pursuant to Government Code Section 11343(c).

See the California Code of Regulations website to view a simple text version of the documents in this section.

Proposed Regulations

Health Care Payments Data Program

Data Collection

HCAI’s Health Care Payments Data (HPD) Program Data Collection regulations proposal was submitted to the Office of Administrative Law (OAL) and published in the California Regulatory Notice Register on September 12, 2025, which marks the beginning of the public comment period. The last day to submit comments is October 30, 2025. HCAI anticipates regulation adoption in early 2026. Please see the Notice of Proposed Rulemaking. Additional rulemaking documents are linked below. For more information, visit the HPD Program page.

Hospital Fair Billing

Hospital Fair Pricing Act

HCAI’s Hospital Fair Billing Program regulations proposal was submitted to the Office of Administrative Law (OAL) and published in the California Regulatory Notice Register on September 19, 2025, which marks the beginning of the public comment period. The last day to submit comments is November 3, 2025. HCAI anticipates regulation adoption in early 2026. Rulemaking documents are linked below. For more information, visit the HFB Program page.

Health Care Affordability

Statewide Spending Target

The Health Care Affordability Board’s Adopted Spending Target (April 2024 meeting) has been codified in regulation as Statewide Spending Target, section 97447 in Health Care Spending Targets, Article 2 of Chapter 11.5 of Division 7 of Title 22, California Code of Regulations, effective June 27, 2024.

Sectors

Hospital Sector Definition

On April 21, 2025, the Office of Administrative Law approved and filed with the Secretary of State the regulation defining hospitals as a health care sector, with an immediate effective date. See links below for regulatory documents.

The Health Care Affordability Board (Board) defined this first health care sector, consisting of hospitals at the January 28, 2025 Board meeting. The Board discussed the proposed regulatory text at the February 25, 2025 and March 25, 2025 Board meetings. After holding a public comment period with a workshop on March 3, 2025, the Office of Health Care Affordability (OHCA) gave notice and submitted the emergency regulation to the Office of Administrative Law (OAL) 10 days prior to OAL’s approval of the regulation.

Cost and Market Impact Review (CMIR)

The Office of Health Care Affordability (OHCA) adopted emergency regulations to implement the Health Care Market Oversight Program (Cost and Market Impact Review). The Official current regulations in full are here.

On August 22, 2024, the Office of Administrative Law approved and filed with the Secretary of State revisions to the Cost and Market Impact Review (CMIR) regulations (Material Change Transactions and Pre-Transaction Review, Article 1 of Chapter 11.5 of Division 7 of Title 22, California Code of Regulations).

Archive for Prior Regulatory Work on this Topic

Total Health Care Expenditures (THCE) Data Submission

On April 17, 2025, the Office of Administrative Law approved OHCA’s Total Health Care Expenditures (THCE) Data Submission regulation amendments with an immediate effective date. See below for regulatory documents.

Archive for Prior Regulatory Work on this Topic

Distressed Hospital Financial Monitoring

HCAI’s Distressed Hospital Financial Monitoring regulations proposal was published by the Office of Administrative Law (OAL) in the California Regulatory Notice Register on November 8, 2024, which also marks the beginning of the public comment period. Comments must be submitted by Noon on December 24, 2024.  The Notice and other rulemaking documents are linked below.

HCAI’s Distressed Hospital Financial Monitoring revised text of the proposed regulations is released for a 15-day public comment period on September 12, 2025. The revisions are substantially related to the original proposed text and are being made available for public review and comment for at least 15 days prior to adoption. Comments must be received by September 28, 2025. The Notice of Modification to Text of Proposed Regulations and Revised Text of the Proposed Regulations are linked below.

Hospital Equity Measures Reporting Program

HCAI’s Hospital Equity Measures Reporting Program regulation proposal was submitted to the Office of Administrative Law (OAL), and the public comment period began on Friday June 28, 2024. All comments must be received by 5:00 p.m. on August 13, 2024. The proposed regulations are expected to be implemented on January 1, 2025. Please see the Notice of Proposed Rulemaking. Additional rulemaking documents are linked below. For more information, visit the Hospital Equity Measures Reporting Program web page.

HCAI is restarting the 15-day notice period for the Hospital Equity Measures Reporting Program’s revised text of the proposed regulations due to a minor clerical error in the original announcement.

HCAI’s Hospital Equity Measures Reporting Program revised text of the proposed regulations was released for 15-day public comment period on October 14, 2024. The revisions are substantially related to the original proposed text and are being made available for public review and comment for a period of at least 15 days prior to adoption. All revisions are shown with a double underline for new language and a double strikethrough for deleted language. The last day to submit comments regarding the revised text of the proposed regulations is October 29, 2024. Please see the Notice of Modification to Text of Proposed Regulation and addition of documents modified and/or added to the rulemaking file. The revised text of the proposed regulations is linked below.

HCAI is restarting the 15-day notice period for the Hospital Equity Measures Reporting Program’s revised text of the proposed regulations due to a minor clerical error in the regulation text.

HCAI’s Hospital Equity Measures Reporting Program revised text of the proposed regulations is released for a 15-day public comment period on March 27, 2025. The revisions are substantially related to the original proposed text and are being made available for public review and comment for at least 15-days prior to adoption. Please see the Notice of Modification to Text of Proposed Regulation and addition of documents modified and/or added to the rulemaking file. All revisions are shown with italics for new language and  strikethrough for deleted language. The last day to submit comments regarding the revised text of the proposed regulations and documents modified and/or added to the rulemaking file is April 11, 2025.  

Conflict of Interest

The Political Reform Act of 1974 requires certain officials and employees who serve in positions designated in an agency’s conflict of interest code to publicly disclose specified personal economic interests. Such economic interests are disclosed on the Form 700, Statement of Economic Interests. Pursuant to Government Code section 81008, Form 700 Statement of Economic Interests are public records and will be made available for public inspection.

The HCAI Conflict of Interest Code identifies the positions that are subject to the Form 700 Statement of Economic Interests filing requirements. It also specifies the types of economic interests required to be disclosed. For any questions contact the HCAI Filing Officer.

View Conflict of Interest Code