Office of Health Care Affordability (OHCA)

Introduction to OHCA

Established in 2022, the Office of Health Care Affordability (OHCA) recognizes that it is in the public interest that all Californians receive health care that is accessible, affordable, equitable, high-quality, and universal. 

Slow Spending Growth

  • Statewide Spending Target
  • Total Health Care Expenditures (THCE)

Promote High Value

  • Primary Care
  • Behavioral Health
  • Workforce Stability
  • Alternative Payment Models
  • Equity
  • Quality

Assess Market Consolidation

  • Material Change Notices (MCN)
  • Cost and Market Impact Reviews (CMIR)

Office Updates

Statewide Spending Target

The Office of Health Care Affordability has announced its recommendation for the statewide health care spending target. 

OHCA received the following public comment on the proposed statewide spending target:

Alternative Payment Model Standards
Workforce Stability Standards
Primary Care Investment Benchmark
OHCA Newsletter

Read the latest OHCA Newsletter: April 2024

Public Meetings

Statutes & Regulations

HCAI and OHCA program enabling statutes and regulations (existing and proposed). 

Background & Resources

Program overview and FAQ.


Contact OHCA at with any questions.

Subscribe to OHCA News

To receive regular informational updates about the program,  please subscribe to our mailing list by completing the form on HCAI’s subscription page.