On November 12, 2025, the House passed the Senate Amendment to H.R. 5371, the Continuing Appropriations and Extensions Act, 2026, sending the measure to the President. President Trump subsequently signed this bill into law, formally ending the 43-day government shutdown. The bill provides a CR... Continue Reading
Weekly Update
The latest information
On Friday, CMS released guidance (attached) regarding the changes to provider taxes that were made as part of the formally named One Big Beautiful Bill Act, also known as HR1 and reconciliation. In the letter, CMS uses the title “Working Families Tax Cuts Legislation” which has become... Continue Reading
A new Center for Medicare and Medicaid Services (CMS) program offers opportunities for California Licensed Home Health Agencies (HHAs) and Licensed Home Care Organizations (HCOs). The Guiding an Improved Dementia Experience (GUIDE) Program was established on July 1, 2025 and will continue for... Continue Reading
At its meeting last Friday, the Respiratory Care Board voted to declare a finding of emergency and proceed with emergency regulations clarifying that California Code of Regulations, section 1399.365, applies only to non-exempt settings. This means the Basic Respiratory Tasks and Services... Continue Reading
On Tuesday, October 28, the Congressional Budget Office (CBO) released a detailed discussion of the Medicaid impacts caused by H.R. 1, titled the One Big Beautiful Bill Act (OBBA). The projected impacts did not change from previous CBO estimates; however, the document provides substantial... Continue Reading
The population of older adults and people with disabilities in the United States is growing rapidly, but the nation’s fragmented long-term care system is not prepared to meet their needs. Despite common misconceptions, Medicare generally does not cover long-term care, and complex market... Continue Reading
Assembly of States Associations: Congressman Dunn (R-FL) and Congressman Bera (D-CA) are seeking organizational support for their letter[link] to leadership opposing hospice carve-in. Support of this letter was part of the Alliance's recent Advocacy Week. As they circulate their letter for... Continue Reading
The Centers for Medicare & Medicaid Services (CMS) has issued updated guidance on Medicare claims processing procedures during the federal government shutdown. In this revision, CMS clarifies that it will continue to process and pay held claims in a timely manner with the exception of select... Continue Reading
Outpouring of Testimony Greets RCB Board Meeting More than one hundred persons attended in person and an additional 400 via Webex the Respiratory Care Board’s meeting on October 24, 2025 in Sacramento. There were three items of interest on the agenda. In the... Continue Reading
California Association for Health Services at Home (CAHSAH) Appoints Soua Vang as President & CEO The California Association for Health Services at Home (CAHSAH) today announced the appointment of Soua Vang as its new President & Chief Executive Officer, effective November 10, 2025. Vang... Continue Reading
Vang Chosen as CAHSAH’s Fifth President CAHSAH is thrilled to announce the appointment of Soua Vang as CAHSAH’s fifth President since its founding in 1966. Vang returns to CAHSAH after serving as Chief Education and Marketing Officer, and briefly as Vice... Continue Reading
Home Health Stabilization Act Introduced toPause Medicare Cuts WASHINGTON—Representatives Kevin Hern (OK-01) and Terri Sewell (AL-07) introduced the Home Health Stabilization Act of 2025 (HR 7027). The legislation aims to ensure patients have access to rehabilitative care by pausing the... Continue Reading