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EDMUND G. BROWN JR.
Governor

Health and Human Services Agency
California Department of Public Health


AFL 25-04
February 3, 2025


TO:
Hospice Agencies

SUBJECT:
Assembly Bill (AB) 177 ā€“ Extension of Hospice Licensure Moratorium
(This AFL supersedes AFL 24-10)ā€‹ā€‹

ā€‹ā€‹ā€‹ā€‹


ā€‹AUTHORITY:     Health and Safety Code (HSC) sections 1751.70 and 1753.1 


ā€‹All Facilities Letter (AFL) Summary

ā€‹ā€‹This AFL notifies hospice agencies of the chaptering of AB 177 (Chapter 999, Statutes of 2024) that extends the deadline for the California Department of Public Health (CDPH) to adopt emergency regulations for hospice agencies until January 1, 2026 requiring the moratorium on new hospice agency licensure to end on January 1, 2027, or one year after the date of adoption of the emergency regulations.ā€‹

ā€‹Effective September 30, 2024, AB 177 extends the deadline for CDPH to adopt emergency regulations to implement recommendations in the California State Auditor Report 2021-123 regarding California Hospice Licensure and Oversight (March 29, 2022) to January 1, 2026.

This bill also extends the moratorium on new hospice agency licenses until January 1, 2027, or until one year after the date of adoption of the emergency regulations.

Applications for licensure of a multiple location of an existing hospice, a change of geographical service area, or a change of location outside of a hospice's approved geographical service area are subject to the moratorium. The moratorium will not affect hospice license renewal or other report of change applications, including, but not limited to, changes of ownership, location without a change in service area, or mailing address.

For specific details on the moratorium or emergency regulations, please refer to the following documents:

The information in this AFL is a brief summary of the provisions of AB 177. Facilities are responsible for following all applicable laws. CDPH's failure to expressly notify facilities of statutory or regulatory requirements does not relieve facilities of their responsibility for following all laws and regulations. Facilities should refer to the full text of all applicable sections of HSC and the California Code of Regulations to ensure compliance.

For questions concerning the licensure moratorium, please email CDPH's Center for Health Care Quality (CHCQ), Centralized Applications Branch (CAB) at CABHospice@cdph.ca.gov.

For questions concerning emergency regulations, please email CHCQ's Regulation Development Section at CHCQRegulations@cdph.ca.gov.

Sincerely,

Original signed by Chelsea Driscoll

Chelsea Driscoll

Acting Deputy Director

 

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