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All Facilities Letters - 2025

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*All Facilities Letters are listed in ascending order by release date, with updated AFLs listed directly after their original version​​


Bulletin NumberFacility Type AffectedSubjectRelease Date
AFL 25-01​​
(Supersedes AFL 21-08.9)
All Facilities
Interim Work Exclusion Guidance for Healthcare Personnel with COVID-19, Influenza, and Other Acute Respiratory Viral Infections​

01/10/202​5
AFL 25-02 

​Skilled Nursing Facilities (SNFs)
​Suspension of Regulatory Enforcement of Specified Skilled Nursing Facility Requirements for 2025 Southern California Fires
​01/21/2025
​AFL 25-03 

​General Acute Care Hospitals (GACHs)
​Suspension of Regulatory Enforcement of Hospital Requirements for the 2025 Southern California Fires​

​01/21/2025
AFL 25-04 
(Supersedes AFL 24-10)​

​Hospice Agencies
Assembly Bill (AB) 177 – Extension of Hospice Licensure Moratorium
​02/03/2025
AFL 25-05​ 

​General Acute Care Hospitals (GACHs)
Acute Psychiatric Hospitals (APHs)​
​Senate Bill (SB) 1300 - Health Facility Closure: Public Notice: Inpatient Psychiatric and Perinatal Services
​02/03/2025
AFL 25-06 

General Acute Care Hospitals (GACHs)
Acute Psychiatric Hospitals (APHs)
​Assembly Bill (AB) 1316 – Emergency Services: Psychiatric Emergency Medical Conditions
​02/24/2025
AFL 25-07 

​General Acute Care Hospitals
Acute Psychiatric Hospitals
Special hospitals
Skilled Nursing Facilities
Nursing Facilities
Intermediate Care Facilities
Intermediate Care Facility/Developmentally Disabled
Intermediate Care Facility/Developmentally Disabled Habilitative
Intermediate Care Facility/Developmentally Disabled-Nursing
Intermediate Care Facility/Developmentally Disabled-Continuous Nursing
Congregate Living Health Facilities
Correctional Treatment Centers
Hospice Facilities
Primary Care Clinics
Specialty Clinics
Clinic Corporations
​Assembly Bill (AB) 3030 - Health Care Services: Artificial Intelligence
02/24/2025
​AFL 25-08 

​General Acute Care Hospitals (GACHs)
​Assembly Bill (AB) 3059 – Human Milk
​02/24/2025
AFL 25-09 


​​General Acute Care Hospitals (GACHs)  

​Senate Bill (SB) 963 – Self-Identification by Victims of Human Trafficking or Domestic Violence​
​02/24/2025
AFL 25-10 

​Skilled Nursing Facilities (SNFs)
Intermediate Care Facilities (ICFs)
Intermediate Care Facilities/Developmentally Disabled - (ICF/DDs)
Intermediate Care Facilities/Developmentally Disabled - Habilitative (ICF/DD-Hs)
Intermediate Care Facilities/Developmentally Disabled - Nursing (ICF/DD-Ns)
Congregate Living Health Facilities (CLHFs)
​Senate Bill (SB) 1354 – SNF Daily Data and Long-Term Care (LTC) Payment Source and Discharge Notice



​02/24/2025

AFL 25-11 

​Skilled Nursing Facilities (SNFs)
Intermediate Care Facilities (ICFs)
Intermediate Care Facilities for the Developmentally Disabled (ICF-DDs)
Intermediate Care Facilities for the Developmentally Disabled-Habilitative (ICF/DD-Hs)
​Solicitation of Input for Regulations for Reporting Unusual Occurrences in Long-Term Care Facilities

​03/07/2025
AFL 25-12

​General Acute Care Hospitals (GACHs)
​Solicitation of Input for General Acute Care Hospitals: Personnel Records, Administration, and Medical Service Regulations
​03/24/2025
​AFL 25-13​

​General Acute Care Hospitals (GACHs)
​Benefits of Doula Support and Recommendations to Accommodate Doula Services and Foster a Doula-Friendly Environment

​03/24/2025

AFL 25-14​  

​All Facilities
​Change to Health Care Facility License Late Penalty Fee Notifications
​04/04/2025
AFL 25-15 

​Acute Psychiatric Hospitals (APHs)
​Adverse Event and Unusual Occurrence Reporting Requirements
​04/29/2025
​AFL 25-16​ 

Acute Psychiatric Hospitals (APHs)

Notice of Stakeholder Meeting for Acute Psychiatric Hospitals Regulations​
​04/29/2025

​​AFL 25-17 

​Skilled Nursing Facilities (SNFs)
​SNF Discharge Notice Requirements
​05/28/2025
​​AFL 25-18​ 

​Acute Psychiatric Hospitals (APHs)
​Notice of Stakeholder Meeting for Acute Psychiatric Hospitals Regulations
​06/02/2025
​AFL 25-19 

​All Facilities
​Changes to the Application Review Process 
​06/26/2025
​AFL 25-20​

​Skilled Nursing Facilities (SNFs)
​Transition to Internet Quality Improvement and Evaluation System (iQIES)
​07/15/2025

​AFL 25-21 

​Skilled Nursing Facilities (SNFs)
Nursing Facilities (NFs)
​Grant Opportunity to Benefit Nursing Facility Residents
​07/21/2025
AFL 25-22​ 

​All Facilities
​Fiscal Year (FY) 2025-26 Health Care Facility License Fee Schedule​
​07/21/2025
​​AFL 25-23 

​All Health Facilities​

​Fiscal Year (FY) 2025-26 Report of Change (ROC) Application Fees
​07/31/2025
AFL 25-24​ 

​Skilled Nursing Facilities (SNFs)
​Bed-Hold Requirements for Returning Residents
​08/05/2025
​AFL 25-25 

​Skilled Nursing Facilities (SNFs)
Intermediate Care Facilities (ICFs)
​Notice of Stakeholder Meeting for Psychotherapeutic Drug Use Informed Consent Form
​09/15/2025
AFL 25-26​

​All Facilities
​Notice of New Version Release to the Online California Healthcare Event and Reporting Tool (CalHEART) for Adverse Event and Medical Information Breach Incidents
​10/03/2025
AFL 25-27
(Supersedes AFL 24-07)

Skilled Nursing Facilities (SNFs)
Intermediate Care Facilities (ICFs)
Hospice Facilities

​Assembly Bill (AB) 48 - Nursing Facility Resident Informed Consent Protection Act of 2023​


​10/07/2025
​AFL 25-28​

Skilled Nursing Facilities (SNFs)​


​Recommendations for Prevention and Control of COVID-19, Influenza, and Other Respiratory Viral Infections in California Skilled Nursing Facilities – 2025-26   

​10/07/2025
AFL 25-29 ​

​Hospice Agencies 

​Notice of Stakeholder Meeting for Hospice Regulations

​11/03/2025
​AFL 25-30​ 
​General Acute Care Hospitals (GACHs)
Critical Access Hospitals (CAHs)
Skilled Nursing Facilities (SNFs)
​Health Services Advisory Group (HSAG) Invitation to Partner on Centers for Medicare and Medicaid Services (CMS) Quality Improvement Initiatives
​11/18/2025
AFL 25-31​ - New

​General Acute Care Hospitals (GACHs)
Acute Psychiatric Hospitals (APHs)
Skilled Nursing Facilities (SNFs)
​Assembly Bill (AB) 3161 – Health Care Facility Patient Safety and Antidiscrimination
​11/25/2025
​​AFL 25-32​ - New

​Hospice Agencies

​​Hospice Agencies 5-Day Notice of Proposed Emergency Regulatory Action DPH-18-002E​

​12/02/2025
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