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licensing and certification


​All Facilities Letters - 2026

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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 26-01
All Health Facilities
Fiscal Year (FY) 2025-26 Health Care Facility Announcement: Ability to Pay Licensing Fees Online ​
01/20/2026
​AFL 26-02

​All Facilities
​Post Survey Satisfaction e-Evaluation  ​
​01/23/2026

​AFL 26-03​ 

​Acute Psychiatric Hospitals (APH)
​Acute Psychiatric Hospital Emergency Regulations
​​01/26/2026
​AFL 26-04 

​General Acute Care Hospitals (GACH)
Acute Psychiatric Hospitals (APH) 
​Senate Bill (SB) 596 - Health Facilities: Administrative Penalties
​01/27/2026

​AFL 26-05 

​General Acute Care Hospitals (GACH)
​Assembly Bill (AB) 894 – General Acute Care Hospitals: Patient Directories​
​02/03/2026
​AFL 26-06 

​Acute Psychiatric Hospitals (APH)
General Acute Care Hospitals (GACH)

​Changes to General Acute Care Hospitals (GACH) and Acute Psychiatric Hospitals (APH) Online Application System​
​02/09/2026
AFL 26-07 

​Skilled Nursing Facilities (SNF)​​

​Senate Bill (SB) 582 – Health and Care Facilities: Licensing During Emergencies or Disasters
​02/17/2026
AFL 26-08 

​Skilled Nursing Facilities (SNF)
Intermediate Care Facilities (ICF)​
​​Senate Bill (SB) 862 - Training on Alzheimer’s Disease and Related Dementias
​02/17/2026
AFL 26-09 

​General Acute Care Hospitals (GACHs)
Critical Access Hospitals (CAH)
Alternative Birth Centers (ABCs)
​Senate Bill (SB) 669 – Standby Perinatal Services Pilot Project
​03/03/2026

AFL 26-10


​Alternative Birth Centers (ABCs)
Primary Care Clinics (PCCs)
General Acute Care Hospitals (GACHs)

​Assembly Bill (AB) 55 – Revised Licensing Requirements for Alternative Birth Centers​

​03/03/2026
​​AFL 26-11 
(Supersedes AFL 22-14)

​All Facilities
​Request for Interest in Serving as a Temporary Manager ​
​03/18/2026
AFL 26-12 

​Skilled Nursing Facilities (SNFs)
​Medical Director Certification and Reporting Requirements
​04/21/2026
AFL 26-13​ 

​General Acute Care Hospitals (GACHs)
Acute Psychiatric Hospitals (APHs)
Chemical Dependency Recovery Hospitals (CDRHs)
​Assembly Bill (AB) 2376 – Chemical Dependency Recovery Hospitals
​04/21/2026
​AFL 26-14 

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

​Long-Term Care (LTC) Ombudsman Program Poster
​05/08/2026
AFL 26-15 - New

​Acute Psychiatric Hospitals (APHs)
​Acute Psychiatric Hospitals 5-Day Notice of Proposed Emergency Regulatory Action DPH-19-001E
​05/14/2026

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