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EDMUND G. BROWN JR.
Governor

Health and Human Services Agency
California Department of Public Health


AFL 25-32
December 2, 2025


TO:
Hospice Agencies

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

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​All Fa​cilities Letter (AFL) Summary

The California Department of Public Health (CDPH) is providing a five-Day Notice for the Proposed Emergency Regulatory Action for Hospice Agencies. The five working day period will begin on December 2, 2025, and end on December 8, 2025. CDPH will submit the proposed emergency regulation to the Office of Administrative Law (OAL) on December 9, 2025.  

The purpose of the proposed regulations is to fully-effectuate the legislative mandate under HSC section 1753.1 to implement industry standards, put processes in place to improve patient care, and combat any further Medicare or Medi-Cal fraud within the industry.

Notice of Proposed Emergency Action

CDPH is providing a five-Day Notice for the Proposed Emergency Regulatory Action for Hospice Agencies. The five working day period will begin on December 2, 2025, and end on December 8, 2025. CDPH will submit the proposed emergency regulation to the Office of Administrative Law (OAL) on December 9, 2025. 

Pursuant to Government Code section 11346.1(a)(2), and California Code of Regulations, Title 1, section 48, notice is hereby given that CDPH proposes to adopt on an emergency basis Title 22, Division 5, Chapter 6.5. Article 1 of the California Code of Regulations, to be in effect January 1, 2026.

This notice is being provided at least 5 working days prior to the proposed emergency regulation action with the Office of Administrative Law (OAL). A copy of the text of the proposed emergency regulations and fin​ding of emergency are enclosed and available for review on CDPH's Office of Regulations' Proposed Regulations webpage.

After submission of the proposed emergency regulations to OAL, OAL shall allow interested persons five calendar days to submit comments on the proposed emergency regulations as set forth in Government Code section 11349.6 to the OAL reference attorney by mail to 300 Capitol Mall, Suite 1250, Sacramento, California 95814, by fax (916) 323-6826 or by email to staff@OAL.ca.gov.

To request a copy of the notice and regulation text in an alternate format, please email the Department at: Regulations@cdph.ca.gov.  Please include the regulation title and control number Hospice Agencies DPH-18-002E.

For any additional questions or comments, please email the CHCQ Regulation Development Section at: CHCQRegulations@cdph.ca.gov.

 

Sincerely,

Original signed by Mandi Posner

Mandi Posner
Deputy Director


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