California

CA - 2025 - Bill Status - AB-1923 Distressed Hospital Loan Program

Policy context: AB-1923 distressed hospital loan program

California received a $233.6 million cooperative agreement from CMS under the Rural Health Transformation Program, with the program aiming to fund innovative solutions for rural and frontier health care. The cooperative agreement funds will mainly flow to contracts and personnel supporting rural health systems transformation. As of this award, all contractual fund restrictions have been lifted for the program. Key contacts: Hovik Khosrovian hovik.khosrovian@hcai.ca.gov; Chris Clark christopher.clark@cms.hhs.gov; Stephanie Magill stephanie.magill1@cms.hhs.gov; Shamia Cunningham Event schedule: - Federal Award Date - 03/31/2026 - Budget Period Start - 12/29/2025 - Budget Period End - 10/30/2026 - Period of Performance End - 10/30/2030

1. Ensure financial stability of rural and community hospitals
2. Prevent hospital closures through financial support
3. Maintain access to quality and affordable health care

California Rural Health Transformation Program (CalRHT), under the Transformative Care Model, will provide up to $39M in planning-period Accelerator Partner grants for rural hospitals, clinics, Tribal programs, and affiliated organizations. Funding supports implementation and testing of evidence-based models, workforce expansion, telehealth adoption, and technology enablement, all within a regional care collaborative framework. Applications will undergo a competitive, multi-stage review based on readiness, alignment, innovation, and capacity to deliver measurable improvements in rural health outcomes. Key contacts: info@calruralhealth.org Event schedule: - RFA release target - 07/01/2026 - Application close - 08/14/2026 - CMS review of selected applicants - August 2026 - Award notifications issued - August / September 2026 - Grant agreements executed - September / October 2026

Event schedule: - Bill Status - AB-1923 Distressed Hospital Loan Program. skip to content home accessibility FAQ feedback sitemap login x Quick Search: Bill Number Bill Keyword Home Bill Information California Law Publications Other Resources My Subscriptions My Favorites Bill Information Bill Search Status Status PDF2 Bill PDF - Add To My Favorites | Track Bill | Version: 05/20/26 - Amended Assembly 04/23/26 - Amended Assembly 03/26/26 - Amended Assembly 02/12/26 - Introduced AB-1923 Distressed Hospital Loan Program. (2025-2026) Text Votes History Bill Analysis Today's Law As Amended Compare Versions Status Comments To Author Track Bill Add To My Favorites Steps bill has passed through in each house: Senate Assembly 1st Int Cmt 2nd Cmt 2nd 3rd Pass 1st Senate Assembly 1st Int Cmt 2nd Cmt 2nd 3rd Pass 1st Bill Status Measure: AB-1923 Lead Authors: Soria (A) Principal Coauthors: Gipson (A) , Ransom (A) Coauthors: Carrillo (A) , Mark González (A) , Haney (A) , Harabedian (A) , Michelle Rodriguez (A) , Rogers (A) Topic: Distressed Hospital Loan Program. 31st Day in Print: 03/15/26 Title: An act to amend Section 129387 of, and to amend, repeal, and add Sections 129380, 129381, 129383, 129384, 129385, and 129387 of and 129384 of, the Health and Safety Code, relating to hospitals, making an appropriation therefor, and declaring the urgency thereof, to take effect immediately. House Location: Senate Last Amended Date: 05/20/26 Voting Committee Location: Asm Appropriations Committee Action Date: 05/14/26 Committee Motion: Do pass as amended. Committee Vote Result: (PASS) »» Ayes: 15; Noes: 0; Abstain: 0; Type of Measure Active Bill - Pending Referral Two Thirds Vote Required Non-Appropriation Fiscal Committee Non-State-Mandated Local Program Urgency Non-Tax levy Last 5 History Actions Date Action 05/28/26 In Senate. Read first time. To Com. on RLS. for assignment. 05/27/26 Read third time. Urgency clause adopted. Passed. Ordered to the Senate. (Ayes 77. Noes 0.). 05/21/26 Read second time. Ordered to third reading. 05/20/26 Read second time and amended. Ordered returned to second reading. 05/19/26 From committee: Amend, and do pass as amended. (Ayes 15. Noes 0.) (May 14).

1. Provide zero-interest loans to financially distressed rural and other hospitals to support turnaround and financial viability
2. Establish monitoring of hospital financial health through quarterly data submissions

The Rural Health Policy Council (RHPC) serves as an advisory forum for the California Rural Health Transformation (CalRHT) program, bringing together rural health experts, government officials, consumer advocates, and provider representatives. RHPC meetings are held quarterly and are open to the public, providing a venue for stakeholder engagement, policy discussion, and information sharing about rural health transformation. No funding awards or application solicitations are announced in this document, but it supports broad partner engagement. Key contacts: Raul Ayala, MD, MHCM; Tim Rine; Haady Lashkari; Lori Link, CNM, MSN Event schedule: - RHPC Quarterly Public Meeting - 07/28/2026 - 10:00 AM – 12:00 Noon PT - Register online (no city venue stated)

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