California Imposes HHA Licensure Moratorium and Expanded Requirements (AFL-26-28)
CDPH's AFL-26-28 implements SB 164: a moratorium on new HHA licenses, branch-expansion restrictions, management-personnel rules, and CHOW limits.
Key Facts
- Affected providers
- Home Health
- Effective date
- Sep 30, 2026
Linked deadline
California HHA licensure moratorium & expanded requirements take effect — Sep 30, 2026
The California Department of Public Health issued All Facilities Letter 26-28, implementing SB 164 and reshaping home health agency licensure.
The letter imposes a moratorium on new home health agency licenses and restricts certain branch expansion applications.
New requirements affect management personnel qualifications, ownership disclosure, and change-of-ownership (CHOW) limitations.
Existing licensed HHAs and prospective applicants should review the moratorium's scope and the new application disclosures immediately.
Sources & References
Attribution: HHH Newsroom by KDG summarizes and analyzes publicly available source material. Interpretations in this article are not statements of law. Always verify against the linked primary document.