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State of California—Health and Human Services Agency
California Department of Public Health

AFL 18-22
June 12, 2018

General Acute Care Hospitals (GACHs)

Request for Stakeholder Input in Amending GACH Cardiovascular Surgery Service and Cardiac Catheterization Laboratory Service Regulations

All Facilities Letter (AFL) Summary

The California Department of Public Health’s Center for Health Care Quality (CHCQ) is seeking assistance in amending GACH cardiovascular surgery service and cardiac catheterization laboratory service regulations under California Code of Regulations, Title 22, sections 70431 through 70439.

​CHCQ is seeking input from interested stakeholders as part of the regulation development process to ensure proposed regulations are consistent with other laws and regulations, modern hospital practices, and other relevant standards. CHCQ has begun the process of revising regulations governing GACHs under California Code of Regulations, Title 22. These GACH regulations include the following sections:

  • section 70431 Cardiovascular Surgery Service Definition
  • section 70433 Cardiovascular Surgery Service General Requirements
  • section 70435 Cardiovascular Surgery Service Staff
  • section 70437 Cardiovascular Surgery Service Equipment and Supplies
  • section 70438 Cardiac Catheterization Laboratory Service
  • section 70438.1 Cardiac Catheterization Laboratory Service—General Requirement
  • section 70439 Cardiovascular Surgery Service Space

Instructions for Submitting Written Comments

Please submit your written comments by June 29, 2018 using the Written Comments Form. Stakeholders should provide the section number they are addressing, their name, the name of the organization they represent, and their comment or proposed text.

Please submit your response by email to, or you may also mail your comments to:

California Department of Public Health
Center for Health Care Quality
Attn: Regulations Unit, MS 3201
P.O. Box 997377
Sacramento, CA 95899-7377


Original signed by Scott Vivona

Scott Vivona
Assistant Deputy Director


Attachment: Written Comments Form


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