Our Mission

CHAPCA is a membership association that promotes and strengthens the delivery of palliative and hospice care for terminally ill patients and their families through education and advocacy


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CHAPCA closely monitors federal and state activity on hospice and palliative care issues, including CMS, OIG, MedPAC, DPHC, DSS, OSHPD and other federal and state agencies, analyzes their impact on providers and communicates on a regular basis with providers about changes.

Activities include monitoring survey implementation of the new COPs, addressing Medi-Cal payment processes with the California Department of Health Care Services, keeping the membership up to date on NGS billing issues and on the MAC transition, working with DHCS Managed Care Services on behalf of providers having authorization, documentation and payment problems with various managed care plans, and working with OSHPD to identify areas on ALIRTS with poor data input as well as areas where charts are needed to add data collection items and/or clarify instructions.

Working in conjunction with the California Assisted Living Association, CHAPCA has advocated for clarity, consistency, and common sense in regulations guiding hospice services in Residential Care Facilities for the Elderly.

State and Federal Regulations Guiding Hospice Care

See information on Medicare Conditions of Participation.

Position on Public Policy Issues

Physician Aid in Dying, March 2015

The California Hospice & Palliative Care Association (CHAPCA) supports public policy and legislation designed to improve access to high quality end of life care. Hospice provides highly qualified, specially trained teams of caring professionals to meet the physiological, psychological and spiritual needs so that a person may live life to the fullest and die with dignity.

We reaffirm the fundamental hospice philosophy that hospice values life and neither hastens nor prolongs the dying process.  For this reason, we are neutral on legislation that legalizes physician assisted suicide or physician aid in dying.
Hospice is:

  • A philosophy founded on the belief that persons have a right to self-determination, to excellent  pain and symptom management, and a right to refuse unwanted medical intervention and allow death to occur naturally.
  • The belief that when cure is no longer possible, hospice provides the essential knowledge and skill to support the patient and loved ones and facilitate the relief of physical, emotional and spiritual suffering for the terminally ill. 

CHAPCA affirms:

  • We believe the experience of dying is a significant part of life.  The process of dying often leads to enhanced meaning and purpose and can be a sacred experience for the patient and family.
  • Much community interest in voluntary euthanasia is sparked by a need for assurance that pain and suffering will be relieved and that individual end of life decisions will be respected. Many of these community fears can be addressed through the provision of quality care at the end of life that includes the opportunity for the individual to articulate care preferences for circumstances in which they may no longer be able to express their wishes.
  • California residents need to embark on a dialogue about death and dying in order to accept that dying is a natural and expected part of life. Engagement in advance care planning will greatly contribute to this dialogue.
  • There are a wide range of views and perspectives in our society about the ethical issue of deliberately ending life for a person living with a terminal condition. These should be recognized and respected.
  • We believe declining or withdrawing treatment is acceptable when in alignment with the informed wishes of the patient.
  • Due to our philosophy of care, we do not participate in ending life through voluntary euthanasia or physician-assisted suicide but will continue to provide care and support to patients and families.