The California Department of Health has issued a new All Facilities Letter (AFL) outlining updated notice timelines for hospital closures, reductions or eliminations of emergency medical services, and relocations or eliminations of supplemental services. Effective January 1, 2021, hospitals must provide at least 180 days' notice for planned reductions or eliminations of emergency medical services, 120 days' notice for hospital closures, and 90 days' notice for relocations or eliminations of supplemental services. The AFL also specifies required public notice methods, including written notice to the city council, continuous notice on the hospital's website, and notices in newspapers and community clinics. Non-compliance with these new regulations may result in penalties or other consequences for healthcare facilities.

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