The California Department of Health has issued an All Facilities Letter (AFL) temporarily waiving specified regulatory requirements for Primary Care Clinics (PCCs) and Mobile Health Care Units (MHCUs) due to the COVID-19 state of emergency. The waiver allows facilities to begin providing care prior to obtaining approval and licensure by the CDPH for initial licensure, addition of special services, remodeling or modification, and addition of an additional physical plant. The waiver also suspends requirements for tuberculosis tests for PCC personnel, transfer agreements with nearby hospitals for MHCUs, and prior approval for space conversion. Facilities must follow their disaster response plan, infection control guidelines, and local public health department directives. The waiver is valid until March 1, 2021, and may be extended based on updated Executive Orders or guidance from CMS or the CDC.

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