a stethoscope resting on a stack of books, next to the books are a caduceus and gavel

MARKET CONSOLIDATION ASSESSMENT PORTAL

Submit your Material Change Transaction Notice (MCN) to the Office of Health Care Affordability (OHCA). You may also use this portal to submit or review information for an ongoing Cost Market Impact Review (CMIR) if required.

MARKET CONSOLIDATION ASSESSMENT PORTAL

To submit a Material Change Transaction Notice, you must be both:

A health care entity or a noticing entity
That is party to, or subject of, a transaction

Sign-In

Don't have an account? Create Account

Disclosures

Health care entities must provide the Office of Health Care Affordability with 90-day advanced notice of material change transaction.
Noticing entities must provide the Office of Health Care Affordability with 90-day advanced notice of material change transactions for transactions closing on or after April 2, 2026.
Drafts not submitted or modified within 90 days are subject to deletion.
Supplemental documents may be uploaded directly during submission.
All documents and information submitted through this portal are public records unless otherwise exempted by statute, regulation, or granted by request.
Individual document confidentiality requests are available during submission.
See Health and Safety Code 127507 and Chapter 11.5 of Division 7 of Title 22 of the California Code of Regulation.

Effective January 1, 2026, Assembly Bill (AB) 1415 (Chapter 415 of the Statutes of 2025) requires the following additional entities to file notices of material change transactions with OHCA:

Private Equity Groups
Hedge Funds
Newly created business entities created for the purpose of entering into agreements or transactions with a health care entity
Management services organizations
Entities that own, operate, or control a provider, regardless of whether the provider is currently operating, providing health care services, or has a pending or suspended license

Health and Saftey Code 127507, subdivision (h).

Health and Safety Code 127500.2 further provides these definitions:

...

(1) “Hedge fund” means a pool of funds managed by investors for the purpose of earning a return on those funds, regardless of the strategies used to manage the funds. Hedge funds include, but are not limited to, a pool of funds managed or controlled by private limited partnerships or other types of private corporate or partnership formations. A hedge fund does not include either of the following:
1. (1) Natural persons or other entities that contribute, or promise to contribute, funds to the hedge fund, but otherwise do not participate in the management of the hedge fund or the fund’s assets, or in any change in control of the hedge fund or the fund’s assets.
2. (2) Entities that solely provide or manage debt financing secured in whole or in part by the assets of a health care facility, including, but not limited to, banks and credit unions, commercial real estate lenders, bond underwriters, and trustees.
(o) “Management services organization” means an entity that provides management and administrative support services for a provider in support of the delivery of health care services, excluding the direct provision of health services. Management and administrative support services shall include provider rate negotiation, revenue cycle management, or both. A management services organization does not include entities that own one or more health facilities, as defined in subdivision (a) or (b) of Section 1250.
(s) “Private equity group” means an investor or group of investors who primarily engage in the raising or returning of capital and who invest, develop, dispose of, or purchase any equity interest in assets, either as a parent company or through another entity the investor or investors completely or partially own or control. A private equity group does not include natural persons or other entities that contribute or promise to contribute funds to the private equity group, but otherwise do not participate in the management of the private equity group or the group’s assets, or in any change in control of the private equity group or the group’s assets.