About

District Hospital Leadership Forum (DHLF) represents and supports California’s 33 district and municipal public hospitals. DHLF is committed to advancing sustainable funding, strengthening state and federal advocacy, and protecting access to care in communities across California.

Sustainable Funding

DHLF works to advance and protect critical hospital funding programs that
support California's public hospitals. This includes engagement on Medicaid
supplemental payments, state financing policies, waiver opportunities, and the
development of new funding and reimbursement strategies that strengthen
local health care access.

Advocacy

DHLF advocates on behalf of California’s district and municipal hospitals in the Capitol, with state agencies, and at the federal level on the issues that matter most to local communities. As hospital leaders, DHLF members bring firsthand knowledge of how state and federal policy decisions affect care delivery, financial stability, patient access, and regional economies. DHLF works to ensure those real-world perspectives are heard and reflected in budget, legislative, regulatory, Medi-Cal, and broader health policy decisions.

Protecting Access to Care

California’s district hospitals play a critical role in preserving access to care for the communities they serve, especially in rural and underserved areas. DHLF works to protect and strengthen local hospital access by advocating for policies that support essential services, financial stability, emergency care, and the unique role public hospitals play in their regions.