Paul Gomez, Ashley Osak and Matthew Lin examine proposed regulations from California’s Office of Health Care Affordability (OHCA) that would expand oversight of health care transactions involving private equity firms, hedge funds and management services organizations. The authors explain how the proposed rules would broaden reporting requirements, increase disclosure obligations and extend scrutiny to real estate transactions involving health care facilities. They caution that the expanded requirements could delay investments, increase transaction costs and create additional challenges for investors and health care providers operating in California.