BILL NUMBER: AB 1199	AMENDED
	BILL TEXT

	AMENDED IN ASSEMBLY  APRIL 13, 2009

INTRODUCED BY   Assembly Member Ammiano

                        FEBRUARY 27, 2009

    An act relating to homelessness.   An act to
add Division 115 (commencing with Section 140500) to the Health and
Safety Code, relating to health care. 


	LEGISLATIVE COUNSEL'S DIGEST


   AB 1199, as amended, Ammiano.  Homeless persons. 
 Local health care master plans.  
   Existing law creates various public programs to provide health
care services.  
   This bill would require each county in the state to establish a
working group for the purpose of creating a local health care master
plan for the county that considers various issues, including
equitable distribution of health care services. The bill would
require the State Department of Health Care Services to provide
oversight and review of the development of each local health care
master plan. By requiring counties to establish work groups for the
purpose of creating local health care master plans, this bill would
create a state-mandated local program.  
   The California Constitution requires the state to reimburse local
agencies and school districts for certain costs mandated by the
state. Statutory provisions establish procedures for making that
reimbursement.  
   This bill would provide that, if the Commission on State Mandates
determines that the bill contains costs mandated by the state,
reimbursement for those costs shall be made pursuant to these
statutory provisions.  
   Existing law establishes programs and services for homeless
persons.  
   This bill would declare the intent of the Legislature to enact
legislation that would substantially improve the quality of life for
homeless residents in this state. 
   Vote: majority. Appropriation: no. Fiscal committee:  no
  yes  . State-mandated local program:  no
  yes  .


THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS:

   SECTION 1.    The Legislature finds and declares all
of the following:  
   (a) California communities have a fragmented patchwork of health
care services that provided through both private and public
resources.  
   (b) The current lack of a system of health care for everyone has
led to extraordinary pressure being put upon public health care
services to provide services to persons with lesser economic means.
 
   (c) Health care providers currently lack accountability for
systemic planning for delivery of health care services, large scale
institutionalized care, and community clinics.  
   (d) Market-oriented policies for the provision of health care have
relegated planning to the domain of individual private business
plans that have no ability to coordinate the multiple providers into
a coherent system that provides health care for everyone regardless
of their ability to pay.  
   (e) It is the intent of the Legislature that each local
jurisdiction ensures equitable distribution of services from both
private and public health care providers. 
   SEC. 2.    Division 115 (commencing with Section
140500) is added to the   Health and Safety Code  
, to read:  

      DIVISION 115.  Local Health Care Master Plans


   140500.  (a) Each county in the state shall establish a working
group for the purpose of creating a local health care master plan for
the county that considers all of the following:
   (1) Equitable distribution of health care services, including
services provided by hospitals, clinics, and other providers within
the county.
   (2) Equitable access to health care in the county regardless of
how services are paid for or where the revenue sources originate.
   (3) Utilization of both public and private institutions for the
prevention and treatment of disease and injury within the county.
   (4) Hospital planning that prioritizes health care services that
meet identifiable community health needs to support the health of all
segments of the population of the county.
   (b) Participants in each county's working group shall include, but
need not be limited to, cities within the jurisdiction of the
county.
   (c) The State Department of Health Care Services shall provide
oversight and review of the development of each local health care
master plan. 
   SEC. 3.    If the Commission on State Mandates
determines that this act contains costs mandated by the state,
reimbursement to local agencies and school districts for those costs
shall be made pursuant to Part 7 (commencing with Section 17500) of
Division 4 of Title 2 of the Government Code.  
  SECTION 1.    It is the intent of the Legislature
to enact legislation that would substantially improve the quality of
life for homeless residents in this state.