AB 678, as amended, Gordon. Health care districts: community health needs assessment.
(1) Existing law, the Local Health Care District Law, requires a health care district that leases or transfers its assets to a corporation in accordance with specified provisions to act as an advocate for the community to the operating corporation and to annually report to the community on the progress made in meeting the community’s health needs.
This bill would, in addition, require that the health care district conduct an assessment, every 5 years, of the community’s health needs and provide opportunities for public input.begin delete The bill would require that the annual report be made in the context of the assessment.end deletebegin insert Commencing January 1, 2019, the bill would
require the annual reports to address the progress made in meeting the community’s health needs in the context of the assessment.end insert
(2) Existing law, the Cortese-Knox-Hertzberg Local Government Reorganization Act of 2000, sets forth the powers and duties of a local agency formation commission, including, among others, the power to initiate proposals by resolution of application for the consolidation of a district, the dissolution of a district, a merger, the establishment of a subsidiary district, the formation of a new district or districts, and a specified reorganization.
Existing law requires the commission, in order to prepare and to update spheres of influence, to conduct a service review of the municipal services provided in the county or other appropriate area designated by the commission. The law requires the commission, among other things, to prepare a written statement of its determinations with respect to specified items, including, but not limited to, growth and population projections for the area and present and planned capacity of public facilities.
This bill would require that, in the case of a health care district established pursuant to the Local Health Care District Law, the written statement also address any community health needs assessment developed pursuant to the provisions described in (1) above.
(3) By requiring that local agencies comply with these requirements, this bill would impose 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.
Vote: majority. Appropriation: no. Fiscal committee: yes. State-mandated local program: yes.
The people of the State of California do enact as follows:
Section 56430 of the Government Code is
2amended to read:
(a) In order to prepare and to update spheres of
4influence in accordance with Section 56425, the commission shall
5conduct a service review of the municipal services provided in the
6county or other appropriate area designated by the commission.
7The commission shall include in the area designated for service
8review the county, the region, the subregion, or any other
9geographic area as is appropriate for an analysis of the service or
10services to be reviewed, and shall prepare a written statement of
11its determinations with respect to each of the following:
P3 1(1) Growth and population projections for the affected area.
2(2) The
location and characteristics of any disadvantaged
3unincorporated communities within or contiguous to the sphere
4of influence.
5(3) Present and planned capacity of public facilities, adequacy
6of public services, and infrastructure needs or deficiencies including
7needs or deficiencies related to sewers, municipal and industrial
8water, and structural fire protection in any disadvantaged,
9unincorporated communities within or contiguous to the sphere
10of influence.
11(4) Financial ability of agencies to provide services.
12(5) Status of, and opportunities for, shared facilities.
13(6) Accountability for community service needs, including
14governmental structure and operational
efficiencies.
15(7) Any other matter related to effective or efficient service
16delivery, as required by commission policy.
17(8) In the case of a health care district established pursuant to
18Division 23 (commencing with Section 32000) of the Health and
19Safety Code, any community health needs assessment developed
20pursuant to Section 32121.9 of the Health and Safety Code.
21(b) In conducting a service review, the commission shall
22comprehensively review all of the agencies that provide the
23identified service or services within the designated geographic
24area. The commission may assess various alternatives for
25improving efficiency and affordability of infrastructure and service
26delivery within and contiguous to the sphere of
influence,
27including, but not limited to, the consolidation of governmental
28agencies.
29(c) In conducting a service review, the commission may include
30a review of whether the agencies under review, including any
31public water system as defined in Section 116275, are in
32compliance with the California Safe Drinking Water Act (Chapter
334 (commencing with Section 116270) of Part 12 of Division 104
34of the Health and Safety Code). A public water system may satisfy
35any request for information as to compliance with that act by
36submission of the consumer confidence or water quality report
37prepared by the public water system as provided by Section 116470
38of the Health and Safety Code.
39(d) The commission may request information, as part of a service
40review under this section, from
identified public or private entities
P4 1that provide wholesale or retail supply of drinking water, including
2mutual water companies formed pursuant to Part 7 (commencing
3with Section 14300) of Division 3 of Title 1 of the Corporations
4Code, and private utilities, as defined in Section 1502 of the Public
5Utilities Code.
6(e) The commission shall conduct a service review before, or
7in conjunction with, but no later than the time it is considering an
8action to establish a sphere of influence in accordance with Section
956425 or 56426.5 or to update a sphere of influence pursuant to
10Section 56425.
Section 32121.9 of the Health and Safety Code is
12amended to read:
A district that leases or transfers its assets to a
14corporation pursuant to this division, including, but not limited to,
15subdivision (p) of Section 32121 or Section 32126, shall do all of
16the following:
17(a) Act as an advocate for the community to the operating
18corporation.
19(b) Conduct an assessment, every five years, of the community’s
20health needs and provide opportunities for the involvement and
21input of citizens, public agencies, civic organizations, and local
22education agencies, and other community groups, through public
23hearings and other means that the district deems appropriate.begin insert
Needs
24assessments may include information gathered from reports
25generated by other agencies that address health needs within the
26geographic area.end insert
27(c) begin insert(1)end insertbegin insert end insert Report annually to the community on the progress made
28in meeting the community’s health needsbegin delete, as assessed pursuant to .
29subdivision (b)end delete
30(2) Commencing January 1, 2019, these reports shall address
31the progress made in meeting the community’s health needs, as
32
assessed pursuant to subdivision (b).
If the Commission on State Mandates determines that
34this act contains costs mandated by the state, reimbursement to
35local agencies and school districts for those costs shall be made
36pursuant to Part 7 (commencing with Section 17500) of Division
374 of Title 2 of the Government Code.
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