BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  SB 615
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          Date of Hearing:   August 14, 2013

                        ASSEMBLY COMMITTEE ON APPROPRIATIONS
                                  Mike Gatto, Chair

                   SB 615 (Galgiani) - As Amended:  August 7, 2013 

          Policy Committee:                             Labor and  
          Employment   Vote:                            6-1

          Urgency:     No                   State Mandated Local Program:  
          Yes    Reimbursable:              No

           SUMMARY  

          This bill revises the definition of "public works" for the  
          purpose of prevailing wage statute to include any construction,  
          alteration, demolition, installation, or repair work done under  
          private contract on a hospital or health care facility project  
          when the project is paid for in whole or in part with the  
          proceeds of conduit revenue bonds issued on or after January 1,  
          2014 by a public agency.  Specifically, this bill: 

          1)Expands the definition of eligible health facility for the  
            purpose of the California Health Facilities Financing  
            Authority (CHFFA) to award grants.  Defines eligible health  
            facility as a nonpublic office providing health care services  
            that is operated by either of the following: 

             a)   A medical group, independent practice association,  
               physician office, or clinic with more than 10 physicians  
               that has a Medi-Cal or medically indigent encounter rate of  
               at least 50% of total patients' services in a calendar  
               year, as specified. 

             b)   A medical practice of 10 or fewer physicians in which at  
               least 30% of patients served in a calendar year are  
               enrolled in Medi-Cal.   

           FISCAL EFFECT  

          1)GF administrative costs, likely less than $100,000, to the  
            Department of Industrial Relations to enforce the prevailing  
            wage requirements of this measure.  









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          2)GF administrative costs to the State Treasurer, likely between  
            $100,000 and $150,000, for increased workload due to the  
            expansion of eligible applicants to the CHFFA, which provides  
            financial assistance to public and non-profit health care  
            providers in the state through loans funded by the issuance of  
            tax-exempt bonds.  There will be potential cost pressure for  
            the state to provide an additional GF appropriation to CHFFA  
            due to the expansion of medical practices/physicians that will  
            be eligible for financial assistance.  

            This measure may also result in less private and non-profit  
            organizations seeking financing through the CHFFA, which may  
            result in less revenue for the authority.  

           COMMENTS  

           1)Background  .  Existing law requires the prevailing wage rate to  
            be paid to workers on public works projects over $1,000.   
            Statute defines public works as construction, alteration,  
            demolition, installation, or repair work done under contract  
            and paid for in whole or in part out of public funds, except  
            work done directly by any public utility company, as  
            specified.  "Paid for in whole or in part out of public funds"  
            means all of the following: 

             a)   The payment of money or the equivalent of money by the  
               state or political subdivision directly to or on behalf of  
               the public works contractor, subcontractor, or developer.  
             b)   Performance of construction work by the state or  
               political subdivision in execution of the project.  
             c)   Transfer by the state or political subdivision of an  
               asset of value for less than fair market price. 
             d)   Fees, costs, rents, insurance or bond premiums, loans,  
               interest rates, or other obligations that would normally be  
               required in the execution of the contract, that are paid,  
               reduced, charged at less than fair market value, as  
               specified. 
             e)   Money loaned by the state or political subdivision that  
               is to be repaid on a contingent basis.  
             f)   Credits that are applied by the state or political  
               subdivision against repayment obligations to the state or  
               political subdivision.       

            Statute also specifies if the state or a political subdivision  
            reimburses a private developer for costs that would normally  








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            be borne by the public, or provides a public subsidy to a  
            private development project that is "de minimis" in the  
            context of the project, the private development project is not  
            subject to public works requirements, including paying a  
            prevailing wage.  

            Under current law, a conduit revenue bond is defined as any  
            municipal security the proceeds of which are loaned to any  
            nongovernmental borrower, including, but not limited to,  
            persons, for-profit corporations, non-profit corporations,  
            partnerships, and other legal entities for purposes that are  
            permitted for qualified activity bonds applicable under  
            federal law.  

           2)Purpose  .  Existing law related to the definition of a public  
            works project and whether or not a conduit revenue bond meets  
            the definition of paid for in whole or in part out of public  
            funds has been the basis for DIR determining projects funded  
            via this financing mechanism are not public works projects and  
            therefore, are not subject to prevailing wage statutes.  For  
            example, in 2005 DIR determined an affordable housing project  
            in Rancho Santa Fe financed under a conduit revenue bond is  
            not subject to prevailing wage laws because it is not a public  
            works project.  Specifically, DIR states: "?money collected  
            for, or in the coffers of, a public entity is 'public funds'  
            within the meaning of [state law referenced above.]  Here  
            neither the conduit bond revenues nor the loan repayments ever  
            enter the coffers of a public entity, nor are they collected  
            for the public entity.  Since none of the money flows into or  
            out of the public coffers, the conduit bond financing is not  
            'the payment of money in the equivalent of money by the state  
            or political subdivision within the meaning of [state law  
            referenced above]."

            According to the author, "One method by which the public  
            subsidizes a private development project is through the use of  
            conduit bond financing.  A public entity acts as the 'issuer'  
            of the bonds so the interest payments on the bonds will be  
            tax-exempt to the bondholders under the income tax code. Since  
            the bondholders will not be taxed on the interest, they are  
            willing to accept a lower return on their investment, and the  
            cost of borrowing is lower.  The bond proceeds are transferred  
            to a private developer, which is responsible for making the  
            payments to the bondholders. The public entity issuing the  
            bonds acts purely as a 'conduit'- it does not receive the bond  








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            proceeds or pay back the bondholders. The tax code applies to  
            the form of the transaction, not its substance, so the  
            interest on the bonds is tax-exempt to the bondholders. The  
            public thereby subsidizes the private development projects by  
            foregoing the tax revenues that would otherwise be paid to the  
            bondholders."

            This bill revises the definition of "public works" for the  
            purpose of prevailing wage statute to include any  
            construction, alteration, demolition, installation, or repair  
            work done under private contract on a hospital or health care  
            facility project when the project is paid for in whole or in  
            part with the proceeds of conduit revenue bonds issued on or  
            after January 1, 2014 by a public agency.  

           3)Opposition  .  A number of organizations that construct or  
            utilize health facilities oppose this bill due to the effects  
            it would have on the CHFFA.  Specifically, the California  
            Hospital Association States: 

            "CHFFA programs were designed to help eligible and  
            creditworthy non-profit and public health facilities reduce  
            their cost of capital, and promote important California health  
            access, healthcare improvement and cost containment objectives  
            by providing cost-effective tax-exempt bond, low-cost loan,  
            and direct grant programs.  Imposing prevailing wage  
            obligations on public and private hospital construction  
            projects, including children's and rural hospitals would have  
            two undesirable consequences.  While essential construction  
            projects would continue, the imposition of prevailing wage  
            obligations would substantially increase the cost thereby  
            diverting resources from patient care activities to the  
            construction project.  Similarly, non-essential construction  
            projects would be delayed or abandoned due to the increase in  
            cost.  Under either scenario, health care access for the  
            state's most vulnerable populations is adversely affected."

            The California Primary Care Association states: " The August 7  
            amendments would make private, for-profit medical providers  
            eligible for CHFFA funding to acquire, expand, or remodel  
            their facilities.  SB 615 would subsidize for-profit medical  
            entities that will reduce the pool of Medi-Cal patients for  
            legitimate safety net providers and expand the ratio of  
            uninsured patients.  The greater the ratio of uninsured  
            patients to Medi-Cal enrollees, the less the ability to  








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            provide services at all.  Community clinics and health centers  
            will be forced to reduce access and services to all their  
            patients, Medi-Cal enrollees and uninsured alike."  

           4)The California Health Facilities Financing Authority (CHFFA)  ,  
            established in 1979, provides financial assistance to public  
            and non-profit health care providers in the state through  
            loans funded by the issuance of tax-exempt bonds. The  
            authority provides financing assistance to a number of  
            entities, including rural community-based organizations and  
            large multi-hospital systems.  CHFFA collects reimbursements  
            for assisting entities in issuance of bonds.  

            According to the State Treasurer (SA), "In order to meet the  
            requirements for CHFFA financing, an institution must be a  
            public hospital, a private non-profit corporation, or an  
            association authorized by the laws of California to provide or  
            operate a health facility and undertake the financing or  
            refinancing of a project. Generally, non-profit, licensed  
            health facilities in the State of California including adult  
            day health centers, community clinics, developmentally  
            disabled centers, drug and alcohol rehabilitation centers are  
            eligible for financing?"  

           5)Related legislation  .  

             a)   AB 1140 (Daly), pending in the Senate Appropriations  
               Committee, provides that changes made to prevailing wage  
               rates apply on their effective date to any contract that is  
               awarded or for which notice to bidders is published on or  
               after January 1, 2014.  

             b)   AB 302 (Chau), pending in the Senate Appropriations  
               Committee, provides a statutory definition for a "de  
               minimis" public subsidy that does not trigger the  
               requirements of prevailing wage law.



           Analysis Prepared by  :    Kimberly Rodriguez / APPR. / (916)  
          319-2081 












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