BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                      AB 81


                                                                    Page  1





          Date of Hearing:  April 15, 2015


                        ASSEMBLY COMMITTEE ON APPROPRIATIONS


                                 Jimmy Gomez, Chair


          AB  
          81 (Wood) - As Introduced January 5, 2015


           ----------------------------------------------------------------- 
          |Policy       |Health                         |Vote:|18 - 0       |
          |Committee:   |                               |     |             |
          |             |                               |     |             |
          |             |                               |     |             |
          |-------------+-------------------------------+-----+-------------|
          |             |                               |     |             |
          |             |                               |     |             |
          |             |                               |     |             |
          |-------------+-------------------------------+-----+-------------|
          |             |                               |     |             |
          |             |                               |     |             |
          |             |                               |     |             |
           ----------------------------------------------------------------- 


          Urgency:  Yes State Mandated Local Program:  NoReimbursable:  No


          SUMMARY:


          SUMMARY:


          This bill adds hospitals in the City of Willits to a list of  








                                                                      AB 81


                                                                    Page  2





          hospitals eligible for an additional extension, until September  
          1, 2015, of the deadline for compliance with seismic safety  
          regulations.


          FISCAL EFFECT:


          Costs to the Office of Statewide Health Planning and Development  
          (OSHPD) to oversee this delay are minor and absorbable.  


          


          COMMENTS:


          1)Purpose. This bill is intended to allow Frank R. Howard  
            Memorial Hospital (HMH) in the city of Willits to request an  
            additional extension of the hospital's deadline for compliance  
            with seismic safety regulations. HMH was already granted an  
            extension to January 1, 2015, pursuant to  SB 1661 (Cox),  
            Chapter 679, Statutes of 2006, which allowed extensions of  
            compliance deadlines if specified criteria were met.  HMH  
            contends that since 2009, they have been working closely with  
            their contractor to ensure the new facility under construction  
            was seismically compliant and would be ready for occupancy on  
            or before the January 1, 2015 deadline.  However, HMH  
            indicates in mid-September 2014, citing unanticipated  
            construction delays, the contractor provided HMH with a new  
            schedule reflecting completion of construction in the spring  
            of 2015.  HMH indicates without this extension, they could  
            lose their license and jeopardize their ability to participate  
            in Medicare and Medicaid, which is about 80% of their  
            inpatient payer mix.


          2)Background. Following the 1994 Northridge earthquake, seismic  








                                                                      AB 81


                                                                    Page  3





            requirements for hospitals were strengthened. SB 1953 (Chapter  
            740, Statutes of 1994) established a schedule for California  
            hospitals to meet seismic safety goals.  It established  
            Structural Performance Categories (SPC) to measure a hospital  
            building's risk of collapse, and instituting deadlines for  
            retrofitting and/or reconstruction.  OSHPD works closely with  
            hospitals to monitor plans for seismic compliance. 


            Subsequent legislation has provided for additional seismic  
            compliance extensions. The final date by which all hospitals  
            must comply is January 1, 2020.   In order to grant an  
            extension to the hospital, OSHPD must consider the structural  
            integrity of the building, the loss of essential healthcare  
            services to the community should the hospital be closed, and  
            the financial hardship that the hospital may have experienced.  



            SPC-1 buildings are at the highest risk of collapse and are  
            considered a threat to public safety, while those categorized  
            as SPC-5 are expected to maintain services even in the case of  
            a severe earthquake.  Most HMH buildings are categorized as  
            SPC-1.


          3)Prior Legislation. AB 2557 (Pan), Chapter 821, Statutes of  
            2014, authorized compliance delays similar to the one in this  
            bill.  AB 2557 allowed OSHPD to grant five hospitals who had  
            already received an extension of the January 1, 2008, seismic  
            safety deadline, an additional extension until September 1,  
            2015.


          


          Analysis Prepared by:Lisa Murawski / APPR. / (916)  
          319-2081








                                                                      AB 81


                                                                    Page  4