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