BILL ANALYSIS                                                                                                                                                                                                    Ó



          SENATE COMMITTEE ON GOVERNANCE AND FINANCE
                           Senator Robert Hertzberg, Chair
                                2015 - 2016  Regular 

                              
          
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          |Bill No:  |AB 1290                          |Hearing    |6/10/15  |
          |          |                                 |Date:      |         |
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          |Author:   |Dahle                            |Tax Levy:  |No       |
          |----------+---------------------------------+-----------+---------|
          |Version:  |5/18/15                          |Fiscal:    |No       |
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          |Consultant|Weinberger                                            |
          |:         |                                                      |
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              DESIGN-BUILD CONTRACTING FOR THE MAYERS MEMORIAL HOSPITAL   
                                 DISTRICT (URGENCY)



          Allows the Mayers Memorial Hospital District to use design-build  
          contracting.


           Background and Existing Law

           The Local Agency Public Construction Act requires local  
          officials to invite bids for construction projects and then  
          award contracts to the lowest responsible bidder. This  
          design-bid-build method is the traditional, and most  
          widely-used, approach to public works construction. This  
          approach splits construction projects into two distinct phases:  
          design and construction. During the design phase, the local  
          agency prepares detailed project plans and specifications using  
          its own employees or by hiring outside architects and engineers.  
          Once project designs are complete, local officials invite bids  
          from the construction community and award the contract to the  
          lowest responsible bidder.

          State law also allows some state and local officials to use the  
          design-build method to procure both design and construction  
          services from a single company before the development of  
          complete plans and specifications. Under design-build, a public  
          agency contracts with a single entity - which can be a single  
          firm, a consortium, or a joint venture - to design and construct  







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          a project. Before inviting bids, the agency prepares documents  
          that describe the basic concept of the project, as opposed to a  
          complete set of drawings and specifications of what will be  
          constructed. In the bidding phase, the agency typically  
          evaluates bids on a best-value basis, incorporating technical  
          factors, such as qualifications and design quality, in addition  
          to price.

          Until January 1, 2025, all counties and cities can use the  
          design-build method to construct buildings and related  
          improvements and other specified types of public works that cost  
          more than $1 million (SB 785, Wolk, Chapter 931, Statutes of  
          2014).  The Legislature also has authorized some special  
          districts to construct projects using the design-build method,  
          including three local health care districts:
                 The Sonoma Valley Healthcare District can use the  
               design-build process when contracting for the construction  
               of a building and improvements directly related to a  
               hospital or health facility building at the Sonoma Valley  
               Hospital (SB 1699, Wiggins, 2008). Following SB 1699's  
               enactment, the Sonoma Valley Health Care District's voters  
               approved a $35 million bond to finance earthquake safety  
               improvements to bring the hospital's emergency room into  
               compliance with the state's seismic safety standards for  
               hospitals. The District's upgraded facility, which was  
               constructed using design-build contracts, opened in 2013.

                 The Last Frontier Healthcare District can use the  
               design-build process when contracting for the construction  
               of a building and improvements directly related to a  
               hospital or health facility building at the Modoc Medical  
               Center (SB 268, Gaines, Chapter 18, Statutes of 2014).

                 In addition to extending design-build contracting  
               authority for cities and counties through 2024, last year's  
               Wolk bill also authorized the Marin Healthcare District to  
               use the design-build process when contracting for the  
               construction of a building and improvements directly  
               related to a hospital or health facility building at the  
               Marin General Hospital.

          The Mayers Memorial Hospital District (MMHD) serves a rural  
          northern California area that includes portions of four  
          counties: Lassen, Modoc, Shasta and Siskiyou.  MMHD's hospital,  








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          located in Fall River Mills (Shasta County), is more than 50  
          years old and does not meet state seismic safety standards for  
          hospital buildings.  To continue to provide hospital services to  
          the surrounding communities, MMHD must construct a new facility  
          by January, 2020.  To speed the construction process and reduce  
          costs, MMHD officials want the Legislature to grant them the  
          same design-build contracting authority that state law grants to  
          the Sonoma, Marin, and Last Frontier healthcare districts.


           Proposed Law

           Assembly Bill 1290 allows the Mayers Memorial Hospital  
          District's board of directors, notwithstanding any other law, to  
          use the design-build procedure to construct a building or  
          improvements directly related to the construction of a hospital  
          or health facility building at the Mayers Memorial Hospital  
          District. AB 1290 specifies that the District must use the  
          design-build procedure that current law establishes for local  
          agencies and provides that statutory references to a "local  
          agency" means the Mayers Memorial Hospital District and its  
          board of directors. 

          AB 1290 requires that a hospital building project using the  
          design-build process authorized by the bill must be reviewed and  
          inspected in accordance with the standards and requirements of  
          the Alfred E. Alquist Hospital Facilities Seismic Safety Act of  
          1983.

          The bill finds and declares the Legislature's intent that health  
          care districts use the design-build process solely for buildings  
          associated with hospitals and health care and not for other  
          infrastructure, including, streets, highways, public rail  
          transit, roads, bridges, and water resources facilities.


           State Revenue Impact

           No estimate.


           Comments

           1.  Purpose of the bill  .  When it comes to public works projects,  








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          taxpayers want local officials to hold down costs, but they also  
          want to be sure that their tax dollars are spent wisely. While  
          the traditional contracting process minimizes opportunities for  
          public officials to award construction contracts based on  
          subjective factors, it also can be more time consuming and more  
          expensive than the design-build method. Faced with a seismic  
          retrofit deadline, the Mayers Memorial Hospital District wants  
          to use design-build contracting to gain more control over the  
          bidding process and the final outcomes of its anticipated  
          hospital construction project. The District anticipates that the  
          design-build method will shorten the construction process and  
          reduce the project's overall costs, thereby benefitting  
          taxpayers and helping to ensure that the District will meet its  
          retrofit deadline.

          2.   Not so simple  . Legislators have been cautious about allowing  
          local governments, and special districts in particular, to use  
          the design-build contracting method.  A 2005 Legislative  
          Analyst's Office (LAO) report questioned whether design-build is  
          the best construction delivery process for specialized buildings  
          like hospitals. LAO suggested that design-build is best suited  
          for "straightforward" design and construction projects, but not  
          for complex projects that require builders to accommodate more  
          unique design preferences. A 2014 LAO report on how counties  
          have used design-build contracting finds that some counties  
          prefer using design-build for simple projects, while others  
          indicate that design-build is useful for specialty projects and  
          large, complex projects. Sonoma Valley Healthcare District is  
          the only local government to have used the design-build method  
          for hospital construction.  Because hospitals are highly  
          specialized structures that must meet complex construction and  
          seismic standards, it remains unclear whether the design-build  
          contracting method is appropriate for constructing hospital  
          buildings.

          3.   Good for one, good for all  ?  If AB 1290 becomes law, Mayers  
          Memorial Hospital District would be the fourth healthcare  
          district to obtain design-build contracting authority.  In light  
          of the fact that many of California's 80 healthcare districts  
          confront similar fiscal challenges and deadlines to comply with  
          seismic safety standards, it is likely that MMHD will not be the  
          last health care district to seek design-build contracting  
          authority.  An early version of SB 1699 (Wiggins, 2008), before  
          it was amended to apply only to Sonoma Valley Healthcare  








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          District, would have granted design-build contracting authority  
          to all healthcare districts.  Legislators may wish to consider  
          whether it makes sense to grant design-build authority to  
          healthcare districts on a case-by-case basis, or whether  
          legislation granting authority to all healthcare districts may  
          be justified.

          4.   Special legislation  .  The California Constitution prohibits  
          special legislation when a general law can apply (Article IV,  
          §16).  AB 1290 contains findings and declarations explaining the  
          need for legislation that applies only to the Mayers Memorial  
          Hospital District. 

          5.   Urgency  .  Regular statutes take effect on January 1  
          following their enactment; bills passed in 2015 take effect on  
          January 1, 2016.  The California Constitution allows bills with  
          urgency clauses to take effect immediately if they're needed for  
          the public peace, health, and safety. AB 1290 contains an  
          urgency clause declaring that it is necessary for its provisions  
          to go into effect immediately to allow the District to comply  
          with health regulations, seismic requirements, and meet  
          increasing demand for health care services at the earliest  
          possible time. 


           Assembly Actions

           Assembly Local Government Committee:           9-0
          Assembly Floor:                              75-0


           Support and  
          Opposition   (6/4/15)


           Support  : Mayers Memorial Hospital District; Association of  
          California Healthcare Districts; Shasta County Board of  
          Supervisors.

           Opposition  :  Unknown.



                                      -- END --








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