AB 2737,
as amended, Bonta. begin deleteLocal health care districts: formation. end deletebegin insertNonprovider health care districts.end insert
The Local Health Care District Law provides for local health care districts that govern certain health care facilities. Each health care district has specific duties and powers respecting the creation, administration, and maintenance of the districts, including the authority to purchase, receive, take, hold, lease, use, and enjoy property of every kind and description within and without the limits of the district.
end insertbegin insertThis bill would require a nonprovider health care district, as defined, to spend at least 80% of its annual budget on community grants awarded to organizations that provide direct health services and not more than 20% of its annual budget on administrative expenses. By requiring a higher level of service from nonprovider health care districts, this bill would impose a state-mandated local program.
end insertbegin insertThe 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.
end insertbegin insertThis 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.
end insertExisting law, the Local Health Care District Law, regulates local health care districts and authorizes the health care districts to exercise specified powers, including purchasing and using property for the benefit of the district and exercising the power of eminent domain to acquire real or personal property necessary to the exercise of the district’s powers. Existing law authorizes a district to include incorporated or unincorporated territory, or both, or territory in one or more counties, subject to specified limitations.
end deleteThis bill would make technical, nonsubstantive changes to those provisions.
end deleteVote: majority.
Appropriation: no.
Fiscal committee: begin deleteno end deletebegin insertyesend insert.
State-mandated local program: begin deleteno end deletebegin insertyesend insert.
The people of the State of California do enact as follows:
begin insertChapter 8 (commencing with Section 32495) is
2added to Division 23 of the end insertbegin insertHealth and Safety Codeend insertbegin insert, to read:end insert
3
For the purposes of this chapter, the following
7definitions shall apply:
8(a) “Direct health service” means ownership or direct operation
9of a hospital, medical clinic, ambulance service, transportation
10program for seniors or persons with disabilities, a wellness center,
11health education, or other similar service.
12(b) “Nonprovider health care district” means a health care
13district that meets all of the following criteria:
14(1) The district does not provide direct health care services to
15consumers.
16(2) The district has not received an allocation of real property
17taxes in the
past three years.
18(3) The district has assets of twenty million dollars
19($20,000,000) or more.
20(4) The district is not located in a rural area that is typically
21underserved for health care services.
P3 1(5) In two or more consecutive years, the amount the district
2has dedicated to community grants has amounted to less than twice
3the total administrative costs and overhead not directly associated
4with revenue-generating enterprises.
(a) A nonprovider health care district shall not spend
6more than 20 percent of its annual budget on administrative
7expenses.
8(b) A nonprovider health care district shall spend at least 80
9percent of its annual budget on community grants awarded to
10organizations that provide direct health services.
If the Commission on State Mandates determines that
12this act contains costs mandated by the state, reimbursement to
13local agencies and school districts for those costs shall be made
14pursuant to Part 7 (commencing with Section 17500) of Division
154 of Title 2 of the Government Code.
Section 32001 of the Health and Safety Code is
17amended to read:
A local hospital district may be organized, incorporated,
19and managed, as provided in this division, and may exercise the
20powers herein granted or necessarily implied. The district may
21include incorporated or
unincorporated territory, or both, or
22territory in one or more counties. The territory comprising the
23district need not be
contiguous, but the territory of a municipal
24corporation shall not be divided; provided, that land either in a
25municipal corporation or in unincorporated territory that the
26supervising authority finds will not be benefited shall not be
27included.
O
98