BILL NUMBER: SB 1192	CHAPTERED  09/29/00

	CHAPTER   846
	FILED WITH SECRETARY OF STATE   SEPTEMBER 29, 2000
	APPROVED BY GOVERNOR   SEPTEMBER 28, 2000
	PASSED THE SENATE   AUGUST 31, 2000
	PASSED THE ASSEMBLY   AUGUST 31, 2000
	AMENDED IN ASSEMBLY   AUGUST 29, 2000
	AMENDED IN ASSEMBLY   AUGUST 25, 2000
	AMENDED IN ASSEMBLY   AUGUST 14, 2000
	AMENDED IN ASSEMBLY   JUNE 14, 2000
	AMENDED IN SENATE   JANUARY 26, 2000
	AMENDED IN SENATE   JANUARY 10, 2000

INTRODUCED BY   Senator Polanco
   (Principal coauthor:  Senator Solis)
   (Coauthor:  Assembly Member Torlakson)

                        FEBRUARY 26, 1999

   An act to add Section 14085.56 to the Welfare and Institutions
Code, relating to health facilities.


	LEGISLATIVE COUNSEL'S DIGEST


   SB 1192, Polanco.  Medi-Cal disproportionate share hospitals:
Contra Costa County Regional Medical Center.
   Existing law provides for the Medi-Cal program, administered by
the State Department of Health Services, under which qualified
low-income persons are provided with health care services.
   Existing law generally defines a disproportionate share hospital
as a hospital that has disproportionately higher costs, volume, or
services related to the provision of services to Medi-Cal or other
low-income patients than the statewide average.  Under existing law,
an eligible disproportionate share hospital may receive supplemental
Medi-Cal reimbursement to defray a portion of the debt service cost
for an eligible capital project.
   The bill would permit Contra Costa County Regional Medical Center
to construct or renovate, or both, at the former Los Medanos Medical
Center site, and would permit this construction or renovation, or
both, to be considered eligible for supplemental reimbursement if the
site meets certain conditions.  The bill would provide that this
medical center shall also qualify for supplemental reimbursement for
the revised capital project if specified eligibility requirements are
met.


THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS:


  SECTION 1.  Section 14085.56 is added to the Welfare and
Institutions Code, to read:
   14085.56.  (a) For the purposes of this section, "Los Medanos
site," means the site of the former Los Medanos Medical Center.
   (b) Contra Costa County Regional Medical Center may construct or
renovate, or both, at the former Los Medanos site, and the
construction or renovation, or both, may be considered eligible for
supplemental reimbursement under Section 14085.5, if the Los Medanos
site meets both of the following conditions:
   (1) The site is owned or leased, and operated, by Contra Costa
County.
   (2) The site is consolidated under the Contra Costa County
Regional Medical Center general acute care license.
   (c) Contra Costa County Regional Medical Center shall qualify to
receive supplemental reimbursement for revised final plans for
construction or renovation, or both, submitted to the Office of
Statewide Health Planning and Development on or before November 30,
1998, for the Los Medanos site, and shall qualify for supplemental
reimbursement under Section 14085.5 for the revised capital project
if the revised capital project continues to meet the requirements for
eligibility specified in Section 14085.5, as modified by this
section.
   (d) The revised final plans may provide for a capital project with
one or more of the following variations from the original capital
project plan submission:
   (1) Total revision or reconfiguration, or a reduction in size and
scope.
   (2) Modifications necessary to comply with current seismic safety
standards.
   (3) Expansion of outpatient service facilities.
   (4) Modifications to the foundation, structural frame, and
building exterior shell, commonly known as the shell and core.
   (e) For purposes of calculating supplemental reimbursement
pursuant to Section 14085.5 for a revised capital project complying
with this section, the initial Medi-Cal inpatient utilization rate
shall be that which is determined at the time of submission of the
revised capital project plan.
   (f) For purposes of determining supplemental reimbursement under
Section 14085.5 for a revised capital project complying with this
section, supplemental reimbursement shall be based on actual costs of
the revised capital project eligible for reimbursement under Section
14085.5.  However, in no event shall the revised capital project
costs be considered eligible for supplemental reimbursement for the
construction or renovation, or both, of the Los Medanos site if these
costs exceed eight million five hundred ten thousand dollars
($8,510,000).
   (g) Supplemental reimbursement paid under this section for
construction shall not duplicate any reimbursement received by the
Contra Costa County Regional Medical Center for services provided at
the Los Medanos site.
   (h) Subject to subdivisions (g) and (h) of Section 14085.5, Contra
Costa County Regional Medical Center shall receive supplemental
reimbursement under this section for debt service associated with the
revised capital project over the lesser of the following periods:
   (1) The life of the revenue bonds.
   (2) The period during which the Los Medanos site is either leased
or owned by Contra Costa County.
  SEC. 2.  Due to the unique circumstances concerning the County of
Contra Costa, the Legislature finds and declares that a general
statute cannot be made applicable within the meaning of Section 16 of
Article IV of the Constitution.