BILL ANALYSIS                                                                                                                                                                                                    



                                                                  AB 523
                                                                  Page  1

          Date of Hearing:   April 29, 2009

                        ASSEMBLY COMMITTEE ON APPROPRIATIONS
                                Kevin De Leon, Chair

                AB 523 (Huffman) - As Introduced:   February 25, 2009

          Policy Committee:                              Health Vote:17-0

          Urgency:     Yes                  State Mandated Local Program:  
          No     Reimbursable:              

           SUMMARY  

          This bill makes one hospital- Marin General Hospital eligible  
          for seismic safety extensions enacted by SB 1661 (Cox), Chapter  
          679, Statutes of 2006. SB 1661 authorized an extension of up to  
          two years for hospitals that have already received extensions of  
          the January 1, 2008 seismic safety compliance deadline.

           FISCAL EFFECT  

          Minor absorbable workload to OSHPD to continue oversight of  
          hospital seismic safety statewide. There are approximately 400  
          hospitals subject to seismic safety deadlines and more than  
          2,000 buildings owned by those hospitals subject to various  
          structural safety standards. This bill addresses only one  
          hospital. 

           COMMENTS  

           1)Rationale  .  This bill is sponsored by the author to assist one  
            hospital in the author's district comply with seismic safety  
            deadlines. According to the author and OSHPD, as drafted, this  
            bill only applies to one hospital, Marin General Hospital  
            (Marin General). This bill allows Marin General to qualify an  
            additional two-year extension of seismic deadlines from 2013  
            to 2015, available via laws enacted by SB 1661. The reason  
            this bill applies only to one hospital is related to the  
            unique position of Marin General with respect to its  
            transition from being leased by Sutter Health system and  
            returning to Marin Healthcare District control in 2010.  
           
           2)Seismic Safety Landscape  . Hospitals throughout California are  
            subject to statutory seismic requirements and face billions of  








                                                                  AB 523
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            dollars of unfunded construction needs. According to OSHPD,  
            there is $10 billion in hospital planning and construction  
            currently underway statewide. According to a 2007 study by  
            RAND, total construction costs for California may range from  
            $45 billion to $110 billion in 2006 dollars. The actual costs  
            will depend on project size and duration, future inflation,  
            and construction costs. 

           3)Hospital Earthquake Risk  . Structural Performance Category-1  
            (SPC-1) hospital buildings pose a significant risk of collapse  
            and a danger to the public after a strong earthquake. Under  
            current law, SPC-1 buildings must have been retrofitted,  
            replaced, or removed from acute-care service by January 1,  
            2008, unless a hospital has been granted an extension to 2013.  
            According to estimates, about half of the 2,000 hospital  
            buildings statewide are classified in the SPC-1 category and  
            about half of SPC-1 buildings have not met or are unable meet  
            2008/2013 statutory deadlines due to financial constraints. 

           4)Hazards United States  (HAZUS) is a standardized federal  
            earthquake loss methodology that relies on mathematical  
            modeling along with information about building stock, economic  
            data, local geology and location and size of potential  
            earthquakes to estimate losses due to seismic events.  
            California is in the process of implementing HAZUS and  
            adjusting SPC ratings, as appropriate. According to  
            preliminary data, more than half of the SPC-1 hospital  
            buildings statewide may be reclassified to SPC-2 buildings and  
            therefore subject to less stringent requirements and  
            timelines. SPC-2 buildings do not significantly jeopardize  
            life but may not be repairable following a significant  
            earthquake and must be brought into seismic compliance by 2030  
            or removed from acute care service. Significant conclusions  
            about the impact of HAZUS reclassification will be available  
            during the summer of 2009. 

           Analysis Prepared by  :    Mary Ader / APPR. / (916) 319-2081