BILL ANALYSIS                                                                                                                                                                                                    



                                                                  AB 2599
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          ASSEMBLY THIRD READING
          AB 2599 (Bass and Hall)
          As Amended June 1, 2010
          2/3 vote.  Urgency 

           HEALTH              17-0        APPROPRIATIONS      12-5        
           
           ----------------------------------------------------------------- 
          |Ayes:|Monning, Fletcher,        |Ayes:|Fuentes, Ammiano,         |
          |     |Ammiano, Carter, Conway,  |     |Bradford,                 |
          |     |De La Torre, De Leon,     |     |Charles Calderon, Coto,   |
          |     |Emmerson, Eng, Hayashi,   |     |Davis, Monning, Ruskin,   |
          |     |Hernandez, Jones, Nava,   |     |Skinner, Solorio,         |
          |     |V. Manuel Perez, Salas,   |     |Torlakson, Torrico        |
          |     |Smyth, Audra Strickland   |     |                          |
          |     |                          |     |                          |
          |-----+--------------------------+-----+--------------------------|
          |     |                          |Nays:|Conway, Harkey, Miller,   |
          |     |                          |     |Nielsen, Norby            |
          |     |                          |     |                          |
           ----------------------------------------------------------------- 
           SUMMARY  :  Requires the Department of Health Care Services (DHCS)  
          and the California Medical Assistance Commission (CMAC) to  
          ensure Medi-Cal funding, as specified, for the new private  
          nonprofit hospital that will serve the population formerly  
          served by the Los Angeles County Martin Luther King, Jr.-Harbor  
          Hospital (MLK-Harbor).  Specifically,  this bill  :  

          1)Requires the DHCS and CMAC to ensure that the successor  
            hospital to MLK-Harbor receives the following:

             a)   Payment for inpatient rates, negotiated by CMAC, at no  
               less than 60% of the hospital's costs;

             b)   Continued Medi-Cal supplemental payments for debt  
               service incurred by Los Angeles County for capital projects  
               under provisions of SB 1732 (Presley), Chapter 1635,  
               Statutes of 1988;

             c)   Payment for 100% cost-based reimbursement for outpatient  
               services pursuant to provisions of AB 131 (Budget  
               Committee), Chapter 80, Statutes of 2005, as is required  
               for county-owned or operated facilities under the original  
               Los Angeles waiver and continued under the  








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               Hospital/Uninsured Care waiver; and,

             d)   Funding from the South Los Angeles Medical Services  
               Preservation Fund established by SB 474, Chapter 518,  
               Statutes of 2007.  

          2)Makes specified legislative findings and declarations related  
            to a new hospital to be located in the seismically-compliant  
            patient tower on the campus of the former Los Angeles County  
            MLK-Harbor Hospital and states the Legislature's intent to  
            facilitate the success of the new hospital.  

           FISCAL EFFECT  :  According to the Assembly Appropriations  
          Committee:

          1)The funding mechanisms, providing a minimum of tens of  
            millions of dollars, addressed in this bill are: 

             a)   California Medical Assistance Commission inpatient  
               contracts (50% federal/50% General Fund (GF));

             b)   SB 1732 supplemental seismic safety debt service  
               payments (50% federal/50% GF);

             c)   100% cost-based outpatient reimbursement (50%  
               federal/50% GF); and,

             d)   South Los Angeles Medical Services Preservation fund  
               (50% federal/50% local certified public expenditures).

          2)Several features of this bill propose establishing baselines  
            that are not typically available to hospitals, such as  
            guaranteeing a specified CMAC funding level.  In addition,  
            some funding availability proposed in this bill is typically  
            available to public, not nonprofit facilities.

          3)The precise fiscal impact of this bill is unknown because only  
            a tentative agreement has been established, facility seismic  
            safety efforts are ongoing, and the facility may not open  
            until some time in 2012.  In addition, since the closure of  
            MLK-Harbor, other hospitals in the area have provided care and  
            additional funding has been provided to support the safety net  
            in this medically underserved area of Los Angeles County.   
            Some of this funding will shift back toward MLK-Harbor once  








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            the facility is re-opened. 

           COMMENTS  :  The former Los Angeles County MLK-Harbor Hospital,  
          located in the Willowbrook/Watts area, closed in August 2007.   
          According to Los Angeles County and the University of California  
          (UC), co-sponsors of this bill, ever since the closure, the  
          County has been committed to re-establishing the hospital  
          services at the MLK-Harbor site.  The author states that this  
          bill codifies the agreement that resulted from the negotiations  
          between the parties and the State to reopen MLK-Harbor Hospital,  
          which would serve as a safety net provider in South Los Angeles  
          and would treat a high volume of Medi-Cal and uninsured  
          patients.  The new MLK-Harbor Hospital will be a wholly  
          independent, nonprofit 501(c)(3) entity which will hold the  
          license.  Neither County nor UC would operate the new hospital,  
          nor would the parties be financially liable for the activities  
          or debts.  A new governing entity will be established with  
          appointments by UC and the County.  The new hospital will  
          contract with UC for the provision of physician services.  

          This bill is necessary, according to the author, to assure the  
          critical fiscal elements necessary for the ongoing financial  
          viability of the new hospital.  The author asserts that existing  
          law, particularly with regard to eligibility for state and  
          federal funding; either relates to the former hospital or does  
          not exist.  According to the author, funding stability is  
          accomplished by requiring that funding streams previously  
          available to the former MLK-Harbor Hospital would become  
          available to the newly opened hospital.  

          After the Watts riots in 1965, a need for an accredited hospital  
          in the Watts and surrounding communities was identified.  In  
          1972 the Martin Luther King, Jr General Hospital opened as a  
          full service medical center. Through a partnership with Drew  
          University it became the third teaching hospital in the County  
          of Los Angeles. 

          In 2004, the Los Angeles Times (Times) ran a series on  
          widespread neglect and mismanagement at MLK-Harbor.  The Times  
          extensively reported on medical errors, staff problems, fiscal  
          mismanagement, and health and safety violations going back  
          almost to the beginning.  In 2002 the Accreditation Council for  
          Graduate Medical Education had ordered the hospital to close  
          three of 18 training programs due to lax oversight.  








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          In November 2004, the Board of Supervisors voted to close the  
          trauma unit to focus on fixing the other operations.  After the  
          federal Centers for Medicare and Medicaid Services (CMS)  
          threatened decertification of the hospital to serve Medicare and  
          Medicaid patients, Los Angeles County terminated the medical  
          residency program and attempted to restructure the hospital.   
          UCLA were also asked to take over management of the hospital.   
          In March 2007, an agreement was reached between CMS, the state  
          and the county to extend the Medicare contract for MLK-Harbor  
          until August 15, 2007.  No further extensions of the agreement  
          were provided, and the hospital failed to meet CMS standards  
          prior to the August 15 expiration date and was closed. 

          The Assembly Health Committee conducted an informational hearing  
          called "Hospital Services and Emergency Care: An Emerging  
          Crisis" on May 18, 2007.  According to the record from that  
          hearing, South Los Angeles had limited access to health care  
          services.  The committee found that this area had the largest  
          need for additional beds and emergency department treatment  
          stations, shortages of specialty physicians and long wait times  
          for emergency room visits.  The briefing paper also states that  
          South Los Angeles is confronted by the most difficult realities,  
          such as the highest rates of uninsured children, teen births,  
          obesity, high blood pressure, and mortality from cancer, stroke,  
          diabetes, and coronary heart disease.  In 2006, Memorial  
          Hospital serviced 40,000 patients in its emergency room and  
          MLK-Harbor serviced 60,000, and now both are closed.


           Analysis Prepared by  :    Marjorie Swartz / HEALTH / (916)  
          319-2097 


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