BILL ANALYSIS                                                                                                                                                                                                    



                                                                       



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          |SENATE RULES COMMITTEE            |                   SB 198|
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                                 THIRD READING


          Bill No:  SB 198
          Author:   Cogdill (R)
          Amended:  4/29/09
          Vote:     21

           
           SENATE LOCAL GOVERNMENT COMMITTEE  :  4-0, 5/6/09
          AYES:  Wiggins, Cox, Kehoe, Wolk
          NO VOTE RECORDED:  Aanestad


           SUBJECT  :    Health care districts

           SOURCE  :     Author


           DIGEST  :    This bill extends the repayment period for local  
          health care districts lines of credit from five years to 20  
          years provided that the line of credit is established on or  
          after January 1, 2010, and established for the sole purpose  
          of consolidating debts incurred by a district prior to  
          January 1, 2010.  This bill also imposes a $2 million limit  
          on the total amount of debt a district can have outstanding  
          at any one time under the line of credit.

           ANALYSIS  :    Existing law, the Local Health Care District  
          Law, provides that, by a 4/5 vote of the local health care  
          district's board, a district can issue securitized limited  
          obligation notes (SLONs) and borrow up to $2 million to be  
          paid back from designated revenues, over 10 years (SB 1770,  
          Senate Local Government Committee, Chapter 114, Statutes of  
          2004).  

                                                           CONTINUED





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          By resolution adopted by a majority of the district board,  
          local health care districts can issue negotiable promissory  
          notes, which are debts that are not backed by a guaranteed  
          source of revenue, to acquire funds for any district  
          purposes (SB 1956, Maddy, 1986).  A district must repay its  
          notes within ten years.  The aggregate value of a  
          district's notes outstanding at any one time may not exceed  
          85 percent of all estimated income and revenue for the  
          current fiscal year.

          By resolution adopted by a majority of the district board,  
          a local health care district may enter into a line of  
          credit with a commercial lender that is secured, in whole  
          or in part, by the accounts receivable or other intangible  
          assets of the district, including anticipated tax revenues,  
          and thereafter borrow funds against the line of credit to  
          be used for any district purpose (SB 776, Runner, Chapter  
          554, Statutes of 2005).  Any money borrowed under a line of  
          credit must be repaid within five years from each separate  
          borrowing or draw upon the line of credit.  A district may  
          enter into a new and separate line of credit to repay a  
          previous line of credit.

          The John C. Fremont Health Care District operates a  
          hospital, skilled nursing facility, hospice, and three  
          clinics that provide vital medical services in Mariposa  
          County.  District officials want to reduce the District's  
          annual debt load by consolidating and refinancing its  
          current debts into a long-term line of credit.

          This bill extends the repayment period for local health  
          care districts' lines of credit from five years to 20 years  
          provided that the line of credit is:

          1.Established on or after January 1, 2010, and
          2.Established for the sole purpose of consolidating debts  
            incurred by a district prior to January 1, 2010.

          This bill imposes a $2 million limit on the total amount of  
          debt a district can have outstanding at any one time under  
          the line of credit.

           Comments
           







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          Health care districts confront a rapidly changing and  
          competitive marketplace.  In meeting these substantial  
          challenges, the districts need a variety of financing tools  
          to maintain their fiscal well-being.  By allowing health  
          care districts to consolidate up to $2 million in debt into  
          a credit line that can be repaid over 20 years, SB 198  
          enacts a narrow expansion of health care districts'  
          existing borrowing powers.  Using a 20-year line of credit,  
          the John C. Fremont Health Care District will be able to  
          lower its annual debt load, which will make more funds  
          available to pay for the vital medical services that the  
          District provides to residents and visitors in Mariposa  
          County.

          The 2005 Runner bill let health care districts establish  
          lines of credit to borrow money for any district purpose,  
          including operating expenses, for up to five years.   
          Generally, public agencies use long-term borrowing to  
          purchase, construct, or rehabilitate tangible assets that  
          have a useful life equal to or greater than the terms of  
          the loans used to finance them.  SB 198 lets health care  
          districts refinance debts, which may have been incurred to  
          pay for payroll, services, or consumable supplies, over 20  
          years.  

          When the 2005 Runner bill allowed health care districts to  
          establish lines of credit for any purpose, the Legislature  
          didn't limit the total amount of debt that districts can  
          finance through a line of credit and didn't put firm limit  
          on how long such debts can be carried because new lines of  
          credit can be established to repay previous lines of  
          credit.  The lack of limits invites districts to borrow too  
          much, for too long, for imprudent purposes.  By contrast,  
          the borrowing authority that this bill creates is for a  
          narrowly defined purpose and a maximum amount of $2  
          million.  The credit lines authorized by the Runner bill  
          were apparently intended to allow districts to borrow money  
          to solve cash-flow problems created by delays in receiving  
          payments for insurance claims, particularly from Medi-Cal.

           FISCAL EFFECT  :    Appropriation:  No   Fiscal Com.:  No    
          Local:  No

           SUPPORT  :   (Verified  5/6/09)







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          John C. Fremont Health Care District
          Association of California Healthcare Districts


          AGB:nl  5/9/09   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  SEE ABOVE

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