BILL ANALYSIS                                                                                                                                                                                                    



                                                                  SB 198
                                                                  Page  1

          Date of Hearing:  June 17, 2009

                       ASSEMBLY COMMITTEE ON LOCAL GOVERNMENT
                             Anna Marie Caballero, Chair
                    SB 198 (Cogdill) - As Amended:  April 29, 2009

           SENATE VOTE  :  38-0
           
          SUBJECT  :  Health care districts: John C. Fremont Health Care  
          District.

           SUMMARY  :  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, for the sole purpose of consolidating past debt.   
          Specifically,  this bill  :   

          1)Extends the repayment period for districts' lines of credit  
            from five years to 20 years provided that the line of credit  
            is:

             a)   Established on or after January 1, 2010; and

             b)   Established for the sole purpose of consolidating debts  
               incurred by a district prior to January 1, 2010.

          2)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.

           EXISTING LAW  :

          1)Provides for the organization, incorporation and management of  
            ongoing operations of health care districts.  

          2)Authorizes a district, with a 4/5 vote of the district's  
            board, to issue securitized limited obligation notes (SLONs)  
            and borrow up to $2 million to be paid back from designated  
            revenues, over 10 years.

          3)Authorizes districts to enter into a secured line of credit  
            with a commercial lender, as specified, and requires any money  
            borrowed under this line of credit to be repaid within five  
            years from each separate borrowing or draw. 









                                                                  SB 198
                                                                  Page  2

          4)Allows a district, when authorized by a resolution adopted by  
            a majority of the board 
          of directors, to issue negotiable promissory notes, which are  
            debts that are not backed by a guaranteed source of revenue,  
            to acquire funds for any district purposes, if the notes are  
            repaid within ten years, and the aggregate value of a  
            district's notes outstanding at any one time does not exceed  
            85% of all estimated income and revenue for the current fiscal  
            year.

           FISCAL EFFECT  :   None

           


          COMMENTS  :  
           
          1)Today in California there are 72 health care districts around  
            the state and 45 of those districts still operate hospitals.   
            Many of those hospitals serve rural communities.  Any  
            additional funding or ability to obtain credit may enable a  
            hospital or a health care district to survive through tough  
            times and continue to serve communities that would otherwise  
            have no easy access to health services.

          2)The John C. Fremont Health Care District (District), the  
            sponsor of this measure, 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.

          3)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.









                                                                  SB 198
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           REGISTERED SUPPORT / OPPOSITION  :

           Support 
           
          John C. Fremont Heath Care District [SPONSOR]
          Association of California Healthcare Districts
           
            Opposition 
           
          None on file 

           Analysis Prepared by  :    Katie Kolitsos / L. GOV. / (916)  
          319-3958