BILL ANALYSIS                                                                                                                                                                                                    



                                                                  SB 198
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          SENATE THIRD READING
          SB 198 (Cogdill)
          As Amended  April 29, 2009
          Majority vote

           SENATE VOTE  :38-0  
           
           LOCAL GOVERNMENT    7-0                                         
           
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          |Ayes:|Caballero, Knight,        |     |                          |
          |     |Arambula, Davis, Duvall,  |     |                          |
          |     |Krekorian, Skinner        |     |                          |
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           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 established:

             a)   On or after January 1, 2010; and,

             b)   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.









                                                                  SB 198
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          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.

          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 10 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  :  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.

          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.

          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, this bill enacts a narrow  
          expansion of health care districts' existing borrowing powers.   
          Using a 20-year line of credit, the 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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          Analysis Prepared by  :    Katie Kolitsos / L. GOV. / (916)  
          319-3958 



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