BILL ANALYSIS                                                                                                                                                                                                    



                                                                  SB 1368
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          Date of Hearing:   June 29, 2010

                            ASSEMBLY COMMITTEE ON HEALTH
                              William W. Monning, Chair
             SB 1368 (Committee on Health) - As Introduced:  February 19,  
                                        2010

           SENATE VOTE  :  33-0
           
          SUBJECT  :  Health care.

           SUMMARY  :  Requires local emergency medical services agencies to  
          send Maddy Emergency Medical Services Fund (Maddy Fund) reports  
          to the Emergency Medical Services Authority (EMSA).  Expands the  
          authority of the Office of Statewide Health Planning and  
          Development (OSHPD) to insure financings that are for the  
          purpose of refinancing short-term loans that are secured  
          elsewhere to start a project.  Deletes obsolete references to  
          nonprofit hospital services plans in the Insurance Code.   
          Specifically,  this bill  :

          1)Requires a county that has established a Maddy Fund to provide  
            the annual Maddy Fund report to EMSA instead of the  
            Legislature.  

          2)Requires EMSA to compile and forward a summary of each  
            county's report to the appropriate policy and fiscal  
            committees of the Legislature.

          3)Authorizes OSHPD to annually charge a portion of the loan  
            insurance premium in advance, not to exceed $6 per year for  
            each $1,000 of principal of the proposed loan.  Makes the  
            total dollar amount of the premium advanced nonrefundable and  
            would require that it be credited against the amount of the  
            premium charged or, if the commitment expires and the loan is  
            not insured, requires that the advance be retained by OSHPD to  
            offset costs and expenses of the office, as prescribed.

          4)Allows OSHPD to insure a loan that is a refinancing of a prior  
            loan if the amount to be refinanced does not exceed 90% of the  
            original total construction costs and the loan is otherwise  
            eligible for loan insurance.

          5)Deletes obsolete references within the Access for Infants and  
            Mothers (AIM) Program and California Major Risk Medical  








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            Insurance Program (MRMIP) provisions, to nonprofit hospital  
            services plans, as they no longer exist in state law. 

           EXISTING LAW  :

          1)Establishes EMSA within the Health and Human Services Agency  
            to provide statewide coordination of local emergency medical  
            services agencies (LEMSAs).

          2)Authorizes counties to develop an emergency medical services  
            program, and requires the designation of a LEMSA for the  
            purposes of its administration.  

          3)Authorizes counties to establish a Maddy Fund, to deposit  
            specified penalties, forfeitures, and fines into the fund to  
            reimburse physicians and hospitals for losses from providing  
            uncompensated emergency care, and for other emergency medical  
            services purposes as determined by the county.

          4)Requires counties, as a condition of receiving Proposition 99  
            (Prop 99) tobacco tax funds, to establish an emergency medical  
            services (EMS) fund and to establish within that fund, a  
            physician services account to reimburse physicians for losses  
            incurred for uncompensated services provided to patients,  
            limited to emergency services, obstetric services, and  
            pediatric services.  

          5)Requires a county with a Maddy Fund to report the  
            implementation and status of the fund to the Legislature on an  
            annual basis. 

          6)Establishes OSHPD within the Health and Welfare Agency and  
            sets forth its duties, powers, responsibilities, purposes, and  
            jurisdictions which include, but are not limited to, the  
            administration of the California Health Facility Construction  
            Loan Insurance Law, known as the Cal-Mortgage Program, for the  
            purposes of insuring health facility loans.

          7)Establishes the Health Facility Construction Loan Insurance  
            Fund (Insurance Fund) and continuously appropriates the fund  
            for these purposes.  The Cal-Mortgage Program administers the  
            Insurance Fund.  OSHPD is authorized to charge a premium  
            charge for the insurance of these loans for deposit into the  
            Insurance Fund. 









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          8)Establishes the conditions for loans to be eligible for loan  
            insurance including, but not limited to, the requirement that  
            the proceeds of the loan be guaranteed to be used exclusively  
            for the construction, improvement, or expansion of the health  
            facility, as approved by the office.

          9)Authorizes insurance of loans to refinance a prior loan if the  
            prior loan would have been eligible at the time it was made.

          10)Creates the Access for Infants and Mothers (AIM) Program,  
            which is administered by the Managed Risk Medical Insurance  
            Board, to provide coverage for perinatal and infant care to  
            residents of this state meeting certain income and other  
            eligibility requirements and paying certain subscriber  
            contributions.

          11)Creates the California Major Risk Medical Insurance Program,  
            which is also administered by the board, to provide major risk  
            health coverage to residents of this state who are unable to  
            secure adequate private health coverage because of preexisting  
            medical conditions and who meet other eligibility requirements  
            and pay certain subscriber contributions.

           FISCAL EFFECT  :  According to the Senate Appropriations  
          Committee, Pursuant to Senate Rules 28.8, negligible state  
          costs.

           COMMENTS  :

           1)PURPOSE OF THIS BILL  .  According to the author, this bill  
            would make county reports that are already required, easily  
            available to the public through EMSA.  Currently, these  
            reports are submitted to the Senate and Assembly Health  
            Committees and the sole means of access to them is in-person  
            at the Capitol offices of these two committees.  Requiring  
            EMSA to both collect the reports, and post them online will  
            afford the public better and quicker access.

           2)BACKGROUND  .  In 1987, the Legislature concluded that emergency  
            medical service providers bore higher costs for their services  
            than did providers of other medical services but often  
            received only partial or no payment from patients.  To address  
            this, the state enacted a series of bills and revenue sources  
            to compensate physicians and medical facilities for emergency  
            services provided to patients who do not have health insurance  








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            and cannot pay for their medical care.  SB 12 (Maddy), Chapter  
            1240, Statutes of 1987, allows counties to establish Maddy  
            Funds.  Approximately 50 counties have established Maddy  
            Funds.  Counties have several sources of revenue for Maddy  
            Funds: a portion of county penalty assessments on certain  
            criminal offenses and motor vehicle violations; traffic  
            violator school fees; revenues from taxes on tobacco products  
            deposited in the Proposition 99 tobacco tax fund; and,  
            redirected money from the Proposition 99 fund through an  
            annual emergency medical services appropriation.

           3)PROPOSITION 99 FUNDS  .  In 1988, the voters passed Proposition  
            99, which imposes taxes on the distribution of cigarettes and  
            other tobacco products.  The state deposits these taxes in the  
            state Cigarette and Tobacco Products Surtax Fund to fund a  
            variety of programs which fund counties for indigent care.   
            Each county is required to establish a physician services  
            account within its Maddy Fund for revenues appropriated by the  
            Legislature from Proposition 99 tobacco tax revenues.  These  
            funds can be used to reimburse physicians for emergency,  
            obstetric, and pediatric care.

           4)CAL-MORTGAGE PROGRAM  .  The Cal-Mortgage Program, administered  
            by OSHPD, was created in 1969 to provide loan insurance for  
            health facility construction, improvement, and expansion  
            without cost to the state.  The program objective is to  
            stimulate the flow of private capital into health facility  
            construction to improve access to health care for all  
            Californians.  The principal method of financing these loans  
            is through tax exempt project revenue bonds issued by state or  
            local agencies.

          According to OSHPD, the technical amendment proposed in this  
            bill will allow the Cal-Mortgage Program to provide loan  
            insurance to nonprofit or publicly owned health facilities  
            refinancing original construction loans, which would otherwise  
            qualify for Cal-Mortgage loan insurance, except that their  
            first construction loan exceeded 90% of the construction cost.  
             The refinanced loan would not be for more than 90% of the  
            construction cost.  This technical change will allow  
            Cal-Mortgage to provide construction loan insurance to about  
            two or three nonprofit or publicly owned health facilities per  
            year.

          Financing for the construction of nonprofit and publicly owned  








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            health care facilities is often difficult and expensive to  
            obtain even in normal times; in the current market, it is  
            almost impossible for the smaller nonprofit borrower to  
            obtain.  Removing this minor technical barrier in the law will  
            assist some of these facilities in seeking financing for  
            construction projects, which may include seismic compliance  
            projects.

           5)SUPPORT  .  The American College of Emergency Physicians, State  
            Chapter of California (CAL/ACEP) states that, while the Maddy  
            Funds only reimburse a small portion of the cost of care, they  
            are nevertheless a critical source of funding helping to  
            preserve the emergency care safety net.  CAL/ACEP adds that a  
            time when cuts to coverage and services are happening at both  
            the state and local level while the demand for emergency  
            services is on the rise, it is essential to ensure that every  
            Maddy dollar is spent to preserve the emergency care safety  
            net as it was intended to do.  CAL/ACEP contends that the  
            administrative reports completed by counties are the public's  
            primary way to ensure Maddy Funds are being administered  
            properly.

           6)RELATED LEGISLATION  .  AB 2456 (Torrico) addresses oversight of  
            emergency medical professionals under the jurisdiction of  
            EMSA.  AB 2456 is set for hearing in the Senate Health  
            Committee on June 30, 2010.

          AB 2248 (Hernandez) requires each county establishing a Maddy  
            Fund to include in its annual report to the Legislature  
            additional information regarding the moneys collected and  
            disbursed, including a description of each disbursement for  
            other emergency medical services if funds were disbursed for  
            this purpose.  AB 2248 is set for hearing in the Senate Health  
            Committee on June 30, 2010.

           7)PREVIOUS LEGISLATION  .  AB 1475 (Solorio), Chapter 537,  
            Statutes of 2009, limits the administrative costs for money  
            deposited into county Maddy Funds to actual administrative  
            costs, or 10% of the money collected, whichever amount is  
            lower.  Limits administrative costs of money deposited into  
            the Maddy Fund from an additional penalty assessment  
            authorized until January 2014 to the actual administrative  
            costs, or 10% of the money collected, whichever amount is  
            lower.









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          SB 1236 (Padilla), Chapter 60, Statutes of 2008, extends the  
            sunset date from January 1, 2009 to January 1, 2014, county  
            boards of supervisors to levy additional penalties on criminal  
            offenses for EMS.

          AB 2702 (Nunez), Chapter 288, Statutes of 2008, allows  
            physicians providing services in a standby emergency  
            department that was in existence January 1, 2007 in a hospital  
            in Los Angeles County to receive reimbursement from  
            Proposition 99) and Maddy Funds if the emergency department  
            treats at least 18,000 patients per year and meets general,  
            staffing, and equipment requirements of a basic emergency  
            department.

          SB 1773 (Alarcon), Chapter 841, Statutes of 2006, authorizes,  
            until January 1, 2009, county boards of supervisors to levy  
            additional penalties on criminal offenses for EMS.

          SB 941 (Alquist), Chapter 671, Statutes of 2005, establishes the  
            Emergency Medical Services Funding Act, which revises existing  
            law governing administration of the Maddy Fund and Proposition  
            99 Physician Services Account to make the statutes more  
            consistent.

          SB 476 (Florez), Chapter 707, Statutes of 2003, authorizes each  
            administering agency of a Maddy fund to maintain a reserve in  
            specified portions of its Maddy Fund.  Changes the county  
            reporting requirements and the date at which these are due  
            annually to the Legislature.

          AB 3050 (Committee on Health), Chapter 351, Statutes of 2002,  
            makes various technical changes relating to OSHPD and permits  
            OSHPD to accelerate bond maturities when a borrower under the  
            Health Facility Construction Loan Insurance Program defaults  
            on an insured loan.
          SB 623 (Speier), Chapter 679, Statutes of 1999, requires, in a  
            county that has established an Maddy Fund, an amount equal to  
            $2 for every $7 that would have been collected in traffic  
            penalty assessments to be deposited into the fund.  Requires  
            counties with Maddy Funds to add to an existing report to the  
            Legislature the total amount of traffic fines and forfeitures  
            collected, the total amount of penalty assessments collected,  
            and the total amount of penalty assessments deposited into the  
            Maddy Fund.  Requires each county to make this report  
            available to the public upon request.








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          AB 282 (Torlakson), Chapter 848, Statutes of 1999, modifies  
            eligibility for the Cal-Mortgage health facility loan program  
            and adjusts program fees based on risk.

          SB 12 (Maddy) creates the Maddy Fund to provide supplemental  
            financing for local emergency services.

           REGISTERED SUPPORT / OPPOSITION  :

           Support 
           
          None on file.
           
            Opposition 
           
          None on file.

           Analysis Prepared by  :    Patty Rodgers / HEALTH / (916) 319-2097