BILL ANALYSIS                                                                                                                                                                                                    �




                   Senate Appropriations Committee Fiscal Summary
                           Senator Christine Kehoe, Chair

                                          SB 408 (Hernandez)
          
          Hearing Date: 5/2/2011          Amended: 4/12/2011
          Consultant: Katie Johnson       Policy Vote: Health 6-3
          
















































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          BILL SUMMARY: SB 408 would require the holder of an existing 
          license of a general acute care, acute psychiatric, and special 
          hospital, when it has a change of ownership, as specified, to 
          file a new license application with the California Department of 
          Public Health (CDPH).
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          ____
                            Fiscal Impact (in thousands)
           Major Provisions         2011-12      2012-13       2013-14     Fund

           CDPH staff to process                        at least $1,250 at 
          least $2,500        at least $2,500  Special*
          additional applications  

          *State Department of Public Health Licensing and Certification 
          Program Fund
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          ____
          STAFF COMMENTS: This bill meets the criteria for referral to the 
          Suspense File.
          
          This bill would require the holder of an existing license of a 
          general acute care, acute psychiatric, or special hospital to 
          file an application for a new license from CDPH when there is a 
          change of ownership. This bill would define a change of 
          ownership as when the current holder of the license:
             1)   Sells, transfers, leases, exchanges, options, conveys, 
               or otherwise disposes of, a material amount of its assets 
               to another entity;
             2)   Transfers control, responsibility or governance of a 
               material amount of the assets or operations to another 
               entity.

          "Material amount" is defined as:  
             1)   When the agreement or transaction directly affects more 
               than 10 percent of the value of the health facility; 
             2)   When the agreement or transaction involves the sale, 
               transfer, exchange, change in control, governance, or 
               otherwise disposes of any health facility that is 
               controlled, operated, or managed by the current 
               license-holder and has a fair market value that exceeds $3 
               million.

          This bill would further define that an "agreement or transaction 








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          will 'transfer control, responsibility, or governance'" if any 
          of the following occur: 
             1)   There is a transfer, assignment, or disposition of 10 
               percent or more of the membership or voting rights of a 
               limited liability company or partnership that operates or 
               manages the health facility to an entity or person that did 
               not previously hold that amount of interest; 
             2)   There is a transfer, assignment, or disposition  of 10 
               percent or more of the stock or voting rights of a 
               corporation which operates or manages the health facility;
             3)   There is a substitution of a new corporate member that 
               transfers the control of, responsibility for, or governance 
               of, the current license-holder; or,
             4)   There is a substitution of one or more members of the 
               governing body, or any arrangement, written or oral, that 
               would transfer voting control of the members of the 
               governing body.

          Effect on CDPH
          Existing California regulations require hospitals to inform CDPH 
          using a Form 215A of every change or corporate reorganization 
          including individual information on administrators, owners, 
          directors, board members, corporate officers, LLC 
          members/managers, a management company, a parent organization, 
          and individuals having 10 percent or more interest in the 
          licensee (for-profit) or parent organization. 

          This bill would cause a hospital to file a change of ownership 
          application for every Form 215A filing. CDPH receives 
          approximately 500 annually. Additionally, a hospital would have 
          to file a change of ownership application for a variety of 
          everyday hospital operations, such as selling radiology 
          equipment or an out-sourcing of hospital billing or dietary 
          services, provided they exceed $3 million. 

          CDPH currently reviews about 8 change of ownership applications 
          annually. CDPH would need to increase its licensing fees to 
          cover the costs of reviewing potentially hundreds of additional 
          change of ownership applications annually at an estimated cost 
          of $5,000 per application. Thus, at $5,000 per application with 
          500 new applications annually CDPH would require staff resources 
          of about $2.5 million annually in special funds. The department 
          would increase licensing fees to pay for the additional 
          workload.








          SB 408 (Hernandez)
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          Effect on Hospitals
          Change of ownership/license applications are approximately 800 
          pages in length and would require the services of a regulatory 
          attorney to complete. A hospital would also be required to pay a 
          licensing fee each time it submitted an application. The 
          licensing fees for general acute care hospitals, acute 
          psychiatric, and special hospitals for FY 2010-2011, which a 
          hospital must pay upon licensure and annually thereafter, are 
          each $255.10 per bed. Large hospitals may have up to about 500 
          beds. Thus, a large hospital's licensing fee paid per change of 
          ownership application would be approximately $127,550. Although 
          all of this money would be paid to the department, since the 
          department cannot anticipate how many change of ownership 
          applications would be filed in a year, the fees are collected 
          and then distributed back to all hospitals within a facility 
          category.

          Additionally, if this bill significantly increases hospital 
          administration costs, there could be pressure on hospitals to 
          increase their rates of reimbursement from health care service 
          plans and insurance companies with which they contract. This 
          would include local health plans that serve as Medi-Cal managed 
          care plans, health plans with contracts to serve Healthy 
          Families Program enrollees, and plans and insurers that contract 
          with the California Public Employees Retirement System (CalPERS) 
          to provide health care coverage for state employees and would 
          put cost pressure on the General Fund, federal funds, special 
          funds, and other funds. Medi-Cal costs are shared 50 percent 
          General Fund, 50 percent federal funds; Healthy Families costs 
          are shared 35 percent General Fund, 65 percent federal funds; 
          CalPERS costs are shared 55 percent General Fund, 45 percent 
          special and other funds.