BILL ANALYSIS                                                                                                                                                                                                    �




                     SENATE GOVERNANCE & FINANCE COMMITTEE
                            Senator Lois Wolk, Chair
          

          BILL NO:  SB 644                      HEARING:  9/2/11
          AUTHOR:  Hancock                      FISCAL:  No
          VERSION:  8/29/11                     TAX LEVY:  No
          CONSULTANT:  Weinberger               

                    WEST CONTRA COSTA HEALTHCARE DISTRICT'S
                     CERTIFICATES OF PARTICIPATION (URGENCY)
          

               Enacts a statutory lien to secure certificates of 
            participation issued by the West Contra Costa Healthcare 
                                   District.


                           Background and Existing Law  

          The California Constitution prevents counties and cities 
          from creating multi-year general obligation debt without 
          2/3-voter approval.  School districts need 55% voter 
          approval.  Because the constitutional ban doesn't mention 
          special districts, the Legislature has allowed special 
          districts to use a variety of debt financing tools without 
          voter approval. 

          California's 80 local health care districts find themselves 
          pulled in two different directions.  As operators of 
          hospitals, they must survive by competing with 
          prof-it-oriented companies.  As public agencies, they must 
          adhere to the state laws which require specific procedures 
          and which impose limits on their activities.  The districts 
          must be aggressive in securing financing.

          The West Contra Costa Healthcare District formed in 1948 to 
          serve the Contra Costa County communities of Crockett, El 
          Cerrito, Hercules, Kensington, Pinole, Richmond, Rodeo, and 
          San Pablo.  The District owns and operates Doctors Medical 
          Center San Pablo (DSP), a hospital that provides a full 
          range of essential inpatient, outpatient, and emergency 
          services.  The DSP emergency department is the region's 
          busiest, with over 40,000 annual visits.

          In 2004, district voters approved a parcel tax that 
          generates nearly $6 million in annual revenues.  In 2006, 
          the District filed for bankruptcy protection.  The plan of 




          SB 644 -- 8/29/11 -- Page 2



          reorganization under which the District emerged from 
          bankruptcy was based on a number of factors, including $12 
          million of annual inter-governmental transfers by the 
          California Medical Assistance Commission (CMAC).  Recent 
          changes to the allocation of CMAC's inter-government 
          transfers reduced the District's funding by nearly $11 
          million.  The District is now facing another financial 
          crisis.

          To help the District obtain the financing that it needs to 
          continue operating or meet its obligations in the event 
          that it ceases operations, District officials want the 
          Legislature enact a statutory lien to secure certificates 
          of participation (COPs) backed by existing parcel tax 
          revenues.


                                   Proposed Law 

          Senate Bill 644 requires that all of the West Contra Costa 
          Healthcare District's obligations in connection with 
          certificates of participation executed and delivered by or 
          on behalf of the district between June 8, 2004, and 
          December 31, 2012 must be secured by a statutory lien on 
          all of the revenues generated from parcel taxes approved by 
          District voters in 2004.

          SB 644 requires the lien to arise automatically without the 
          need for any action or authorization by the District or its 
          board of directors. The bill declares that the lien will be 
          valid and binding from the time the certificates of 
          participation are executed and delivered.

          SB 644 requires that the parcel tax revenue must 
          immediately be subject to this lien, and the lien must 
          immediately attach to the parcel tax revenue and be 
          effective, binding, and enforceable against the district, 
          its successors, purchasers of those revenues, creditors, 
          and all others asserting rights therein, irrespective of 
          whether those parties have notice of the lien.


                               State Revenue Impact
           
          No estimate.






          SB 644 -- 8/29/11 -- Page 3




                                     Comments  

          1.   Purpose of the bill  .  The West Contra Costa Healthcare 
          District's 2006 bankruptcy and recent turmoil in the 
          municipal debt markets make it challenging for the District 
          to obtain critically-needed financing.  Without SB 644's 
          statutory lien, it's unlikely that the District will be 
          able to borrow the money that it needs to survive its 
          fiscal crisis.  Closing Doctors Medical Center San Pablo 
          would make it more difficult for that hospital's 
          disproportionately uninsured and underinsured patient 
          population to obtain vital medical services.  The closure 
          would also create negative ripple-effects for nearby 
          hospital emergency departments in Contra Costa and Alameda 
          Counties.  The bill does not create a new tax or increase 
          existing taxes.  SB 644 simply pledges the District's 
          existing parcel tax revenues to support borrowing that will 
          allow the District to continue providing medical services 
          to residents in west Contra Costa County.

          2.   Precedent setting  ?  The only recent precedent for a 
          statutory lien securing specific debt instruments issued by 
          a particular local government is SB 18 x2 (Craven, 1995), 
          which pledged VLF revenues to secure debt issued by Orange 
          County.  The West Contra Costa Healthcare District is far 
          from the only local government confronting severe fiscal 
          challenges resulting from the recent economic downturn and 
          reductions in state funding.  The Committee may wish to 
          consider whether enacting a statutory lien for the West 
          Contra Costa Healthcare District's COPs may set a precedent 
          that will invite similar requests for legislative relief 
          from other financially struggling local governments.

          3.   Special legislation  .  The California Constitution 
          prohibits special legislation when a general law can apply 
          (Article IV, �16).  SB 644 contains findings and 
          declarations explaining the need for legislation that 
          applies only to the West Contra Costa Healthcare District.

          4.   Urgency clause  .  Regular statutes take effect on the 
          January 1 following their enactment; bills passed in 2011 
          take effect on January 1, 2012.  The California 
          Constitution allows bills with urgency clauses to take 
          effect immediately if they're needed for the public peace, 
          health, and safety.  SB 644 contains an urgency clause so 





          SB 644 -- 8/29/11 -- Page 4



          that the West Contra Costa Healthcare District can complete 
          its financing, and meet its obligations to employees, 
          vendors, and other creditors in a timely manner.

          5.   Gut-and-amend  .  When the Senate passed SB 644 on March 
          29, 2011, the bill extended the sunset date on the 
          exemption for volunteers on public works projects by five 
          years, from January 1, 2012 to January 1, 2017.  The August 
          22 Assembly amendments deleted that language and converted 
          the bill into a measure creating a statutory lien for the 
          West Contra Costa Healthcare District's certificates of 
          participation.  Because this topic was never heard in the 
          Senate, the Senate Rules Committee has referred the amended 
          bill under Senate Rule 29.10 to the Senate Local Government 
          Committee for a hearing on the Assembly's amendments.  At 
          its September 2 hearing, the Committee has four choices:
              Send the bill back to the Senate Floor, recommending 
          concurrence.
              Send the bill back to the Senate Floor, recommending 
          nonconcurrence.
              Send the bill back to the Senate Floor, without 
          recommendation.
              Hold the bill.


                                 Assembly Actions  

          Assembly Local Government Committee:  9-0
          Assembly Floor:                    74-0




                         Support and Opposition (9/1/11)

           Support  :  West Contra Costa Healthcare District, 
          Association of California Healthcare Districts, California 
          Chapter of the American College of Emergency Physicians, 
          California Nurses Association.

           Opposition  :  Unknown.