BILL ANALYSIS                                                                                                                                                                                                    �



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          SENATE THIRD READING
          SB 804 (Corbett)
          As Amended June 6, 2012
          Majority vote

           SENATE VOTE  :22-13  
           
           HEALTH              14-4        LOCAL GOVERNMENT    6-3         
           
           ----------------------------------------------------------------- 
          |Ayes:|Monning, Ammiano, Atkins, |Ayes:|Alejo, Bradford, Campos,  |
          |     |Bonilla, Eng, Gordon,     |     |Davis, Gordon, Hueso      |
          |     |Hayashi,                  |     |                          |
          |     |Roger Hern�ndez, Bonnie   |     |                          |
          |     |Lowenthal, Mitchell,      |     |                          |
          |     |Nestande, Pan,            |     |                          |
          |     |V. Manuel P�rez, Williams |     |                          |
          |     |                          |     |                          |
          |-----+--------------------------+-----+--------------------------|
          |Nays:|Logue, Mansoor, Silva,    |Nays:|Smyth, Knight, Norby      |
          |     |Smyth                     |     |                          |
          |     |                          |     |                          |
           ----------------------------------------------------------------- 
           SUMMARY  :  Requires health care districts to include, in an 
          agreement transferring more than 50% of the health care 
          district's assets, the appraised fair market value of any asset 
          transferred to a nonprofit corporation, as defined.  Further 
          requires the appraisal of the fair market value to be performed 
          within the six months preceding the date on which the district 
          approves the transfer agreement.  Specifically,  this bill  :    

          1)Requires health care districts to include, in an agreement 
            transferring more than 50% of the health care district's 
            assets, the appraised fair market value of any asset 
            transferred to a nonprofit corporation.

          2)Requires the fair market value to be appraised by an 
            independent consultant with expertise in methods of appraisal 
            and valuation and in accordance with applicable governmental 
            and industry standards for appraisal and valuation of any 
            asset transfer.

          3)Requires that the appraisal be performed within the six months 
            preceding the date on which the district approves the transfer 








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            agreement.

          4)Requires the public to be provided with the following 
            information when the public is asked to approve the transfer 
            by vote:

             a)   Assets proposed to be transferred;

             b)   The appraised fair market value; and,

             c)   The full consideration that the district is to receive 
               in exchange for the transfer.
           
          EXISTING LAW  :

          1)Establishes the Local Health Care District Law which 
            authorizes communities to form special districts to construct 
            and operate hospitals and other health care facilities to meet 
            local needs.

          2)Authorizes a health care district to transfer, for the benefit 
            of the communities served by the district, any part of its 
            assets of the district to one or more nonprofit corporations 
            to operate and maintain the assets.  Prior to the district 
            transfer, requires the district board to submit a measure to 
            the voters of the district proposing the transfer.

          3)Authorizes a district to transfer, at less than fair market 
            value, any part of the assets of the district to one or more 
            nonprofit corporations to operate and maintain the assets, if 
            the transfer benefits the communities served by the district.  
            Requires that for a transfer of 50% or more of a district's 
            assets to be deemed to benefit a district's communities, a 
            district must:

             a)   Fully discuss the transfer agreement in at least five 
               properly noticed public meetings before the district 
               board's decision to transfer the assets;

             b)   Provide in the transfer agreement that the district must 
               approve all initial board members of the nonprofit 
               corporation and any subsequent board members as may be 
               specified in the transfer agreement;









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             c)   Provide in the transfer agreement that specified assets 
               are to be transferred back to the district upon termination 
               of the transfer agreement;

             d)   Commit the nonprofit corporation, in the transfer 
               agreement, to operate and maintain the district's health 
               care facilities and its assets for the benefit of the 
               communities served by the district; and,

             e)   Require, in the transfer agreement, that any funds a 
               corporation receives from the district be used only for 
               specified activities that would further a valid public 
               purpose if undertaken directly by the district.

          4)Requires the district to report to the California Attorney 
            General (AG), within 30 days of any lease of district assets 
            to one or more corporations, the type of transaction and the 
            entity to whom the assets were leased.

           FISCAL EFFECT  :  None

           COMMENTS  :  According to the author, this bill is intended to 
          provide the public with more information about the value of 
          district assets that are proposed to be sold or transferred to 
          one or more corporations for less than fair market value.  The 
          author argues that unfortunately, in too many cases, these 
          transfer agreements end with assets being transferred out of the 
          district to the benefit of the contracting private corporation 
          and to the detriment of the local community.  The author 
          maintains that of the 85 districts that have formed since 1945, 
          almost a third have closed, leased, or sold their hospitals.  
          Some, according to the author, have declared bankruptcy and many 
          have changed or expanded their historic role as providers of 
          acute care.  This bill, the author asserts, addresses the 
          growing concern that some districts are entering into contracts 
          that reduce the district's assets and financial security.


           Analysis Prepared by  :    Tanya Robinson-Taylor / HEALTH / (916) 
          319-2097 

                                                                FN: 0004310










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