BILL ANALYSIS                                                                                                                                                                                                    �



                                                                            



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                                    THIRD READING


          Bill No:  SB 1094
          Author:   Lara (D)
          Amended:  4/21/14
          Vote:     21

           
           SENATE HEALTH COMMITTEE  :  6-1, 4/24/14
          AYES:  Hernandez, Beall, De Le�n, DeSaulnier, Evans, Monning
          NOES:  Morrell
          NO VOTE RECORDED:  Nielsen, Wolk

           SENATE JUDICIARY COMMITTEE  :  5-2, 4/29/14
          AYES:  Jackson, Corbett, Lara, Leno, Monning
          NOES:  Anderson, Vidak

           SENATE APPROPRIATIONS COMMITTEE  :  Senate Rule 28.8


           SUBJECT :    Health facilities:  sale of assets:  approval

           SOURCE  :     Department of Justice


           DIGEST  :    This bill permits the Attorney General (AG) to amend  
          the conditions of an agreement or transaction involving a  
          non-profit health facility after a decision is issued under  
          specified circumstances, provides an additional 30 days for the  
          AG to review proposed transactions involving a non-profit health  
          facility, and provides the AG with the authority to enforce the  
          conditions of a transaction or agreement.  This bill provides  
          that the waiver of right to judicial relief would not apply to  
          conditions amended after the close of the transaction.

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           ANALYSIS  :    

          Existing law:

          1.Requires any non-profit corporation that operates or controls  
            a health facility, as defined, to provide written notice to,  
            and obtain the written consent of, the AG prior to entering  
            into any agreement or transaction to do either of the  
            following:

             A.   Sell, transfer, lease, exchange, option, convey, or  
               otherwise dispose of, its assets to a for-profit  
               corporation or entity, or another non-profit corporation;  
               or

             B.   Transfer control, responsibility, or governance of a  
               material amount of the assets or operations of the  
               non-profit corporation to any for-profit corporation or  
               entity, or another non-profit corporation.

          2.Requires the AG, within 60 days of the receipt of a written  
            notice of a proposed transaction involving a non-profit health  
            facility, to notify the non-profit corporation in writing of  
            the decision to consent to, give conditional consent to, or  
            not consent to the agreement or transaction.

          3.Permits the AG to extend the 60-day deadline described above  
            for one additional 45-day period if specified conditions are  
            satisfied.  

          4.Provides the AG with the discretion to consent to, give  
            conditional extent to, or not consent to any agreement or  
            transaction involving a non-profit health facility based on  
            the consideration of any factors that the AG deems relevant,  
            including but not limited to:

             A.   Whether the agreement or transaction is at fair market  
               value;

             B.   Whether the proposed use of the proceeds from the  
               transaction is consistent with the charitable trust on  
               which the assets are held by the health facility or by the  
               affiliated non-profit health system; 


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             C.   Whether the transaction would create significant effects  
               on the availability or accessibility of health care  
               services to the affected community; or

             D.   Whether the transaction is in the public interest.

          5.Prohibits the AG from consenting to a health facility  
            transaction in which the seller restricts the type or level of  
            medical services that may be provided at the health facility  
            that is the subject of the transaction.

          6.Permits the AG to contract with experts when deciding whether  
            to give consent to a transaction, or to monitor ongoing  
            compliance with the terms and conditions of any transaction,  
            and requires the non-profit corporation to reimburse the AG  
            for all reasonable and necessary costs to conduct the review  
            or monitoring ongoing compliance.

          This bill:

          1.Extends, from 60 days to 90 days from the receipt of a notice  
            of a proposed transaction, the time in which the AG must  
            notify a non-profit corporation in writing of the decision to  
            consent or not consent to a transaction of health facility  
            assets from a non-profit corporation to a for-profit  
            corporation or between two non-profit corporations.

          2.Permits the AG to enforce conditions imposed on the AG's  
            approval of an agreement or transaction involving a non-profit  
            health facility, and to require the transferee to fulfill all  
            representations made during the application process, including  
            those regarding levels of care.

          3.Permits the AG to amend the conditions of an agreement or  
            transaction involving a non-profit health facility after the  
            decision is issued, if either of the following occur:

             A.   A party to the transaction or agreement made material  
               misrepresentations to the AG.  Requires any amended  
               condition imposed pursuant to this provision to be  
               substantially related to the material misrepresentation; or

             B.   A party to the transaction or agreement violated the  
               conditions set forth in the AG's decision.  Requires any  

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               amended condition imposed pursuant to this provision to be  
               substantially related to the violation, and be necessary to  
               mitigate, and provide appropriate restitution for, the  
               effects of the violation.

          4.Specifies that once the agreement or transaction involving a  
            non-profit health facility is closed, the parties are deemed  
            to have explicitly and implicitly consented to the  
            applicability and compliance with each condition set forth in  
            the AG's consent, and to have waived any right to seek  
            judicial relief with respect to each condition set forth in  
            the AG's consent.  Specifies that this waiver of the right to  
            seek judicial relief does not apply to any amended condition  
            imposed pursuant to #3 above.

           Background

           In late October of 2012, Hoag Memorial Hospital Presbyterian in  
          Orange County notified the AG's office of its intent to merge  
          with St. Joseph Health System, triggering the 60-day approval  
          process.  In early February 2013, the AG's office approved the  
          transaction with several conditions, including that Hoag  
          maintain levels of care in various services.  The approval terms  
          also included conditions related to women's reproductive health  
          services, including a requirement that levels of care for  
          women's health services would be preserved for a minimum of ten  
          years.  According to the AG, during the public notice portion of  
          the approval process, the proposed transaction was only met with  
          a few concerns from members of the community, all of which the  
          AG attempted to address through its conditions.  However, after  
          the approval was issued and the transaction closed, certain  
          reproductive services ceased.  Doctors at Hoag expressed outrage  
          and claimed they had been repeatedly assured that there would be  
          no change in certain reproductive services at Hoag.

          According to the AG, Hoag's failure to adequately disclose  
          details of the proposed affiliation's potential impact on access  
          to health for women compromised the integrity of the approval  
          process.  Additionally, there were allegations that Hoag was in  
          violation of the conditions of the approval, particularly  
          related to preserving alternative access to reproductive health  
          services for members of the community.  The AG argues that had  
          it known these facts prior to approval, the conditions imposed  
          would have included more detailed requirements related to  

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          reproductive health services. 

          In response to the above situation this bill seeks to give the  
          AG the authority to amend conditions related to the transfer of  
          the assets of a nonprofit health facility after the agreement  
          has closed.
           
          Prior Legislation
           
          SB 932 (Bowen, Chapter 65, Statutes of 2003) prohibits the AG  
          from consenting to an agreement or transaction involving the  
          sale, transfer, lease or other disposition of a health facility  
          owned by a non-profit corporation to a for-profit corporation, a  
          mutual benefit corporation or another non-profit corporation, if  
          the seller restricts the type or level of medical services that  
          may be provided at the facility.

          AB 890 (Cedillo, Chapter 427, Statutes of 2002) subjects health  
          facilities owned by religious corporations to the same  
          requirements as other non-profit hospitals with regard to  
          obtaining the consent of the AG prior to transferring hospital  
          ownership.   The bill also adds to the factors that may be  
          considered by the AG when considering transfers of a health  
          facility from one non-profit to another non-profit, and  
          clarifies that the AG may collect the costs of the review from  
          either the transferring or receiving entity.

          AB 254 (Cedillo, Chapter 850, Statutes of 1999) requires  
          non-profit health facilities to obtain the consent of the AG  
          prior to the sale, transfer or lease of a material amount of  
          assets to another non-profit corporation.

          AB 3101 (Isenberg, Chapter 1105, Statutes of 1996) requires  
          profit health facilities that are subject to public benefit  
          corporation law to obtain written consent from the AG prior to  
          entering into an agreement to (1) sell, transfer, lease,  
          exchange, option, convey, or otherwise dispose of assets, or (2)  
          transfer control or governance of assets.  The bill requires the  
          AG to conduct at least one public meeting in the county where  
          the facility is located, to contract with experts, and to obtain  
          reimbursement for the costs from health facilities being  
          reviewed.

           FISCAL EFFECT  :    Appropriation:  No   Fiscal Com.:  Yes    

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          Local:  No

           SUPPORT  :   (Verified  5/14/14)

          Department of Justice (source)
          AFSCME, AFL-CIO
          Congress of California Seniors
          Health Access California
          Latino Coalition for a Healthy California
          SEIU, California State Council
          United Nurses Associations of California/Union of Health Care  
          Professionals

           OPPOSITION  :    (Verified  5/14/14)

          Adventist Health
          Alliance of Catholic Health Care
          California Hospital Association
          Loma Linda University Health
          Providence Health & Services, Southern California
          Scripps Health
          Sutter Health

           ARGUMENTS IN SUPPORT  :    This bill's sponsor, the Department of  
          Justice, states that since the AG's role in overseeing  
          non-profit health facility transactions was first  
          conceptualized, the proposed transactions have become more  
          complex and numerous, including a notable spike observed in  
          recent years.  This has resulted in an increased amount of time  
          needed both for review by the AG.  In addition, the AG states  
          that recent cases have revealed scenarios in which the AG's  
          inability to revisit approved transactions following significant  
          new developments seriously hinders its ability to preserve the  
          level of access to care for patients in accordance with the  
          public trust.  The AG states that this bill is designed to  
          provide modest but crucial updates to the AG's oversight  
          authority to account for these developments.  

          This bill is supported by the California State Council of the  
          SEIU, which states it would hold hospital facilities  
          accountable, further protecting communities by ensuring that  
          access to crucial health care services remain available.  The  
          United Nurses Associations of California/Union of Health Care  
          Professionals states that the AG will often impose conditions to  

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          ensure that the quality of care in a community is not diminished  
          by the sale or transfer, and that this bill specifically  
          authorizes the AG to enforce any conditions of a sale, even  
          after the sale has occurred.  Health Access California states  
          that an additional 30 days to review a transaction would be  
          helpful to those in the community and advocacy organizations,  
          and that allowing the AG to enforce conditions on a transaction  
          is an important improvement on existing law.  The Congress of  
          California Seniors notes that the complex, and often rushed,  
          process regarding non-profit hospital transactions does not  
          serve California well, and this bill will give the AG more time  
          to review a hospital's request. The AFSCME, AFL-CIO, state that  
          this bill will give the AG the authority to amend and enforce  
          the conditions of an agreement to better reflect the public's  
          interest.

           ARGUMENTS IN OPPOSITION  :    In opposition to this bill a number  
          of groups have raised concerns that it would create significant  
          uncertainty for non-profit hospitals.  A coalition of health  
          care providers, including the California Hospital Association,  
          Loma Linda University, Adventist Health, Scripps, Alliance of  
          Catholic Health Care, and Sutter Health writes, "Existing law  
          provides vigorous protection of the public interest in these  
          types of transaction.  However, this bill grants broad  
          regulatory discretion to keep changing the terms of the  
          transaction, after these terms have been agreed to by both  
          parties.  It is important to recognize that the Attorney General  
          already had broad and comprehensive enforcement authority to  
          monitor and legally compel compliance with all of the conditions  
          of consent that it imposes in hospital transactions-and has done  
          so in the past.  Thus, the true essence of this bill is to allow  
          the Attorney General the ability to change the terms of the  
          deal."

          Adventist Health and Loma Linda University Medical Center write  
          that "there are no limitations in the bill as to the nature,  
          timing, process, or extent of the permissible changes that the  
          AG could impose.  This would expose the entity buying a  
          nonprofit hospital to a massive unknown liability that could  
          appear at any time in the future."

          Finally, the California Hospital Association writes "this bill  
          requires the parties to the transaction to waive their  
          constitutional rights and due process protections.  We believe  

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          the rule of law should continue to apply to these transactions."  
           

          JL:k  5/14/14   Senate Floor Analyses 

                           SUPPORT/OPPOSITION:  SEE ABOVE

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