HomeMy WebLinkAboutMINUTES - 03202001 - C.61 `Std S F._J !�
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TO: BOARD OF SUPERVISORSCONTRA*� `•'M �`:`'•
COSTA
FROM: John Sweeten, County Administrator COUNTY
DATE: March 20, 2001 ,
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SUBJECT: SB 253 (Perata) - Sponsor
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
RECOMMENDATION(S):
SPONSOR SB 253 (Perata) which would establish financing eligibility for replacement of the
Richmond Health Clinic under the provisions of§14085.5 of the Welfare and Institutions Code.
BACKGROUND/REASON(S) FOR RECOMMENDATION(S):
SB 253 (Perata) would establish eligibility for reconstruction of the Richmond Health Clinic for
financing under the provision of §14085.5 of the Welfare and Institutions Code. This would
generate a state and federal share of cost for the annual debt service of a new facility.
CONTINUED ON ATTACHMENT: —YES SIGNATURE:
_ RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOAR OMMITTEE
PROVE OTHER
SIGNATURE(S): r'
ACTION OF BO Ni 2Q, 2001 APPROVED AS RECOMMENDED XX OTHER
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A
XX UNANIMOUS(ABSENT — — — — TRUE AND CORRECT COPY OF AN
AYES: NOES: ACTION TAKEN AND ENTERED
ABSENT: ABSTAIN: ON MINUTES OF THE BOARD OF
SUPERVISORS ON THE DATE SHOWN.
Contact:
ATTESTEDMarchMarch 20,2001
JOHN SWEETEN,CLERK OF
THE BOARD OF SUPERVISORS
AND COUNTY ADMINISTRATOR
cc: CAO
Pat Godley,Health Services
Laura Lockwood,Capital Facilities/Debt Management BY DEPUTY
SB 253 Senate Bill- INTRODUCED Page 1 of 2
BILL NUMBER: SB 253 INTRODUCED
BILL TEXT
INTRODUCED BY Senator Perata
FEBRUARY 15, 2001
An act to add Section 14085.57 to the Welfare and Institutions
Code, relating to health facilities.
LEGISLATIVE COUNSEL'S DIGEST
SB 253, as introduced, Perata. Health facilities: Contra Costa
County.
Existing law provides for the Medi-Cal program, administered by
the State Department of Health Services, under which qualified
low-income persons are provided with health care services.
Existing law generally defines a disproportionate share hospital
as a hospital that has disproportionately higher costs, volume, or
services related to the provision of services to Medi-Cal or other
low-income patients than the statewide average. Under existing law,
an eligible disproportionate share hospital may receive supplemental
Medi-Cal reimbursement to defray a portion of the debt service cost
for an eligible capital project.
The bill would permit Contra Costa County Regional Medical Center
to construct or renovate, or both, -any patient care facility, and
would permit this construction or renovation, or both, to be
considered eligible for supplemental reimbursement if the site meets
certain conditions.
Vote: majority. Appropriation: no. Fiscal committee: yes.
State-mandated local program: no..
THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS:
SECTION 1. Section 14085.57 is added to the Welfare and
Institutions Code, to read:
14085.57. (a) Contra Costa County Regional Medical Center may
construct or renovate, or both, any patient care facility, and any
capital project for that construction or renovation, or both, shall
be considered eligible for supplemental reimbursement under Section
14085.5, if all of the following conditions are met:
(1) The site upon which the facility is constructed is owned or
leased by the County of Contra Costa.
(2) The final supplemental plans for the capital project or
projects are designed to expand the services provided pursuant to the
initial capital project for the construction of Contra Costa
Regional Medical Center.
(3) That initial capital project is eligible for reimbursement
under Section 14085.5.
(4) The facility built or renovated as a part of the capital
project is, or will be, consolidated under the Contra Costa County
Regional Medical Center general acute care license, and will be
operated by Contra Costa County Regional Medical Center as an adjunct
to services in the hospital facility.
(5) Final supplemental plans for the capital project are submitted
to the Office of Statewide Health Planning and Development on or
before December 30, 2001.
http://www.leginfo.ca.gov/pubibUYsen/sb 0251-0300/sb 253_bill20010215_introduced.html 3/8/01
SB 253 Senate Bill- INTRODUCED Page 2 of 2
(6) The capital project meets the requirements for eligibility
specified in Section 14085.5, as :modified by this section.
(b) The final supplemental plans may provide for a capital project
with one or more of the following features:
(1) Total revision or reconfiguration, or a reduction in size and
scope, of an existing patient care facility.
(2) Modifications of an existing patient care facility necessary
to comply with current seismic safety standards.
(3) Expansion of outpatient service facilities.
(c) For purposes of calculating supplemental reimbursement
pursuant to Section 14085.5 for a capital project complying with this
section, the initial Medi-Cal inpatient utilization rate shall be
that which is determined at the time of submission of the final
supplemental capital project plan.
(d) For purposes of determining supplemental reimbursement under
Section 14085.5 for a capital project complying with this section,
supplemental reimbursement shall be based on actual costs of the
capital project eligible for reimbursement under Section 14085.5 as
modified by this section.
(e) Subject to subdivisions (g) and (h) of Section 14085.5, Contra
Costa County Regional Medical Center shall receive supplemental
reimbursement under this section for debt service associated with the
capital project over the lesser of the following periods:
(1) The life of the revenue bonds.
(2) The period during which the patient care facility or
facilities affected by the capital project is either leased or owned
by the County of Contra Costa.
SEC. 2. Due to the unique circumstances concerning the County of
Contra Costa, the Legislature finds and declares that a general
statute cannot be made applicable within the meaning of Section 16 of
Article IV of the Constitution.
http://www.leginfo.ca.gov/pubibifl/sen/sb 0251-0300/sb 253 bill20010215_introduced.html 3/8/01