CALIFORNIA LEGISLATURE 20212022 REGULAR SESSION Assembly Bill No. 1882Introduced by Assembly Members Robert Rivas and NazarianFebruary 08, 2022 An act to amend Sections 130055 and 130066 of, and to add Sections 130002, 130006, and 130069 to, the Health and Safety Code, relating to hospitals. LEGISLATIVE COUNSEL'S DIGESTAB 1882, as introduced, Robert Rivas. Hospitals: seismic safety.The Alfred E. Alquist Hospital Facilities Seismic Safety Act of 1983 establishes, under the jurisdiction of the Department of Health Care Access and Information, a program of seismic safety building standards for certain hospitals constructed on and after March 7, 1973. A violation of the act is a misdemeanor. The act requires an owner of a general acute care inpatient hospital, no later than January 1, 2030, to either demolish, replace, or change to nonacute care use all hospital buildings not in substantial compliance with the regulations and standards developed pursuant to the act, or seismically retrofit all acute care inpatient hospital buildings so that they are in substantial compliance with those regulations and standards. Existing law requires, within 60 days following the departments approval of a report relating to a general acute care hospital owners plan to comply with those regulations and standards, a general acute hospital building owner to take specified actions, including informing the local office of emergency services or the equivalent agency, the Office of Emergency Services, and the department, of each buildings expected earthquake performance.This bill would instead require general acute hospital building owners, commencing July 1, 2023, to take those actions annually until each of the hospital buildings owned by that owner are compliant with those regulations and standards.Existing law required the owner of an acute care inpatient hospital whose building does not substantially comply with seismic safety regulations or standards to, before January 1, 2020, submit to the department an attestation that the board of directors of that hospital is aware that the hospital building is required to meet the January 1, 2030, deadline for substantial compliance with those regulations and standards.This bill would also require the owner of an acute care inpatient hospital to submit that attestation annually no later than July 1 of each year until there is full compliance and to provide that attestation to additional entities, including the county board of supervisors in whose jurisdiction the hospital building is located, before January 1, 2024. The bill would require the department to post those attestations on its internet website and maintain a public list of the compliance status of acute care inpatient hospitals with that requirement. The bill would also impose various requirements on owners of acute care inpatient hospitals that are not in compliance with the regulations and standards described above, and on the department, relating to notifying patients and the public that the hospital is not in compliance with seismic safety standards.The bill would declare the provisions of the bill to be severable.By imposing new requirements on hospital owners, the violation of which would be a misdemeanor, this bill would impose a state-mandated local program.The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.This bill would provide that no reimbursement is required by this act for a specified reason.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: YES Bill TextThe people of the State of California do enact as follows:SECTION 1. Section 130002 is added to the Health and Safety Code, to read:130002. (a) The Legislature finds and declares all of the following:(1) Following a major earthquake, Californians will rely on their community hospitals to provide care to those who are injured, to continue to care for those already within the hospital, and to respond to the emergent needs of new patients.(2) Under existing law, all hospital buildings providing acute care services in California are required to be fully functional to provide care following an earthquake as of 2030. This standard includes both structural performance requirements (SPC) and nonstructural performance categories (NPC), such as for electricity, water, sewage, oxygen, and other mechanical and electrical systems.(3) The Alfred E. Alquist Hospital Facilities Seismic Safety Act of 1983, which was passed after the 1971 Sylmar earthquake that caused the collapse of the Veteran Administration Hospital and killed 47 people, as well as the collapse of large sections of Olive View County Hospital, which led to its closure six weeks after it opened, required that new hospital construction be seismically sound. The acts focus on new hospital construction was based on the understanding that the useful life of hospital buildings was 20 to 30 years and that most existing hospital buildings would be replaced by the mid-1990s.(4) The 1994 Northridge earthquake showed that nonstructural damage is a serious threat to patient safety and a hospitals capacity to function. Also, as of 1994, most hospital buildings still predated 1972 and thus were at risk of collapse in a major earthquake.(5) As of 2022, most hospitals in California do not fully meet the seismic safety standards that will be required in order to remain operational past the 2030 deadline.(6) Patients receiving care in seismically deficient hospitals when an earthquake occurs will be at risk of needing to be immediately evacuated, even if other hospitals in the area have also been impacted by the earthquake. Additionally, seismically deficient hospital buildings may not be available to treat new patients.(7) It is critical for cities, counties, and the state to fully understand hospitals seismic safety compliance in order to prepare earthquake response and recovery plans.(b) The Legislature reaffirms its commitment to Californians that hospitals will be fully functional and able to provide hospital care to Californians after an earthquake.(c) Therefore, it is the intent of the Legislature to ensure that the Department of Health Care Access and Information, Office of Emergency Services, relevant local government entities, and other interested parties are notified of the status of acute care hospitals compliance with existing requirements that the facilities be fully functional to provide care following an earthquake as of 2030.SEC. 2. Section 130006 is added to the Health and Safety Code, to read:130006. (a) A hospital building that is classified as SPC-2 shall be labeled evacuation risk, structurally deficient on the departments internet website and in all documents and submissions to the department by the hospital owner relating to compliance with Section 130065.(b) A hospital building that is classified as both SPC-5 and NPC-5 may be labeled earthquake resilient on the departments internet website and in all documents and submissions to the department by the hospital owner related to compliance with Section 130065.SEC. 3. Section 130055 of the Health and Safety Code is amended to read:130055. Within 60 days following the departments approval of the report submitted pursuant to subdivision (b) of Section 130050, On and after July 1, 2023, general acute hospital building owners shall do all of the following: following annually until each of the hospital buildings owned by that hospital building owner is compliant with Section 130065.(a) Inform the local office of emergency services or the equivalent agency, the Office of Emergency Services, and the department, of each buildings expected earthquake performance. performance and the services provided in each building.(b) Include all pertinent information regarding the buildings expected earthquake performance in emergency training, response, and recovery plans.(c) Include all pertinent information regarding the buildings expected earthquake performance in capital outlay plans.SEC. 4. Section 130066 of the Health and Safety Code is amended to read:130066. (a) Before January 1, 2020, the owner of an acute care inpatient hospital whose building does not substantially comply with the seismic safety regulations or standards described in Section 130065 shall submit to the department an attestation that the board of directors of that hospital is aware that the hospital building is required to meet the January 1, 2030, deadline for substantial compliance with those regulations and standards.(b) The owner of an acute care inpatient hospital shall submit to the department the attestation described in subdivision (a) annually no later than July 1 of each year until the owner has achieved full compliance with Section 130065. The attestation shall include the information required under subdivision (c) of Section 130061 for any building not yet compliant with Section 130065.(c) The department shall post the attestations received pursuant to this section on its internet website and maintain a public list of the compliance status of acute care inpatient hospitals with the requirements of this section.SEC. 5. Section 130069 is added to the Health and Safety Code, to read:130069. (a) Before January 1, 2024, the owner of an acute care inpatient hospital that includes a building that does not substantially comply with Section 130065 shall do both of the following:(1) Post in any lobby or waiting area generally accessible to patients or the public a notice provided by the department that the hospital is not in compliance with the seismic safety requirements that the hospital is required to meet by January 1, 2030. The notice shall be posted until the time the owner receives notification from the department that it meets the requirements described in Section 130065.(2) Provide an attestation that the board of directors of the hospital is aware that the hospital building is required to meet the January 1, 2030, deadline for substantial compliance with those regulations and standards to all of the following:(A) The county board of supervisors in whose jurisdiction the hospital building is located.(B) The city council in whose jurisdiction the hospital building is located, if applicable.(C) Any labor union representing workers who work in a building that does not substantially comply with the seismic safety regulations or standards described in Section 130065.(D) The board of directors of the special district or joint powers agency that provides fire and emergency medical services in the jurisdiction in which the hospital building is located, if applicable.(E) The department.(b) Before July 1, 2023, the department shall develop the notice required in paragraph (1) of subdivision (a) with the intent that the notice will clearly convey to patients and the public that the hospital building does not meet seismic safety standards intended to ensure that the hospital will be capable of continued operation following an earthquake. For SPC-2 buildings, the notice shall clearly state that the hospital owner is aware that the hospital building is structurally deficient and at risk of evacuation and at risk of not being functional to provide care to its patients or the community after an earthquake. For other buildings that are not compliant with Section 130065, the notice shall state that the hospital owner is aware that the hospital is at risk of not being functional to provide care to its patients or the community after an earthquake. In its discretion, the department may develop multiple notices in order to provide a more detailed description of different hospital buildings failure to meet the seismic safety regulations or standards described in Section 130065.SEC. 6. The provisions of this act are severable. If any provision of this act or its application is held invalid, that invalidity shall not affect other provisions or applications that can be given effect without the invalid provision or application.SEC. 7. No reimbursement is required by this act pursuant to Section 6 of Article XIIIB of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIIIB of the California Constitution. CALIFORNIA LEGISLATURE 20212022 REGULAR SESSION Assembly Bill No. 1882Introduced by Assembly Members Robert Rivas and NazarianFebruary 08, 2022 An act to amend Sections 130055 and 130066 of, and to add Sections 130002, 130006, and 130069 to, the Health and Safety Code, relating to hospitals. LEGISLATIVE COUNSEL'S DIGESTAB 1882, as introduced, Robert Rivas. Hospitals: seismic safety.The Alfred E. Alquist Hospital Facilities Seismic Safety Act of 1983 establishes, under the jurisdiction of the Department of Health Care Access and Information, a program of seismic safety building standards for certain hospitals constructed on and after March 7, 1973. A violation of the act is a misdemeanor. The act requires an owner of a general acute care inpatient hospital, no later than January 1, 2030, to either demolish, replace, or change to nonacute care use all hospital buildings not in substantial compliance with the regulations and standards developed pursuant to the act, or seismically retrofit all acute care inpatient hospital buildings so that they are in substantial compliance with those regulations and standards. Existing law requires, within 60 days following the departments approval of a report relating to a general acute care hospital owners plan to comply with those regulations and standards, a general acute hospital building owner to take specified actions, including informing the local office of emergency services or the equivalent agency, the Office of Emergency Services, and the department, of each buildings expected earthquake performance.This bill would instead require general acute hospital building owners, commencing July 1, 2023, to take those actions annually until each of the hospital buildings owned by that owner are compliant with those regulations and standards.Existing law required the owner of an acute care inpatient hospital whose building does not substantially comply with seismic safety regulations or standards to, before January 1, 2020, submit to the department an attestation that the board of directors of that hospital is aware that the hospital building is required to meet the January 1, 2030, deadline for substantial compliance with those regulations and standards.This bill would also require the owner of an acute care inpatient hospital to submit that attestation annually no later than July 1 of each year until there is full compliance and to provide that attestation to additional entities, including the county board of supervisors in whose jurisdiction the hospital building is located, before January 1, 2024. The bill would require the department to post those attestations on its internet website and maintain a public list of the compliance status of acute care inpatient hospitals with that requirement. The bill would also impose various requirements on owners of acute care inpatient hospitals that are not in compliance with the regulations and standards described above, and on the department, relating to notifying patients and the public that the hospital is not in compliance with seismic safety standards.The bill would declare the provisions of the bill to be severable.By imposing new requirements on hospital owners, the violation of which would be a misdemeanor, this bill would impose a state-mandated local program.The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.This bill would provide that no reimbursement is required by this act for a specified reason.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: YES CALIFORNIA LEGISLATURE 20212022 REGULAR SESSION Assembly Bill No. 1882 Introduced by Assembly Members Robert Rivas and NazarianFebruary 08, 2022 Introduced by Assembly Members Robert Rivas and Nazarian February 08, 2022 An act to amend Sections 130055 and 130066 of, and to add Sections 130002, 130006, and 130069 to, the Health and Safety Code, relating to hospitals. LEGISLATIVE COUNSEL'S DIGEST ## LEGISLATIVE COUNSEL'S DIGEST AB 1882, as introduced, Robert Rivas. Hospitals: seismic safety. The Alfred E. Alquist Hospital Facilities Seismic Safety Act of 1983 establishes, under the jurisdiction of the Department of Health Care Access and Information, a program of seismic safety building standards for certain hospitals constructed on and after March 7, 1973. A violation of the act is a misdemeanor. The act requires an owner of a general acute care inpatient hospital, no later than January 1, 2030, to either demolish, replace, or change to nonacute care use all hospital buildings not in substantial compliance with the regulations and standards developed pursuant to the act, or seismically retrofit all acute care inpatient hospital buildings so that they are in substantial compliance with those regulations and standards. Existing law requires, within 60 days following the departments approval of a report relating to a general acute care hospital owners plan to comply with those regulations and standards, a general acute hospital building owner to take specified actions, including informing the local office of emergency services or the equivalent agency, the Office of Emergency Services, and the department, of each buildings expected earthquake performance.This bill would instead require general acute hospital building owners, commencing July 1, 2023, to take those actions annually until each of the hospital buildings owned by that owner are compliant with those regulations and standards.Existing law required the owner of an acute care inpatient hospital whose building does not substantially comply with seismic safety regulations or standards to, before January 1, 2020, submit to the department an attestation that the board of directors of that hospital is aware that the hospital building is required to meet the January 1, 2030, deadline for substantial compliance with those regulations and standards.This bill would also require the owner of an acute care inpatient hospital to submit that attestation annually no later than July 1 of each year until there is full compliance and to provide that attestation to additional entities, including the county board of supervisors in whose jurisdiction the hospital building is located, before January 1, 2024. The bill would require the department to post those attestations on its internet website and maintain a public list of the compliance status of acute care inpatient hospitals with that requirement. The bill would also impose various requirements on owners of acute care inpatient hospitals that are not in compliance with the regulations and standards described above, and on the department, relating to notifying patients and the public that the hospital is not in compliance with seismic safety standards.The bill would declare the provisions of the bill to be severable.By imposing new requirements on hospital owners, the violation of which would be a misdemeanor, this bill would impose a state-mandated local program.The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.This bill would provide that no reimbursement is required by this act for a specified reason. The Alfred E. Alquist Hospital Facilities Seismic Safety Act of 1983 establishes, under the jurisdiction of the Department of Health Care Access and Information, a program of seismic safety building standards for certain hospitals constructed on and after March 7, 1973. A violation of the act is a misdemeanor. The act requires an owner of a general acute care inpatient hospital, no later than January 1, 2030, to either demolish, replace, or change to nonacute care use all hospital buildings not in substantial compliance with the regulations and standards developed pursuant to the act, or seismically retrofit all acute care inpatient hospital buildings so that they are in substantial compliance with those regulations and standards. Existing law requires, within 60 days following the departments approval of a report relating to a general acute care hospital owners plan to comply with those regulations and standards, a general acute hospital building owner to take specified actions, including informing the local office of emergency services or the equivalent agency, the Office of Emergency Services, and the department, of each buildings expected earthquake performance. This bill would instead require general acute hospital building owners, commencing July 1, 2023, to take those actions annually until each of the hospital buildings owned by that owner are compliant with those regulations and standards. Existing law required the owner of an acute care inpatient hospital whose building does not substantially comply with seismic safety regulations or standards to, before January 1, 2020, submit to the department an attestation that the board of directors of that hospital is aware that the hospital building is required to meet the January 1, 2030, deadline for substantial compliance with those regulations and standards. This bill would also require the owner of an acute care inpatient hospital to submit that attestation annually no later than July 1 of each year until there is full compliance and to provide that attestation to additional entities, including the county board of supervisors in whose jurisdiction the hospital building is located, before January 1, 2024. The bill would require the department to post those attestations on its internet website and maintain a public list of the compliance status of acute care inpatient hospitals with that requirement. The bill would also impose various requirements on owners of acute care inpatient hospitals that are not in compliance with the regulations and standards described above, and on the department, relating to notifying patients and the public that the hospital is not in compliance with seismic safety standards. The bill would declare the provisions of the bill to be severable. By imposing new requirements on hospital owners, the violation of which would be a misdemeanor, this bill would impose a state-mandated local program. The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement. This bill would provide that no reimbursement is required by this act for a specified reason. ## Digest Key ## Bill Text The people of the State of California do enact as follows:SECTION 1. Section 130002 is added to the Health and Safety Code, to read:130002. (a) The Legislature finds and declares all of the following:(1) Following a major earthquake, Californians will rely on their community hospitals to provide care to those who are injured, to continue to care for those already within the hospital, and to respond to the emergent needs of new patients.(2) Under existing law, all hospital buildings providing acute care services in California are required to be fully functional to provide care following an earthquake as of 2030. This standard includes both structural performance requirements (SPC) and nonstructural performance categories (NPC), such as for electricity, water, sewage, oxygen, and other mechanical and electrical systems.(3) The Alfred E. Alquist Hospital Facilities Seismic Safety Act of 1983, which was passed after the 1971 Sylmar earthquake that caused the collapse of the Veteran Administration Hospital and killed 47 people, as well as the collapse of large sections of Olive View County Hospital, which led to its closure six weeks after it opened, required that new hospital construction be seismically sound. The acts focus on new hospital construction was based on the understanding that the useful life of hospital buildings was 20 to 30 years and that most existing hospital buildings would be replaced by the mid-1990s.(4) The 1994 Northridge earthquake showed that nonstructural damage is a serious threat to patient safety and a hospitals capacity to function. Also, as of 1994, most hospital buildings still predated 1972 and thus were at risk of collapse in a major earthquake.(5) As of 2022, most hospitals in California do not fully meet the seismic safety standards that will be required in order to remain operational past the 2030 deadline.(6) Patients receiving care in seismically deficient hospitals when an earthquake occurs will be at risk of needing to be immediately evacuated, even if other hospitals in the area have also been impacted by the earthquake. Additionally, seismically deficient hospital buildings may not be available to treat new patients.(7) It is critical for cities, counties, and the state to fully understand hospitals seismic safety compliance in order to prepare earthquake response and recovery plans.(b) The Legislature reaffirms its commitment to Californians that hospitals will be fully functional and able to provide hospital care to Californians after an earthquake.(c) Therefore, it is the intent of the Legislature to ensure that the Department of Health Care Access and Information, Office of Emergency Services, relevant local government entities, and other interested parties are notified of the status of acute care hospitals compliance with existing requirements that the facilities be fully functional to provide care following an earthquake as of 2030.SEC. 2. Section 130006 is added to the Health and Safety Code, to read:130006. (a) A hospital building that is classified as SPC-2 shall be labeled evacuation risk, structurally deficient on the departments internet website and in all documents and submissions to the department by the hospital owner relating to compliance with Section 130065.(b) A hospital building that is classified as both SPC-5 and NPC-5 may be labeled earthquake resilient on the departments internet website and in all documents and submissions to the department by the hospital owner related to compliance with Section 130065.SEC. 3. Section 130055 of the Health and Safety Code is amended to read:130055. Within 60 days following the departments approval of the report submitted pursuant to subdivision (b) of Section 130050, On and after July 1, 2023, general acute hospital building owners shall do all of the following: following annually until each of the hospital buildings owned by that hospital building owner is compliant with Section 130065.(a) Inform the local office of emergency services or the equivalent agency, the Office of Emergency Services, and the department, of each buildings expected earthquake performance. performance and the services provided in each building.(b) Include all pertinent information regarding the buildings expected earthquake performance in emergency training, response, and recovery plans.(c) Include all pertinent information regarding the buildings expected earthquake performance in capital outlay plans.SEC. 4. Section 130066 of the Health and Safety Code is amended to read:130066. (a) Before January 1, 2020, the owner of an acute care inpatient hospital whose building does not substantially comply with the seismic safety regulations or standards described in Section 130065 shall submit to the department an attestation that the board of directors of that hospital is aware that the hospital building is required to meet the January 1, 2030, deadline for substantial compliance with those regulations and standards.(b) The owner of an acute care inpatient hospital shall submit to the department the attestation described in subdivision (a) annually no later than July 1 of each year until the owner has achieved full compliance with Section 130065. The attestation shall include the information required under subdivision (c) of Section 130061 for any building not yet compliant with Section 130065.(c) The department shall post the attestations received pursuant to this section on its internet website and maintain a public list of the compliance status of acute care inpatient hospitals with the requirements of this section.SEC. 5. Section 130069 is added to the Health and Safety Code, to read:130069. (a) Before January 1, 2024, the owner of an acute care inpatient hospital that includes a building that does not substantially comply with Section 130065 shall do both of the following:(1) Post in any lobby or waiting area generally accessible to patients or the public a notice provided by the department that the hospital is not in compliance with the seismic safety requirements that the hospital is required to meet by January 1, 2030. The notice shall be posted until the time the owner receives notification from the department that it meets the requirements described in Section 130065.(2) Provide an attestation that the board of directors of the hospital is aware that the hospital building is required to meet the January 1, 2030, deadline for substantial compliance with those regulations and standards to all of the following:(A) The county board of supervisors in whose jurisdiction the hospital building is located.(B) The city council in whose jurisdiction the hospital building is located, if applicable.(C) Any labor union representing workers who work in a building that does not substantially comply with the seismic safety regulations or standards described in Section 130065.(D) The board of directors of the special district or joint powers agency that provides fire and emergency medical services in the jurisdiction in which the hospital building is located, if applicable.(E) The department.(b) Before July 1, 2023, the department shall develop the notice required in paragraph (1) of subdivision (a) with the intent that the notice will clearly convey to patients and the public that the hospital building does not meet seismic safety standards intended to ensure that the hospital will be capable of continued operation following an earthquake. For SPC-2 buildings, the notice shall clearly state that the hospital owner is aware that the hospital building is structurally deficient and at risk of evacuation and at risk of not being functional to provide care to its patients or the community after an earthquake. For other buildings that are not compliant with Section 130065, the notice shall state that the hospital owner is aware that the hospital is at risk of not being functional to provide care to its patients or the community after an earthquake. In its discretion, the department may develop multiple notices in order to provide a more detailed description of different hospital buildings failure to meet the seismic safety regulations or standards described in Section 130065.SEC. 6. The provisions of this act are severable. If any provision of this act or its application is held invalid, that invalidity shall not affect other provisions or applications that can be given effect without the invalid provision or application.SEC. 7. No reimbursement is required by this act pursuant to Section 6 of Article XIIIB of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIIIB of the California Constitution. The people of the State of California do enact as follows: ## The people of the State of California do enact as follows: SECTION 1. Section 130002 is added to the Health and Safety Code, to read:130002. (a) The Legislature finds and declares all of the following:(1) Following a major earthquake, Californians will rely on their community hospitals to provide care to those who are injured, to continue to care for those already within the hospital, and to respond to the emergent needs of new patients.(2) Under existing law, all hospital buildings providing acute care services in California are required to be fully functional to provide care following an earthquake as of 2030. This standard includes both structural performance requirements (SPC) and nonstructural performance categories (NPC), such as for electricity, water, sewage, oxygen, and other mechanical and electrical systems.(3) The Alfred E. Alquist Hospital Facilities Seismic Safety Act of 1983, which was passed after the 1971 Sylmar earthquake that caused the collapse of the Veteran Administration Hospital and killed 47 people, as well as the collapse of large sections of Olive View County Hospital, which led to its closure six weeks after it opened, required that new hospital construction be seismically sound. The acts focus on new hospital construction was based on the understanding that the useful life of hospital buildings was 20 to 30 years and that most existing hospital buildings would be replaced by the mid-1990s.(4) The 1994 Northridge earthquake showed that nonstructural damage is a serious threat to patient safety and a hospitals capacity to function. Also, as of 1994, most hospital buildings still predated 1972 and thus were at risk of collapse in a major earthquake.(5) As of 2022, most hospitals in California do not fully meet the seismic safety standards that will be required in order to remain operational past the 2030 deadline.(6) Patients receiving care in seismically deficient hospitals when an earthquake occurs will be at risk of needing to be immediately evacuated, even if other hospitals in the area have also been impacted by the earthquake. Additionally, seismically deficient hospital buildings may not be available to treat new patients.(7) It is critical for cities, counties, and the state to fully understand hospitals seismic safety compliance in order to prepare earthquake response and recovery plans.(b) The Legislature reaffirms its commitment to Californians that hospitals will be fully functional and able to provide hospital care to Californians after an earthquake.(c) Therefore, it is the intent of the Legislature to ensure that the Department of Health Care Access and Information, Office of Emergency Services, relevant local government entities, and other interested parties are notified of the status of acute care hospitals compliance with existing requirements that the facilities be fully functional to provide care following an earthquake as of 2030. SECTION 1. Section 130002 is added to the Health and Safety Code, to read: ### SECTION 1. 130002. (a) The Legislature finds and declares all of the following:(1) Following a major earthquake, Californians will rely on their community hospitals to provide care to those who are injured, to continue to care for those already within the hospital, and to respond to the emergent needs of new patients.(2) Under existing law, all hospital buildings providing acute care services in California are required to be fully functional to provide care following an earthquake as of 2030. This standard includes both structural performance requirements (SPC) and nonstructural performance categories (NPC), such as for electricity, water, sewage, oxygen, and other mechanical and electrical systems.(3) The Alfred E. Alquist Hospital Facilities Seismic Safety Act of 1983, which was passed after the 1971 Sylmar earthquake that caused the collapse of the Veteran Administration Hospital and killed 47 people, as well as the collapse of large sections of Olive View County Hospital, which led to its closure six weeks after it opened, required that new hospital construction be seismically sound. The acts focus on new hospital construction was based on the understanding that the useful life of hospital buildings was 20 to 30 years and that most existing hospital buildings would be replaced by the mid-1990s.(4) The 1994 Northridge earthquake showed that nonstructural damage is a serious threat to patient safety and a hospitals capacity to function. Also, as of 1994, most hospital buildings still predated 1972 and thus were at risk of collapse in a major earthquake.(5) As of 2022, most hospitals in California do not fully meet the seismic safety standards that will be required in order to remain operational past the 2030 deadline.(6) Patients receiving care in seismically deficient hospitals when an earthquake occurs will be at risk of needing to be immediately evacuated, even if other hospitals in the area have also been impacted by the earthquake. Additionally, seismically deficient hospital buildings may not be available to treat new patients.(7) It is critical for cities, counties, and the state to fully understand hospitals seismic safety compliance in order to prepare earthquake response and recovery plans.(b) The Legislature reaffirms its commitment to Californians that hospitals will be fully functional and able to provide hospital care to Californians after an earthquake.(c) Therefore, it is the intent of the Legislature to ensure that the Department of Health Care Access and Information, Office of Emergency Services, relevant local government entities, and other interested parties are notified of the status of acute care hospitals compliance with existing requirements that the facilities be fully functional to provide care following an earthquake as of 2030. 130002. (a) The Legislature finds and declares all of the following:(1) Following a major earthquake, Californians will rely on their community hospitals to provide care to those who are injured, to continue to care for those already within the hospital, and to respond to the emergent needs of new patients.(2) Under existing law, all hospital buildings providing acute care services in California are required to be fully functional to provide care following an earthquake as of 2030. This standard includes both structural performance requirements (SPC) and nonstructural performance categories (NPC), such as for electricity, water, sewage, oxygen, and other mechanical and electrical systems.(3) The Alfred E. Alquist Hospital Facilities Seismic Safety Act of 1983, which was passed after the 1971 Sylmar earthquake that caused the collapse of the Veteran Administration Hospital and killed 47 people, as well as the collapse of large sections of Olive View County Hospital, which led to its closure six weeks after it opened, required that new hospital construction be seismically sound. The acts focus on new hospital construction was based on the understanding that the useful life of hospital buildings was 20 to 30 years and that most existing hospital buildings would be replaced by the mid-1990s.(4) The 1994 Northridge earthquake showed that nonstructural damage is a serious threat to patient safety and a hospitals capacity to function. Also, as of 1994, most hospital buildings still predated 1972 and thus were at risk of collapse in a major earthquake.(5) As of 2022, most hospitals in California do not fully meet the seismic safety standards that will be required in order to remain operational past the 2030 deadline.(6) Patients receiving care in seismically deficient hospitals when an earthquake occurs will be at risk of needing to be immediately evacuated, even if other hospitals in the area have also been impacted by the earthquake. Additionally, seismically deficient hospital buildings may not be available to treat new patients.(7) It is critical for cities, counties, and the state to fully understand hospitals seismic safety compliance in order to prepare earthquake response and recovery plans.(b) The Legislature reaffirms its commitment to Californians that hospitals will be fully functional and able to provide hospital care to Californians after an earthquake.(c) Therefore, it is the intent of the Legislature to ensure that the Department of Health Care Access and Information, Office of Emergency Services, relevant local government entities, and other interested parties are notified of the status of acute care hospitals compliance with existing requirements that the facilities be fully functional to provide care following an earthquake as of 2030. 130002. (a) The Legislature finds and declares all of the following:(1) Following a major earthquake, Californians will rely on their community hospitals to provide care to those who are injured, to continue to care for those already within the hospital, and to respond to the emergent needs of new patients.(2) Under existing law, all hospital buildings providing acute care services in California are required to be fully functional to provide care following an earthquake as of 2030. This standard includes both structural performance requirements (SPC) and nonstructural performance categories (NPC), such as for electricity, water, sewage, oxygen, and other mechanical and electrical systems.(3) The Alfred E. Alquist Hospital Facilities Seismic Safety Act of 1983, which was passed after the 1971 Sylmar earthquake that caused the collapse of the Veteran Administration Hospital and killed 47 people, as well as the collapse of large sections of Olive View County Hospital, which led to its closure six weeks after it opened, required that new hospital construction be seismically sound. The acts focus on new hospital construction was based on the understanding that the useful life of hospital buildings was 20 to 30 years and that most existing hospital buildings would be replaced by the mid-1990s.(4) The 1994 Northridge earthquake showed that nonstructural damage is a serious threat to patient safety and a hospitals capacity to function. Also, as of 1994, most hospital buildings still predated 1972 and thus were at risk of collapse in a major earthquake.(5) As of 2022, most hospitals in California do not fully meet the seismic safety standards that will be required in order to remain operational past the 2030 deadline.(6) Patients receiving care in seismically deficient hospitals when an earthquake occurs will be at risk of needing to be immediately evacuated, even if other hospitals in the area have also been impacted by the earthquake. Additionally, seismically deficient hospital buildings may not be available to treat new patients.(7) It is critical for cities, counties, and the state to fully understand hospitals seismic safety compliance in order to prepare earthquake response and recovery plans.(b) The Legislature reaffirms its commitment to Californians that hospitals will be fully functional and able to provide hospital care to Californians after an earthquake.(c) Therefore, it is the intent of the Legislature to ensure that the Department of Health Care Access and Information, Office of Emergency Services, relevant local government entities, and other interested parties are notified of the status of acute care hospitals compliance with existing requirements that the facilities be fully functional to provide care following an earthquake as of 2030. 130002. (a) The Legislature finds and declares all of the following: (1) Following a major earthquake, Californians will rely on their community hospitals to provide care to those who are injured, to continue to care for those already within the hospital, and to respond to the emergent needs of new patients. (2) Under existing law, all hospital buildings providing acute care services in California are required to be fully functional to provide care following an earthquake as of 2030. This standard includes both structural performance requirements (SPC) and nonstructural performance categories (NPC), such as for electricity, water, sewage, oxygen, and other mechanical and electrical systems. (3) The Alfred E. Alquist Hospital Facilities Seismic Safety Act of 1983, which was passed after the 1971 Sylmar earthquake that caused the collapse of the Veteran Administration Hospital and killed 47 people, as well as the collapse of large sections of Olive View County Hospital, which led to its closure six weeks after it opened, required that new hospital construction be seismically sound. The acts focus on new hospital construction was based on the understanding that the useful life of hospital buildings was 20 to 30 years and that most existing hospital buildings would be replaced by the mid-1990s. (4) The 1994 Northridge earthquake showed that nonstructural damage is a serious threat to patient safety and a hospitals capacity to function. Also, as of 1994, most hospital buildings still predated 1972 and thus were at risk of collapse in a major earthquake. (5) As of 2022, most hospitals in California do not fully meet the seismic safety standards that will be required in order to remain operational past the 2030 deadline. (6) Patients receiving care in seismically deficient hospitals when an earthquake occurs will be at risk of needing to be immediately evacuated, even if other hospitals in the area have also been impacted by the earthquake. Additionally, seismically deficient hospital buildings may not be available to treat new patients. (7) It is critical for cities, counties, and the state to fully understand hospitals seismic safety compliance in order to prepare earthquake response and recovery plans. (b) The Legislature reaffirms its commitment to Californians that hospitals will be fully functional and able to provide hospital care to Californians after an earthquake. (c) Therefore, it is the intent of the Legislature to ensure that the Department of Health Care Access and Information, Office of Emergency Services, relevant local government entities, and other interested parties are notified of the status of acute care hospitals compliance with existing requirements that the facilities be fully functional to provide care following an earthquake as of 2030. SEC. 2. Section 130006 is added to the Health and Safety Code, to read:130006. (a) A hospital building that is classified as SPC-2 shall be labeled evacuation risk, structurally deficient on the departments internet website and in all documents and submissions to the department by the hospital owner relating to compliance with Section 130065.(b) A hospital building that is classified as both SPC-5 and NPC-5 may be labeled earthquake resilient on the departments internet website and in all documents and submissions to the department by the hospital owner related to compliance with Section 130065. SEC. 2. Section 130006 is added to the Health and Safety Code, to read: ### SEC. 2. 130006. (a) A hospital building that is classified as SPC-2 shall be labeled evacuation risk, structurally deficient on the departments internet website and in all documents and submissions to the department by the hospital owner relating to compliance with Section 130065.(b) A hospital building that is classified as both SPC-5 and NPC-5 may be labeled earthquake resilient on the departments internet website and in all documents and submissions to the department by the hospital owner related to compliance with Section 130065. 130006. (a) A hospital building that is classified as SPC-2 shall be labeled evacuation risk, structurally deficient on the departments internet website and in all documents and submissions to the department by the hospital owner relating to compliance with Section 130065.(b) A hospital building that is classified as both SPC-5 and NPC-5 may be labeled earthquake resilient on the departments internet website and in all documents and submissions to the department by the hospital owner related to compliance with Section 130065. 130006. (a) A hospital building that is classified as SPC-2 shall be labeled evacuation risk, structurally deficient on the departments internet website and in all documents and submissions to the department by the hospital owner relating to compliance with Section 130065.(b) A hospital building that is classified as both SPC-5 and NPC-5 may be labeled earthquake resilient on the departments internet website and in all documents and submissions to the department by the hospital owner related to compliance with Section 130065. 130006. (a) A hospital building that is classified as SPC-2 shall be labeled evacuation risk, structurally deficient on the departments internet website and in all documents and submissions to the department by the hospital owner relating to compliance with Section 130065. (b) A hospital building that is classified as both SPC-5 and NPC-5 may be labeled earthquake resilient on the departments internet website and in all documents and submissions to the department by the hospital owner related to compliance with Section 130065. SEC. 3. Section 130055 of the Health and Safety Code is amended to read:130055. Within 60 days following the departments approval of the report submitted pursuant to subdivision (b) of Section 130050, On and after July 1, 2023, general acute hospital building owners shall do all of the following: following annually until each of the hospital buildings owned by that hospital building owner is compliant with Section 130065.(a) Inform the local office of emergency services or the equivalent agency, the Office of Emergency Services, and the department, of each buildings expected earthquake performance. performance and the services provided in each building.(b) Include all pertinent information regarding the buildings expected earthquake performance in emergency training, response, and recovery plans.(c) Include all pertinent information regarding the buildings expected earthquake performance in capital outlay plans. SEC. 3. Section 130055 of the Health and Safety Code is amended to read: ### SEC. 3. 130055. Within 60 days following the departments approval of the report submitted pursuant to subdivision (b) of Section 130050, On and after July 1, 2023, general acute hospital building owners shall do all of the following: following annually until each of the hospital buildings owned by that hospital building owner is compliant with Section 130065.(a) Inform the local office of emergency services or the equivalent agency, the Office of Emergency Services, and the department, of each buildings expected earthquake performance. performance and the services provided in each building.(b) Include all pertinent information regarding the buildings expected earthquake performance in emergency training, response, and recovery plans.(c) Include all pertinent information regarding the buildings expected earthquake performance in capital outlay plans. 130055. Within 60 days following the departments approval of the report submitted pursuant to subdivision (b) of Section 130050, On and after July 1, 2023, general acute hospital building owners shall do all of the following: following annually until each of the hospital buildings owned by that hospital building owner is compliant with Section 130065.(a) Inform the local office of emergency services or the equivalent agency, the Office of Emergency Services, and the department, of each buildings expected earthquake performance. performance and the services provided in each building.(b) Include all pertinent information regarding the buildings expected earthquake performance in emergency training, response, and recovery plans.(c) Include all pertinent information regarding the buildings expected earthquake performance in capital outlay plans. 130055. Within 60 days following the departments approval of the report submitted pursuant to subdivision (b) of Section 130050, On and after July 1, 2023, general acute hospital building owners shall do all of the following: following annually until each of the hospital buildings owned by that hospital building owner is compliant with Section 130065.(a) Inform the local office of emergency services or the equivalent agency, the Office of Emergency Services, and the department, of each buildings expected earthquake performance. performance and the services provided in each building.(b) Include all pertinent information regarding the buildings expected earthquake performance in emergency training, response, and recovery plans.(c) Include all pertinent information regarding the buildings expected earthquake performance in capital outlay plans. 130055. Within 60 days following the departments approval of the report submitted pursuant to subdivision (b) of Section 130050, On and after July 1, 2023, general acute hospital building owners shall do all of the following: following annually until each of the hospital buildings owned by that hospital building owner is compliant with Section 130065. (a) Inform the local office of emergency services or the equivalent agency, the Office of Emergency Services, and the department, of each buildings expected earthquake performance. performance and the services provided in each building. (b) Include all pertinent information regarding the buildings expected earthquake performance in emergency training, response, and recovery plans. (c) Include all pertinent information regarding the buildings expected earthquake performance in capital outlay plans. SEC. 4. Section 130066 of the Health and Safety Code is amended to read:130066. (a) Before January 1, 2020, the owner of an acute care inpatient hospital whose building does not substantially comply with the seismic safety regulations or standards described in Section 130065 shall submit to the department an attestation that the board of directors of that hospital is aware that the hospital building is required to meet the January 1, 2030, deadline for substantial compliance with those regulations and standards.(b) The owner of an acute care inpatient hospital shall submit to the department the attestation described in subdivision (a) annually no later than July 1 of each year until the owner has achieved full compliance with Section 130065. The attestation shall include the information required under subdivision (c) of Section 130061 for any building not yet compliant with Section 130065.(c) The department shall post the attestations received pursuant to this section on its internet website and maintain a public list of the compliance status of acute care inpatient hospitals with the requirements of this section. SEC. 4. Section 130066 of the Health and Safety Code is amended to read: ### SEC. 4. 130066. (a) Before January 1, 2020, the owner of an acute care inpatient hospital whose building does not substantially comply with the seismic safety regulations or standards described in Section 130065 shall submit to the department an attestation that the board of directors of that hospital is aware that the hospital building is required to meet the January 1, 2030, deadline for substantial compliance with those regulations and standards.(b) The owner of an acute care inpatient hospital shall submit to the department the attestation described in subdivision (a) annually no later than July 1 of each year until the owner has achieved full compliance with Section 130065. The attestation shall include the information required under subdivision (c) of Section 130061 for any building not yet compliant with Section 130065.(c) The department shall post the attestations received pursuant to this section on its internet website and maintain a public list of the compliance status of acute care inpatient hospitals with the requirements of this section. 130066. (a) Before January 1, 2020, the owner of an acute care inpatient hospital whose building does not substantially comply with the seismic safety regulations or standards described in Section 130065 shall submit to the department an attestation that the board of directors of that hospital is aware that the hospital building is required to meet the January 1, 2030, deadline for substantial compliance with those regulations and standards.(b) The owner of an acute care inpatient hospital shall submit to the department the attestation described in subdivision (a) annually no later than July 1 of each year until the owner has achieved full compliance with Section 130065. The attestation shall include the information required under subdivision (c) of Section 130061 for any building not yet compliant with Section 130065.(c) The department shall post the attestations received pursuant to this section on its internet website and maintain a public list of the compliance status of acute care inpatient hospitals with the requirements of this section. 130066. (a) Before January 1, 2020, the owner of an acute care inpatient hospital whose building does not substantially comply with the seismic safety regulations or standards described in Section 130065 shall submit to the department an attestation that the board of directors of that hospital is aware that the hospital building is required to meet the January 1, 2030, deadline for substantial compliance with those regulations and standards.(b) The owner of an acute care inpatient hospital shall submit to the department the attestation described in subdivision (a) annually no later than July 1 of each year until the owner has achieved full compliance with Section 130065. The attestation shall include the information required under subdivision (c) of Section 130061 for any building not yet compliant with Section 130065.(c) The department shall post the attestations received pursuant to this section on its internet website and maintain a public list of the compliance status of acute care inpatient hospitals with the requirements of this section. 130066. (a) Before January 1, 2020, the owner of an acute care inpatient hospital whose building does not substantially comply with the seismic safety regulations or standards described in Section 130065 shall submit to the department an attestation that the board of directors of that hospital is aware that the hospital building is required to meet the January 1, 2030, deadline for substantial compliance with those regulations and standards. (b) The owner of an acute care inpatient hospital shall submit to the department the attestation described in subdivision (a) annually no later than July 1 of each year until the owner has achieved full compliance with Section 130065. The attestation shall include the information required under subdivision (c) of Section 130061 for any building not yet compliant with Section 130065. (c) The department shall post the attestations received pursuant to this section on its internet website and maintain a public list of the compliance status of acute care inpatient hospitals with the requirements of this section. SEC. 5. Section 130069 is added to the Health and Safety Code, to read:130069. (a) Before January 1, 2024, the owner of an acute care inpatient hospital that includes a building that does not substantially comply with Section 130065 shall do both of the following:(1) Post in any lobby or waiting area generally accessible to patients or the public a notice provided by the department that the hospital is not in compliance with the seismic safety requirements that the hospital is required to meet by January 1, 2030. The notice shall be posted until the time the owner receives notification from the department that it meets the requirements described in Section 130065.(2) Provide an attestation that the board of directors of the hospital is aware that the hospital building is required to meet the January 1, 2030, deadline for substantial compliance with those regulations and standards to all of the following:(A) The county board of supervisors in whose jurisdiction the hospital building is located.(B) The city council in whose jurisdiction the hospital building is located, if applicable.(C) Any labor union representing workers who work in a building that does not substantially comply with the seismic safety regulations or standards described in Section 130065.(D) The board of directors of the special district or joint powers agency that provides fire and emergency medical services in the jurisdiction in which the hospital building is located, if applicable.(E) The department.(b) Before July 1, 2023, the department shall develop the notice required in paragraph (1) of subdivision (a) with the intent that the notice will clearly convey to patients and the public that the hospital building does not meet seismic safety standards intended to ensure that the hospital will be capable of continued operation following an earthquake. For SPC-2 buildings, the notice shall clearly state that the hospital owner is aware that the hospital building is structurally deficient and at risk of evacuation and at risk of not being functional to provide care to its patients or the community after an earthquake. For other buildings that are not compliant with Section 130065, the notice shall state that the hospital owner is aware that the hospital is at risk of not being functional to provide care to its patients or the community after an earthquake. In its discretion, the department may develop multiple notices in order to provide a more detailed description of different hospital buildings failure to meet the seismic safety regulations or standards described in Section 130065. SEC. 5. Section 130069 is added to the Health and Safety Code, to read: ### SEC. 5. 130069. (a) Before January 1, 2024, the owner of an acute care inpatient hospital that includes a building that does not substantially comply with Section 130065 shall do both of the following:(1) Post in any lobby or waiting area generally accessible to patients or the public a notice provided by the department that the hospital is not in compliance with the seismic safety requirements that the hospital is required to meet by January 1, 2030. The notice shall be posted until the time the owner receives notification from the department that it meets the requirements described in Section 130065.(2) Provide an attestation that the board of directors of the hospital is aware that the hospital building is required to meet the January 1, 2030, deadline for substantial compliance with those regulations and standards to all of the following:(A) The county board of supervisors in whose jurisdiction the hospital building is located.(B) The city council in whose jurisdiction the hospital building is located, if applicable.(C) Any labor union representing workers who work in a building that does not substantially comply with the seismic safety regulations or standards described in Section 130065.(D) The board of directors of the special district or joint powers agency that provides fire and emergency medical services in the jurisdiction in which the hospital building is located, if applicable.(E) The department.(b) Before July 1, 2023, the department shall develop the notice required in paragraph (1) of subdivision (a) with the intent that the notice will clearly convey to patients and the public that the hospital building does not meet seismic safety standards intended to ensure that the hospital will be capable of continued operation following an earthquake. For SPC-2 buildings, the notice shall clearly state that the hospital owner is aware that the hospital building is structurally deficient and at risk of evacuation and at risk of not being functional to provide care to its patients or the community after an earthquake. For other buildings that are not compliant with Section 130065, the notice shall state that the hospital owner is aware that the hospital is at risk of not being functional to provide care to its patients or the community after an earthquake. In its discretion, the department may develop multiple notices in order to provide a more detailed description of different hospital buildings failure to meet the seismic safety regulations or standards described in Section 130065. 130069. (a) Before January 1, 2024, the owner of an acute care inpatient hospital that includes a building that does not substantially comply with Section 130065 shall do both of the following:(1) Post in any lobby or waiting area generally accessible to patients or the public a notice provided by the department that the hospital is not in compliance with the seismic safety requirements that the hospital is required to meet by January 1, 2030. The notice shall be posted until the time the owner receives notification from the department that it meets the requirements described in Section 130065.(2) Provide an attestation that the board of directors of the hospital is aware that the hospital building is required to meet the January 1, 2030, deadline for substantial compliance with those regulations and standards to all of the following:(A) The county board of supervisors in whose jurisdiction the hospital building is located.(B) The city council in whose jurisdiction the hospital building is located, if applicable.(C) Any labor union representing workers who work in a building that does not substantially comply with the seismic safety regulations or standards described in Section 130065.(D) The board of directors of the special district or joint powers agency that provides fire and emergency medical services in the jurisdiction in which the hospital building is located, if applicable.(E) The department.(b) Before July 1, 2023, the department shall develop the notice required in paragraph (1) of subdivision (a) with the intent that the notice will clearly convey to patients and the public that the hospital building does not meet seismic safety standards intended to ensure that the hospital will be capable of continued operation following an earthquake. For SPC-2 buildings, the notice shall clearly state that the hospital owner is aware that the hospital building is structurally deficient and at risk of evacuation and at risk of not being functional to provide care to its patients or the community after an earthquake. For other buildings that are not compliant with Section 130065, the notice shall state that the hospital owner is aware that the hospital is at risk of not being functional to provide care to its patients or the community after an earthquake. In its discretion, the department may develop multiple notices in order to provide a more detailed description of different hospital buildings failure to meet the seismic safety regulations or standards described in Section 130065. 130069. (a) Before January 1, 2024, the owner of an acute care inpatient hospital that includes a building that does not substantially comply with Section 130065 shall do both of the following:(1) Post in any lobby or waiting area generally accessible to patients or the public a notice provided by the department that the hospital is not in compliance with the seismic safety requirements that the hospital is required to meet by January 1, 2030. The notice shall be posted until the time the owner receives notification from the department that it meets the requirements described in Section 130065.(2) Provide an attestation that the board of directors of the hospital is aware that the hospital building is required to meet the January 1, 2030, deadline for substantial compliance with those regulations and standards to all of the following:(A) The county board of supervisors in whose jurisdiction the hospital building is located.(B) The city council in whose jurisdiction the hospital building is located, if applicable.(C) Any labor union representing workers who work in a building that does not substantially comply with the seismic safety regulations or standards described in Section 130065.(D) The board of directors of the special district or joint powers agency that provides fire and emergency medical services in the jurisdiction in which the hospital building is located, if applicable.(E) The department.(b) Before July 1, 2023, the department shall develop the notice required in paragraph (1) of subdivision (a) with the intent that the notice will clearly convey to patients and the public that the hospital building does not meet seismic safety standards intended to ensure that the hospital will be capable of continued operation following an earthquake. For SPC-2 buildings, the notice shall clearly state that the hospital owner is aware that the hospital building is structurally deficient and at risk of evacuation and at risk of not being functional to provide care to its patients or the community after an earthquake. For other buildings that are not compliant with Section 130065, the notice shall state that the hospital owner is aware that the hospital is at risk of not being functional to provide care to its patients or the community after an earthquake. In its discretion, the department may develop multiple notices in order to provide a more detailed description of different hospital buildings failure to meet the seismic safety regulations or standards described in Section 130065. 130069. (a) Before January 1, 2024, the owner of an acute care inpatient hospital that includes a building that does not substantially comply with Section 130065 shall do both of the following: (1) Post in any lobby or waiting area generally accessible to patients or the public a notice provided by the department that the hospital is not in compliance with the seismic safety requirements that the hospital is required to meet by January 1, 2030. The notice shall be posted until the time the owner receives notification from the department that it meets the requirements described in Section 130065. (2) Provide an attestation that the board of directors of the hospital is aware that the hospital building is required to meet the January 1, 2030, deadline for substantial compliance with those regulations and standards to all of the following: (A) The county board of supervisors in whose jurisdiction the hospital building is located. (B) The city council in whose jurisdiction the hospital building is located, if applicable. (C) Any labor union representing workers who work in a building that does not substantially comply with the seismic safety regulations or standards described in Section 130065. (D) The board of directors of the special district or joint powers agency that provides fire and emergency medical services in the jurisdiction in which the hospital building is located, if applicable. (E) The department. (b) Before July 1, 2023, the department shall develop the notice required in paragraph (1) of subdivision (a) with the intent that the notice will clearly convey to patients and the public that the hospital building does not meet seismic safety standards intended to ensure that the hospital will be capable of continued operation following an earthquake. For SPC-2 buildings, the notice shall clearly state that the hospital owner is aware that the hospital building is structurally deficient and at risk of evacuation and at risk of not being functional to provide care to its patients or the community after an earthquake. For other buildings that are not compliant with Section 130065, the notice shall state that the hospital owner is aware that the hospital is at risk of not being functional to provide care to its patients or the community after an earthquake. In its discretion, the department may develop multiple notices in order to provide a more detailed description of different hospital buildings failure to meet the seismic safety regulations or standards described in Section 130065. SEC. 6. The provisions of this act are severable. If any provision of this act or its application is held invalid, that invalidity shall not affect other provisions or applications that can be given effect without the invalid provision or application. SEC. 6. The provisions of this act are severable. If any provision of this act or its application is held invalid, that invalidity shall not affect other provisions or applications that can be given effect without the invalid provision or application. SEC. 6. The provisions of this act are severable. If any provision of this act or its application is held invalid, that invalidity shall not affect other provisions or applications that can be given effect without the invalid provision or application. ### SEC. 6. SEC. 7. No reimbursement is required by this act pursuant to Section 6 of Article XIIIB of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIIIB of the California Constitution. SEC. 7. No reimbursement is required by this act pursuant to Section 6 of Article XIIIB of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIIIB of the California Constitution. SEC. 7. No reimbursement is required by this act pursuant to Section 6 of Article XIIIB of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIIIB of the California Constitution. ### SEC. 7.