Amended IN Assembly March 24, 2022 CALIFORNIA LEGISLATURE 20212022 REGULAR SESSION Assembly Bill No. 2904Introduced by Assembly Member Mia BontaFebruary 18, 2022 An act relating to health care districts. to add Section 130068.3 to the Health and Safety Code, relating to public health.LEGISLATIVE COUNSEL'S DIGESTAB 2904, as amended, Mia Bonta. Alameda Health Care District. Hospital: seismic safety compliance deadline: extension.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. 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 standards established pursuant to the act or seismically retrofit all acute care inpatient hospital buildings so that they are in substantial compliance with those standards. A violation of any provision of the act is a misdemeanor.This bill would require the department to grant Alameda Hospital an extension to 2037 to comply with specified structural and nonstructural requirements under those provisions. The bill would require the hospital to annually report to the department on its progress toward meeting the 2037 seismic compliance requirements specified in the bill. By expanding the duties of Alameda Hospital under those provisions, the bill would expand an existing crime, thereby imposing a state-mandated local program.This bill would make legislative findings and declarations as to the necessity of a special statute for Alameda Hospital.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.Existing law, the Local Health Care District Law, authorizes the organization and incorporation of local health care districts and specifies the powers of those districts, including, among other things, the power to establish, maintain, and operate, or provide assistance in the operation of, one or more health facilities or health services.This bill would declare the intent of the Legislature to enact legislation relating to the Alameda Health Care District.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: NOYES Local Program: NOYES Bill TextThe people of the State of California do enact as follows:SECTION 1. Section 130068.3 is added to the Health and Safety Code, to read:130068.3. (a) Notwithstanding any other law, the department shall grant an extension to Alameda Hospital of the 2030 deadline to comply with structural and nonstructural requirements of this chapter to 2037, for buildings housing acute care service, emergency department, diagnostics, and surgery, to Structural Performance Category-3 (SPC-3) or above compliance, as well as full compliance with 2030 Non-Structural Performance Category (NPC) standards.(b) Commencing in January 2024, Alameda Hospital shall annually report to the department on its progress toward meeting the 2037 seismic compliance requirements specified in subdivision (a).SEC. 2. The Legislature finds and declares that a special statute is necessary and that a general statute cannot be made applicable within the meaning of Section 16 of Article IV of the California Constitution because of the unique financial challenges facing Alameda Hospital and the disruption of patient services that would occur without an extension of the 2030 compliance deadline. Alameda Hospital is the sole emergency department and acute care facility on the island of Alameda, California, with a population of over 70,000.SEC. 3. 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.SECTION 1.It is the intent of the Legislature to enact legislation relating to the Alameda Health Care District. Amended IN Assembly March 24, 2022 CALIFORNIA LEGISLATURE 20212022 REGULAR SESSION Assembly Bill No. 2904Introduced by Assembly Member Mia BontaFebruary 18, 2022 An act relating to health care districts. to add Section 130068.3 to the Health and Safety Code, relating to public health.LEGISLATIVE COUNSEL'S DIGESTAB 2904, as amended, Mia Bonta. Alameda Health Care District. Hospital: seismic safety compliance deadline: extension.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. 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 standards established pursuant to the act or seismically retrofit all acute care inpatient hospital buildings so that they are in substantial compliance with those standards. A violation of any provision of the act is a misdemeanor.This bill would require the department to grant Alameda Hospital an extension to 2037 to comply with specified structural and nonstructural requirements under those provisions. The bill would require the hospital to annually report to the department on its progress toward meeting the 2037 seismic compliance requirements specified in the bill. By expanding the duties of Alameda Hospital under those provisions, the bill would expand an existing crime, thereby imposing a state-mandated local program.This bill would make legislative findings and declarations as to the necessity of a special statute for Alameda Hospital.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.Existing law, the Local Health Care District Law, authorizes the organization and incorporation of local health care districts and specifies the powers of those districts, including, among other things, the power to establish, maintain, and operate, or provide assistance in the operation of, one or more health facilities or health services.This bill would declare the intent of the Legislature to enact legislation relating to the Alameda Health Care District.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: NOYES Local Program: NOYES Amended IN Assembly March 24, 2022 Amended IN Assembly March 24, 2022 CALIFORNIA LEGISLATURE 20212022 REGULAR SESSION Assembly Bill No. 2904 Introduced by Assembly Member Mia BontaFebruary 18, 2022 Introduced by Assembly Member Mia Bonta February 18, 2022 An act relating to health care districts. to add Section 130068.3 to the Health and Safety Code, relating to public health. LEGISLATIVE COUNSEL'S DIGEST ## LEGISLATIVE COUNSEL'S DIGEST AB 2904, as amended, Mia Bonta. Alameda Health Care District. Hospital: seismic safety compliance deadline: extension. 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. 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 standards established pursuant to the act or seismically retrofit all acute care inpatient hospital buildings so that they are in substantial compliance with those standards. A violation of any provision of the act is a misdemeanor.This bill would require the department to grant Alameda Hospital an extension to 2037 to comply with specified structural and nonstructural requirements under those provisions. The bill would require the hospital to annually report to the department on its progress toward meeting the 2037 seismic compliance requirements specified in the bill. By expanding the duties of Alameda Hospital under those provisions, the bill would expand an existing crime, thereby imposing a state-mandated local program.This bill would make legislative findings and declarations as to the necessity of a special statute for Alameda Hospital.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.Existing law, the Local Health Care District Law, authorizes the organization and incorporation of local health care districts and specifies the powers of those districts, including, among other things, the power to establish, maintain, and operate, or provide assistance in the operation of, one or more health facilities or health services.This bill would declare the intent of the Legislature to enact legislation relating to the Alameda Health Care District. 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. 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 standards established pursuant to the act or seismically retrofit all acute care inpatient hospital buildings so that they are in substantial compliance with those standards. A violation of any provision of the act is a misdemeanor. This bill would require the department to grant Alameda Hospital an extension to 2037 to comply with specified structural and nonstructural requirements under those provisions. The bill would require the hospital to annually report to the department on its progress toward meeting the 2037 seismic compliance requirements specified in the bill. By expanding the duties of Alameda Hospital under those provisions, the bill would expand an existing crime, thereby imposing a state-mandated local program. This bill would make legislative findings and declarations as to the necessity of a special statute for Alameda Hospital. 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. Existing law, the Local Health Care District Law, authorizes the organization and incorporation of local health care districts and specifies the powers of those districts, including, among other things, the power to establish, maintain, and operate, or provide assistance in the operation of, one or more health facilities or health services. This bill would declare the intent of the Legislature to enact legislation relating to the Alameda Health Care District. ## Digest Key ## Bill Text The people of the State of California do enact as follows:SECTION 1. Section 130068.3 is added to the Health and Safety Code, to read:130068.3. (a) Notwithstanding any other law, the department shall grant an extension to Alameda Hospital of the 2030 deadline to comply with structural and nonstructural requirements of this chapter to 2037, for buildings housing acute care service, emergency department, diagnostics, and surgery, to Structural Performance Category-3 (SPC-3) or above compliance, as well as full compliance with 2030 Non-Structural Performance Category (NPC) standards.(b) Commencing in January 2024, Alameda Hospital shall annually report to the department on its progress toward meeting the 2037 seismic compliance requirements specified in subdivision (a).SEC. 2. The Legislature finds and declares that a special statute is necessary and that a general statute cannot be made applicable within the meaning of Section 16 of Article IV of the California Constitution because of the unique financial challenges facing Alameda Hospital and the disruption of patient services that would occur without an extension of the 2030 compliance deadline. Alameda Hospital is the sole emergency department and acute care facility on the island of Alameda, California, with a population of over 70,000.SEC. 3. 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.SECTION 1.It is the intent of the Legislature to enact legislation relating to the Alameda Health Care District. 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 130068.3 is added to the Health and Safety Code, to read:130068.3. (a) Notwithstanding any other law, the department shall grant an extension to Alameda Hospital of the 2030 deadline to comply with structural and nonstructural requirements of this chapter to 2037, for buildings housing acute care service, emergency department, diagnostics, and surgery, to Structural Performance Category-3 (SPC-3) or above compliance, as well as full compliance with 2030 Non-Structural Performance Category (NPC) standards.(b) Commencing in January 2024, Alameda Hospital shall annually report to the department on its progress toward meeting the 2037 seismic compliance requirements specified in subdivision (a). SECTION 1. Section 130068.3 is added to the Health and Safety Code, to read: ### SECTION 1. 130068.3. (a) Notwithstanding any other law, the department shall grant an extension to Alameda Hospital of the 2030 deadline to comply with structural and nonstructural requirements of this chapter to 2037, for buildings housing acute care service, emergency department, diagnostics, and surgery, to Structural Performance Category-3 (SPC-3) or above compliance, as well as full compliance with 2030 Non-Structural Performance Category (NPC) standards.(b) Commencing in January 2024, Alameda Hospital shall annually report to the department on its progress toward meeting the 2037 seismic compliance requirements specified in subdivision (a). 130068.3. (a) Notwithstanding any other law, the department shall grant an extension to Alameda Hospital of the 2030 deadline to comply with structural and nonstructural requirements of this chapter to 2037, for buildings housing acute care service, emergency department, diagnostics, and surgery, to Structural Performance Category-3 (SPC-3) or above compliance, as well as full compliance with 2030 Non-Structural Performance Category (NPC) standards.(b) Commencing in January 2024, Alameda Hospital shall annually report to the department on its progress toward meeting the 2037 seismic compliance requirements specified in subdivision (a). 130068.3. (a) Notwithstanding any other law, the department shall grant an extension to Alameda Hospital of the 2030 deadline to comply with structural and nonstructural requirements of this chapter to 2037, for buildings housing acute care service, emergency department, diagnostics, and surgery, to Structural Performance Category-3 (SPC-3) or above compliance, as well as full compliance with 2030 Non-Structural Performance Category (NPC) standards.(b) Commencing in January 2024, Alameda Hospital shall annually report to the department on its progress toward meeting the 2037 seismic compliance requirements specified in subdivision (a). 130068.3. (a) Notwithstanding any other law, the department shall grant an extension to Alameda Hospital of the 2030 deadline to comply with structural and nonstructural requirements of this chapter to 2037, for buildings housing acute care service, emergency department, diagnostics, and surgery, to Structural Performance Category-3 (SPC-3) or above compliance, as well as full compliance with 2030 Non-Structural Performance Category (NPC) standards. (b) Commencing in January 2024, Alameda Hospital shall annually report to the department on its progress toward meeting the 2037 seismic compliance requirements specified in subdivision (a). SEC. 2. The Legislature finds and declares that a special statute is necessary and that a general statute cannot be made applicable within the meaning of Section 16 of Article IV of the California Constitution because of the unique financial challenges facing Alameda Hospital and the disruption of patient services that would occur without an extension of the 2030 compliance deadline. Alameda Hospital is the sole emergency department and acute care facility on the island of Alameda, California, with a population of over 70,000. SEC. 2. The Legislature finds and declares that a special statute is necessary and that a general statute cannot be made applicable within the meaning of Section 16 of Article IV of the California Constitution because of the unique financial challenges facing Alameda Hospital and the disruption of patient services that would occur without an extension of the 2030 compliance deadline. Alameda Hospital is the sole emergency department and acute care facility on the island of Alameda, California, with a population of over 70,000. SEC. 2. The Legislature finds and declares that a special statute is necessary and that a general statute cannot be made applicable within the meaning of Section 16 of Article IV of the California Constitution because of the unique financial challenges facing Alameda Hospital and the disruption of patient services that would occur without an extension of the 2030 compliance deadline. Alameda Hospital is the sole emergency department and acute care facility on the island of Alameda, California, with a population of over 70,000. ### SEC. 2. SEC. 3. 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. 3. 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. 3. 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. 3. It is the intent of the Legislature to enact legislation relating to the Alameda Health Care District.