Joint powers agreements: health care services.
The legislation explicitly mandates that any joint powers authority formed under this bill must ensure that contractors on health facility projects utilize a skilled and trained workforce and adhere to state-mandated wage requirements. This requirement intends to assure quality and accountability in construction practices associated with health facilities. Additionally, the bill requires private entities to certify compliance with these workforce requirements, which expands the perjury statute by adding new obligations on those involved in these projects. As per the California Constitution, this act states that no reimbursements are required for local entities beyond the scope of what is outlined regarding new obligations and penalties.
Assembly Bill 2293, known as the Joint Powers Agreements: Health Care Services Act, aims to authorize private, nonprofit mutual benefit corporations providing health care services to form joint powers agreements with public agencies. This bill aims to enhance collaboration between public entities and health service organizations to improve the delivery of care. Until January 1, 2034, these entities can pool resources and undertake projects related to health facilities, under the provisions of the Joint Exercise of Powers Act, which governs how public agencies can collaborate. The bill delineates that these joint authorities will only qualify as public entities for certain administrative purposes and will be restricted from incurring debt or charging for professional medical services.
The sentiment surrounding AB 2293 appears supportive among legislators who advocate for improved healthcare collaboration within communities through the formation of joint powers authorities. However, concerns may arise regarding the administrative burden and interpretation of 'skilled workforce' requirements as it increases liability for contractors and creates additional bureaucratic oversight. Moreover, some stakeholders potentially view the bill as limiting local governmental control and decision-making ability in favor of broader state regulations.
Notable points of contention may revolve around the specifics of what constitutes a 'skilled and trained workforce' and how compliance will be monitored and enforced, especially since contractors face penalties for noncompliance. Moreover, the bill's impact on the operational dynamics of local public agencies and nonprofit organizations working within the healthcare space must be analyzed, as the restriction on board representation for the private entities involved may also raise concerns regarding equitable governance and effectiveness in project execution.