Bill Text: CA SB289 | 2009-2010 | Regular Session | Amended

NOTE: There are more recent revisions of this legislation. Read Latest Draft
Bill Title: Hospitals: seismic safety.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Vetoed) 2010-09-30 - In Senate. To unfinished business. (Veto) [SB289 Detail]

Download: California-2009-SB289-Amended.html
BILL NUMBER: SB 289	AMENDED
	BILL TEXT

	AMENDED IN ASSEMBLY  AUGUST 16, 2010
	AMENDED IN SENATE  APRIL 23, 2009

INTRODUCED BY   Senator Ducheny

                        FEBRUARY 24, 2009

   An act to amend  Section 130061 of   Section
130060 of, and to a  dd Sections 1265.9, 130064, 130065.1,
and 130066 to,  the Health and Safety Code, relating to health
facilities.



	LEGISLATIVE COUNSEL'S DIGEST


   SB 289, as amended, Ducheny. Hospitals: seismic safety: periodic
reports. 
   Existing law provides for the licensure of health facilities,
including general acute care hospitals, by the State Department of
Public Health.  
   This bill would require an applicant for a license for a general
acute care hospital to file with the department, and provide to other
specified entities, a statement that describes the financial
capacity of the hospital to comply with the Alfred E. Alquist
Hospital Facilities Seismic Safety Act of 1983. It would require
denial of the application if the applicant does not demonstrate a
financial capacity and intent to comply with the act, as specified.

   Existing law, the Alfred E. Alquist Hospital Facilities Seismic
Safety Act of 1983, establishes, under the jurisdiction of the Office
of Statewide Health Planning and Development, a program of seismic
safety building standards for certain hospitals constructed on and
after March 7, 1973. Existing law authorizes the office to assess an
application fee for the review of facilities design and construction,
and requires that full and complete plans be submitted to the office
for review and approval.
   Existing law requires that, after January 1, 2008, any general
acute care hospital building that is determined to be a potential
risk of collapse or pose significant loss of life be used only for
nonacute care hospital purposes, except that the office may grant
 an   a 5-year  extension  of that
deadline,  under prescribed circumstances  ,   for
both structural and nonstructural requirements. Existing law also
authorizes the office to grant an additional extension if the
hospital building meets designated criteria, including appropriately
retrofitting the facility, as specified  . Under
existing law, if an extension is granted, the hospital owner is
required to submit periodic reports on compliance.  

   This bill would additionally require, for the report due to the
office no later than June 30, 2011, that the report include, for each
building that is planned for retrofit or replacement, the number of
inpatient beds, and for a building or buildings to be removed from
acute care service, the inpatient services delivered in the building
or buildings and the number of general acute care inpatient beds and
patient days in the years 2008, 2009, and 2010.  
   This bill would, among other things, revise the conditions that a
hospital owner would be required to meet in order for the office to
grant an additional extension. This bill would authorize the
department to revoke the extension if the construction is abandoned
or suspended for at least 6 months, except as specified.  
   This bill would authorize the office to grant an extension of the
5-year extension in lieu of the previously described additional
extension under specified conditions.  
   This bill would require a hospital that has an SPC-1 building to
post a specified sign at all public entrances to the building and
certify to the office that it has complied with specified
requirements. It would also subject a hospital, that fails to post
pursuant to the requirement, to civil penalties. 
   Vote: majority. Appropriation: no. Fiscal committee: yes.
State-mandated local program: no.


THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS:

   SECTION 1.    Section 1265.9 is added to the 
 Health and Safety Code   , to read:  
   1265.9.  (a) Any person, political subdivision of the state, or
governmental agency desiring a license for a general acute care
hospital, as defined in subdivision (a) of Section 1250, shall, in
addition to the application described in Section 1265, file with the
department a statement that describes the financial capacity of the
general acute care hospital to comply with the Alfred E. Alquist
Hospital Facilities Seismic Safety Act of 1983 (Chapter 1 (commencing
with Section 129675) of Part 7), and a projected timeline for this
compliance.
   (b) The applicant shall provide the statement described in
subdivision (a) to all of the following:
   (1) The Facility Development Division of the office of Statewide
Health Planning and Development, which shall post the statement on
the office's Internet Web site.
   (2) Any investor or entity holding more than 5 percent of the
value of the general acute care hospital.
   (3) Any real estate investment trust which holds an interest in
the property on which the general acute care hospital is located.
   (4) The entity responsible for providing property and casualty
insurance coverage for the general acute care hospital.
   (5) The entity responsible for the directors and the owner's
liability insurance for the management of the general acute care
hospital.
   (6) The medical staff of the general acute care hospital.
   (7) The collective bargaining agent, if any, that has a contract
with the existing licenseholder.
   (8) The local planning departments within the local jurisdiction
of the general acute care hospital.
   (9) Any health care service plans or health insurers that have had
contracts with the general acute care hospital within the prior
year.
   (10) Any contractor that employs workers at the general acute care
hospital and, if applicable, the collective bargaining agent
representing the subcontracted workers.
   (c) The department shall consider whether the applicant has
demonstrated a history of substantial compliance with seismic safety
requirements, based on information provided by the Office of
Statewide Health Planning and Development regarding the record of
compliance with respect to any other facilities owned by the same
applicant.
   (d) If the applicant does not demonstrate a financial capacity and
intent to comply with the Alfred E. Alquist Hospital Facilities
Seismic Safety Act of 1983 with respect to facilities that the
applicant currently manages or operates or with respect to the
general acute care hospital for which the application is being made,
the application shall be denied.
   (e) Failure to comply with this section shall not be subject to
the criminal penalty described in Section 1290. 
   SEC. 2.    Section 130060 of the   Health
and Safety Code   is amended to read: 
   130060.  (a) (1) After January 1, 2008, any general acute care
hospital building that is determined to be a potential risk of
collapse or pose significant loss of life shall only be used for
nonacute care hospital purposes. A delay in this deadline may be
granted by the office upon a demonstration by the owner that
compliance will result in a loss of health care capacity that may not
be provided by other general acute care hospitals within a
reasonable proximity. In its request for an extension of the
deadline, a hospital shall state why the hospital is unable to comply
with the January 1, 2008, deadline requirement.
   (2) Prior to granting an extension of the January 1, 2008,
deadline pursuant to this section, the office shall do all of the
following:
   (A) Provide public notice of a hospital's request for an extension
of the deadline. The notice, at a minimum, shall be posted on the
office's Internet Web site, and shall include the facility's name and
identification number, the status of the request, and the beginning
and ending dates of the comment period, and shall advise the public
of the opportunity to submit public comments pursuant to subparagraph
(C). The office shall also provide notice of all requests for the
deadline extension directly to interested parties upon request of the
interested parties.
   (B) Provide copies of extension requests to interested parties
within 10 working days to allow interested parties to review and
provide comment within the 45-day comment period. The copies shall
include those records that are available to the public pursuant to
the Public Records Act, Chapter 3.5 (commencing with Section 6250) of
Division 7 of Title 1 of the Government Code.
   (C) Allow the public to submit written comments on the extension
proposal for a period of not less than 45 days from the date of the
public notice.
   (b) (1)  It is the intent of the Legislature, in enacting this
subdivision, to facilitate the process of having more hospital
buildings in substantial compliance with this chapter and to take
nonconforming general acute care hospital inpatient buildings out of
service more quickly.
   (2) The functional contiguous grouping of hospital buildings of a
general acute care hospital, each of which provides, as the primary
source, one or more of the hospital's eight basic services as
specified in subdivision (a) of Section 1250, may receive a five-year
extension of the January 1, 2008, deadline specified in subdivision
(a) of this section pursuant to this subdivision for both structural
and nonstructural requirements. A functional contiguous grouping
refers to buildings containing one or more basic hospital services
that are either attached or connected in a way that is acceptable to
the State Department of  Health Care Services 
Public Health  . These buildings may be either on the existing
site or a new site.
   (3) To receive the five-year extension, a single building
containing all of the basic services or at least one building within
the contiguous grouping of hospital buildings shall have obtained a
building permit prior to 1973 and this building shall be evaluated
and classified as a nonconforming, Structural Performance Category-1
(SPC-1) building. The classification shall be submitted to and
accepted by the Office of Statewide Health Planning and Development.
The identified hospital building shall be exempt from the requirement
in subdivision (a) until January 1, 2013, if the hospital agrees
that the basic service or services that were provided in that
building shall be provided, on or before January 1, 2013, as follows:

   (A) Moved into an existing conforming Structural Performance
Category-3 (SPC-3), Structural Performance Category-4 (SPC-4), or
Structural Performance Category-5 (SPC-5) and Non-Structural
Performance Category-4 (NPC-4) or Non-Structural Performance
Category-5 (NPC-5) building.
   (B) Relocated to a newly built compliant SPC-5 and NPC-4 or NPC-5
building.
   (C) Continued in the building if the building is retrofitted to a
SPC-5 and NPC-4 or NPC-5 building.
   (4) A five-year extension is also provided to a post 1973 building
if the hospital owner informs the Office of Statewide Health
Planning and Development that the building is classified as a SPC-1,
SPC-3, or SPC-4 and will be closed to general acute care inpatient
service use by January 1, 2013. The basic services in the building
shall be relocated into a SPC-5 and NPC-4 or NPC-5 building by
January 1, 2013.
   (5) SPC-1 buildings, other than the building identified in
paragraph (3) or (4), in the contiguous grouping of hospital
buildings shall also be exempt from the requirement in subdivision
(a) until January 1, 2013. However, on or before January 1, 2013, at
a minimum, each of these buildings shall be retrofitted to a SPC-2
and NPC-3 building, or no longer be used for general acute care
hospital inpatient services.
   (c) On or before March 1, 2001, the office shall establish a
schedule of interim work progress deadlines that hospitals shall be
required to meet to be eligible for the extension specified in
subdivision (b). To receive this extension, the hospital building or
buildings shall meet the year 2002 nonstructural requirements.
   (d) A hospital building that is eligible for an extension pursuant
to this section shall meet the January 1, 2030, nonstructural and
structural deadline requirements if the building is to be used for
general acute care inpatient services after January 1, 2030.
   (e) Upon compliance with subdivision (b), the hospital shall be
issued a written notice of compliance by the office. The office shall
send a written notice of violation to hospital owners that fail to
comply with this section. The office shall make copies of these
notices available on its  Internet  Web site.
   (f) (1) A hospital that has received an extension of the January
1, 2008, deadline pursuant to subdivision (a) or (b) may request an
additional extension of up to two years for a hospital building that
it owns or operates and that meets the criteria specified in
paragraph (2), (3),  or  (5)  ,   or
(6)  .
   (2) The office may grant the additional extension if the hospital
building subject to the extension meets all of the following
criteria:
   (A) The hospital building is under construction at the time of the
request for extension under this subdivision and the purpose of the
construction is to meet the requirements of subdivision (a) to allow
the use of the building as a general acute care hospital building
after the extension deadline granted by the office pursuant to
subdivision (a) or (b).
   (B) The hospital building plans were submitted to the office and
were deemed ready for review by the office at least four years prior
to the applicable deadline for the building. The hospital shall
indicate, upon submission of its plans, the SPC-1 building or
buildings that will be retrofitted or replaced to meet the
requirements of this section as a result of the project.
   (C) The hospital received a building permit for the construction
described in subparagraph (A) at least two years prior to the
applicable deadline for the building  or, if the building failed
to be reclassified as an SPC-2 building pursuant to the Hazards 
 US described in paragraph (6), at least one year prior to the
applicable deadline  .
   (D) The hospital submitted a construction timeline at least two
years prior to the applicable deadline for the building demonstrating
the hospital's intent to meet the applicable deadline  or, if
the building failed to be reclassified as an SPC-2 building pursuant
to the Hazards US described in paragraph (6), at least one year prior
to the deadline  . The timeline shall include all of the
following:
   (i) The projected construction start date.
   (ii) The projected construction completion date.
   (iii) Identification of the contractor.
   (E) The hospital is making reasonable progress toward meeting the
timeline set forth in subparagraph (D), but factors beyond the
hospital's control make it impossible for the hospital to meet the
deadline.
   (3) The office may grant the additional extension if the hospital
building subject to the extension meets all of the following
criteria:
   (A) The hospital building is owned by a health care district that
has, as owner, received the extension of the January 1, 2008,
deadline, but where the hospital is operated by an unaffiliated
third-party lessee pursuant to a facility lease that extends at least
through December 31, 2009. The district shall file a declaration
with the office with a request for an extension stating that, as of
the date of the filing, the district has lacked, and continues to
lack, unrestricted access to the subject hospital building for
seismic planning purposes during the term of the lease, and that the
district is under contract with the county to maintain hospital
services when the hospital comes under district control. The office
shall not grant the extension if an unaffiliated third-party lessee
will operate the hospital beyond December 31, 2010.
   (B) The hospital building plans were submitted to the office and
were deemed ready for review by the office at least four years prior
to the applicable deadline for the building. The hospital shall
indicate, upon submission of its plans, the SPC-1 building or
buildings that will be retrofitted or replaced to meet the
requirements of this section as a result of the project.
   (C) The hospital received a building permit for the construction
described in subparagraph (B) by December 31, 2011.
   (D) The hospital submitted, by December 31, 2011, a construction
timeline for the building demonstrating the hospital's intent and
ability to meet the deadline of December 31, 2014. The timeline shall
include all of the following:
   (i) The projected construction start date.
   (ii) The projected construction completion date.
   (iii) Identification of the contractor.
   (E) The hospital building is under construction at the time of the
request for the extension, the purpose of the construction is to
meet the requirements of subdivision (a) to allow the use of the
building as a general acute care hospital building after the
extension deadline granted by the office pursuant to subdivision (a)
or (b), and the hospital is making reasonable progress toward meeting
the timeline set forth in subparagraph (D).
   (F) The hospital granted an extension pursuant to this paragraph
shall submit an additional status report to the office, equivalent to
that required by subdivision (c) of Section 130061, no later than
June 30, 2013.
   (4) An extension granted pursuant to paragraph (3) shall be
applicable only to the health care district applicant and its
affiliated hospital while the hospital is operated by the district or
an entity under the control of the district.
   (5) The office may grant the additional extension if the hospital
building subject to the extension meets all of the following
criteria:
   (A) The hospital owner submitted to the office, prior to June 30,
2009, a request for review using  current  computer
modeling utilized by the office  pursuant to regulations in
effect on or prior to   June 30, 2009,  and based upon
software developed by the Federal Emergency Management Agency,
referred to as Hazards US, and the building was deemed SPC-1 after
that review.
   (B) The hospital building plans for the building are submitted to
the office and deemed ready for review by the office prior to July 1,
2010. The hospital shall indicate, upon submission of its plans, the
SPC-1 building or buildings that shall be retrofitted or replaced to
meet the requirements of this section as a result of the project.
   (C) The hospital receives a building permit from the office for
the construction described in subparagraph (B) prior to January 1,
2012.
   (D) The hospital submits, prior to January 1, 2012, a construction
timeline for the building demonstrating the hospital's intent and
ability to meet the applicable deadline. The timeline shall include
all of the following:
   (i) The projected construction start date.
   (ii) The projected construction completion date.
   (iii) Identification of the contractor.
   (E) The hospital building is under construction at the time of the
request for the extension, the purpose of the construction is to
meet the requirements of subdivision (a) to allow the use of the
building as a general acute care hospital building after the
extension deadline granted by the office pursuant to subdivision (a)
or (b), and the hospital is making reasonable progress toward meeting
the timeline set forth in subparagraph (D).
   (F) The hospital owner completes construction  such that
  in order for  the hospital  meets
  to meet  all  the  criteria to enable
the office to issue a certificate of occupancy by the applicable
deadline for the building. 
   (6) The office may grant the additional extension if all of the
following conditions are met:  
   (A) The hospital owner provides documentation to the office by
January 20, 2011, stating the owner's intent to comply with the
January 1, 2013, deadline requirements described in subdivisions (a)
and (b) by using computer modeling utilized by the office pursuant to
regulations adopted after June 30, 2009, but before December 30,
2010, and based upon Hazards US.  
   (B) The hospital owner submits to the office by July 1, 2011, a
request for review using computer modeling utilized by the office
pursuant to regulations adopted after June 30, 2009, but before
December 30, 2010, and based upon Hazards US, and the hospital plans
to construct a building to meet the SPC-2 requirement.  
   (C) The hospital building plans for the building are submitted to
the office and deemed ready for review by the office prior to January
1, 2012. The hospital shall indicate, upon submission of its plans,
the SPC-1 building or buildings that shall be retrofitted or replaced
to meet the requirements of this section as a result of the project.
The hospital shall also provide a proposed construction timeframe to
complete the project once the permit is issued. The construction
timeframe shall be approved by the office and shall only include the
amount of time that is reasonably necessary to complete the
construction required to meet the SPC-2 requirement.  
   (D) The hospital receives a building permit from the office for
the construction described in subparagraph (B) prior to January 1,
2013.  
   (E) The hospital provides documentation upon application stating
that the purpose of the construction is to meet the requirements of
subdivision (a), to allow the use of the building as a general acute
care hospital building after the extension deadline granted by the
office pursuant to subdivision (a) or (b), and to make reasonable
progress toward meeting the timeline set forth in subparagraph (C).
 
   (F) The additional extension granted by the office pursuant to
this paragraph may not exceed the lesser of two years or the amount
of time that is reasonably necessary to complete the construction
that is required for the building to meet the SPC-2 requirement, as
adjusted for delays in construction that are beyond the control of
the hospital.  
   (G) The hospital owner completes construction in order for the
hospital to meet all the criteria to enable the office to issue a
certificate of occupancy by the applicable deadline for the building.
 
   (6) 
    (7)  A hospital denied an extension pursuant to this
subdivision may appeal the denial to the Hospital Building Safety
Board. 
   (7) 
    (8)  The office may revoke an extension granted pursuant
to this subdivision for any hospital building where the work of
construction is abandoned or suspended for a period of at least
 one year   six months  , unless the
hospital demonstrates in a public document that the abandonment or
suspension was caused by factors beyond its control. 
   (g) All submissions to the office to obtain an extension pursuant
to subdivision (f) and to comply with the requirements for the
extension shall be complete and accurate. The office shall deny or
revoke an extension described in subdivision (f) if the office
determines that the information submitted did not meet this standard.

   SEC. 3.    Section 130064 is added to the  
Health and Safety Code   , to read:  
   130064.  (a) In lieu of the extension described in subdivision (f)
of Section 130060, the office may grant an extension to a general
acute care hospital pursuant to either subdivision (c) or subdivision
(f) if the hospital building will not be able to meet the seismic
safety standards of that section by January 1, 2013.
   (b) When applying for an extension under this section, the owner
of the general acute care hospital shall submit to the office
documentation that includes at least all of the following:
   (1) The schedule of the project and the necessary enabling
projects, and their dependencies on local approvals as had been
originally anticipated.
   (2) The schedule of the project and the necessary enabling
projects, and their dependencies on local approvals as currently
projected.
   (3) A timeline for the documentation submitted to the local
planning authority or jurisdiction.
   (4) The local planning authority for the project and for the
enabling phases of the project does not grant approvals prior to
November 1, 2010, where the hospital had filed the local application
prior to January 1, 2009.
   (5) A proposed construction timeframe demonstrating the completion
of the project once the permit is issued. The construction timeframe
shall be approved by the office and shall only include the amount of
time that is reasonably necessary to complete the construction
required to meet the seismic requirements.
   (c) The office may grant an extension, in full one-year
increments, but no longer than three consecutive years, which
compensates for delays determined pursuant to subdivision (d).
   (d) The office shall conduct a comprehensive review of the
schedule for the project and necessary enabling phases according to
criteria specified in this section. This review shall encompass the
project under jurisdiction of the office, as well as enabling project
phases not under the jurisdiction of the office. The office shall
consider the cumulative effect of local approval timelines for all
elements of the project and necessary enabling phases, inclusive of
changes in scope or sequence of the project or its enabling phases.
The office may grant extensions based on evaluation of each of the
following circumstances:
   (1) Where the local planning authority approvals have delayed or
will delay the construction start date of the project, or of an
enabling phase of the project.
   (2) Where the local conditions of approval on a project or on its
enabling phases extend the duration beyond the originally anticipated
construction completion date.
   (3) Where changes in sequence or processes the hospital deems
necessary to mitigate local concerns on the project or its enabling
phases delay the construction completion date.
   (4) Where the cumulative effect of delays on the project or on
enabling phases create additional construction delays due to local
seasonal weather impacts.
   (5) Construction related to the seismic retrofit or replacement
project has begun by January 1, 2013.
   (6) The project was submitted for review by the department no
later than January 1, 2009.
   (7) The project has received a building permit from the department
no later than January 1, 2012, to complete construction on the
entire project.
   (e) Every six months after the approval of the extension, the
hospital owner shall report to the office on the status of the
project, demonstrating that it is making reasonable progress toward
meeting the construction timeline. It shall also report any delays or
circumstances that could materially affect the estimated completion
date.
   (f) The office may grant an additional extension of up to two
years in addition to the extension granted pursuant to subdivisions
(c) and (d) if the project meets the following criteria:
   (1) A matrix of buildings at the facility that identifies
compliance of each building to the standards required by Section
130065 at the completion of the project.
   (2) The construction timelines submitted pursuant to subdivision
(a) were determined to go beyond three years from the date the
building permit was issued.
   (g) The office may revoke an extension granted pursuant to this
subdivision for any hospital building where the work of construction
is abandoned or suspended for a period of at least six months, unless
the hospital demonstrates in a public document that the abandonment
or suspension was caused by factors beyond its control.
   (h) The office may revoke an extension provided under this section
if it is determined the documentation provided under subdivision (a)
was falsified in any manner by the hospital.
   (i) Regulatory submissions made by the office to the California
Building Standards Commission pursuant to this section shall be
deemed, and shall be adopted as, emergency regulations.
   (j) A hospital denied an extension pursuant to this section may
appeal the assessment to the Hospital Building Safety Board. 
   SEC. 4.    Section 130065.1 is added to the 
 Health and Safety Code   , to read:  
   130065.1.  (a) On or before January 1, 2017, a general acute care
hospital shall report all of the following to the office:
   (A) Current configuration of all buildings on its campus,
including each structural performance category.
   (B) The number of acute care beds and the basic and supplemental
services provided in each building.
   (C) Identification of each building that needs to meet the
structural and nonstructural requirements of Section 130065.
   (b) (1) On or before January 1, 2020, a hospital shall submit a
master plan for all the buildings that are subject to subdivision (a)
of Section 130065 that the hospital intends to rebuild or replace
                                          by January 1, 2030. The
hospital master plan shall identify at least all of the following:
   (A) Each building that is subject to subdivision (a) of Section
130065.
   (B) The current plan to rebuild or replace each building with
buildings that would be in compliance with subdivision (a) of Section
130065, including all structural and nonstructural requirements.
   (C) The building or buildings to be removed from acute care
service and the projected date or dates of that action.
   (D) The location for any new building or buildings, including, but
not limited to, whether the owner has received a permit for that
location.
   (E) A copy of the preliminary design for the new building or
buildings.
   (F) The number of beds available for acute care use in each new
building.
   (G) The timeline for completed plan submission.
   (H) The proposed construction timeline.
   (I) The proposed cost at the time of submission.
   (J) A copy of any records indicating the hospital governing board'
s approval of the hospital master plan.
   (2) On or before January 1, 2023, the hospital owner submits to
the office a building plan for each building that is deemed ready for
review by the office.
   (3) On or before January 1, 2025, the hospital owner receives a
building permit to begin construction for each building that the
owner intends to replace or retrofit pursuant to the master plan.
   (4) Within six months of receipt of the building permit, the
hospital owner submits a construction timeline that identifies at
least all of the following:
   (A) Each building that is subject to subdivision (a) of Section
130065.
   (B) The project number or numbers for replacement of each
building.
   (C) The projected construction start date or dates and projected
construction completion date or dates.
   (D) The building or buildings to be removed from acute care.
   (E) The estimated cost of construction.
   (F) The name of the contractor.
   (5) Every six months thereafter, the hospital owner shall report
to the office on the status of the project, including any delays or
circumstances that could materially affect the estimated completion
date.
   (c) A hospital that has not submitted a report pursuant to this
section shall be assessed a civil penalty of ten dollars ($10) per
licensed acute care bed per day, but in no case to exceed one
thousand dollars ($1,000) per day for each SPC-1 building not in
compliance with this section until it has complied with this section.
These civil penalties shall be deposited into the Facilities
Penalties Account established pursuant to Section 130066. A hospital
assessed a civil penalty pursuant to this section may appeal the
assessment to the Hospital Building Safety Board.
   (d) The office shall make the information required by subdivisions
(a) and (b), available on its Internet Web site within 90 days of
receipt of this information. 
   SEC. 5.    Section 130066 is added to the  
Health and Safety Code   , to read:  
   130066.  (a) A hospital that complies with Section 130060 may post
a sign at all public entrances to the hospital building that states:



   "THE STATE OF CALIFORNIA HAS DETERMINED THAT THIS HOSPITAL
FACILITY HAS COMPLIED WITH APPLICABLE STATE SEISMIC SAFETY LAWS FOR
HOSPITALS."

   (b) A hospital that has an SPC-l building shall post a sign at all
public entrances to the building that states:


   "THE STATE OF CALIFORNIA HAS DETERMINED THAT THIS HOSPITAL HAS
BUILDING(S) THAT ARE AT RISK OF COLLAPSE IN A MAJOR EARTHQUAKE. THE
PLAN OF COMPLIANCE FOR THIS HOSPITAL IS AVAILABLE FOR YOUR REVIEW AT
THE PUBLIC INFORMATION DESK. TO RECEIVE ADDITIONAL INFORMATION
REGARDING HOSPITAL SEISMIC SAFETY, GO TO WWW.OSHPD.CA.GOV."

   (c) All signs posted pursuant to subdivision (a) or (b) shall be
posted in a conspicuous place at all public entrances of the
building, and shall be not less than five inches by seven inches in
size and be printed in no less than 30-point bold type.
   (d) The plan of compliance required to be publicly available in
subdivision (b) is the reporting specified in subdivision (c) of
Section 130061.
   (e) By February 1, 2011, each hospital that has an SPC-l building
shall certify in writing to the office that it has complied with
subdivisions (b), (c), and (d). Failure to post the sign required in
subdivision (b) shall result in the hospital being assessed a civil
penalty of ten dollars ($10) per licensed acute care bed per each day
that the hospital fails to post the sign required in subdivision
(b), but in no case to exceed one thousand dollars ($1,000) per day
for each SPC-l building. These fines shall be deposited into the
Facilities Penalties Account which is hereby established within the
Hospital Building Fund established pursuant to Section 129795. A
hospital assessed a civil penalty pursuant to this section may appeal
the assessment to the Hospital Building Safety Board.
Notwithstanding Section 129795, moneys in the account are not
continuously appropriated pursuant to that section, and shall be
available for expenditure only upon appropriation by the Legislature
in the annual Budge Act or other measure.  
  SECTION 1.    Section 130061 of the Health and
Safety Code is amended to read:
   130061.  (a) An owner of a general acute care hospital building
that is classified as a nonconforming Structural Performance
Category-1 (SPC-1) building, who has not requested an extension of
the deadline described in subdivision (a) or (b) of Section 130060,
shall submit a report to the office no later than April 15, 2007,
describing the status of each building in complying with the
requirements of Section 130060. The report shall identify at least
all of the following:
   (1) Each building that is subject to subdivision (a) of Section
130060.
   (2) The project number or numbers for retrofit or replacement of
each building.
   (3) The projected construction start date or dates and projected
construction completion date or dates.
   (4) The building or buildings to be removed from acute care
service and the projected date or dates of this action.
   (b) An owner of a general acute care hospital building that is
classified as a nonconforming, Structural Performance Category-1
(SPC-1) building, who has requested an extension of the deadline
described in subdivision (a) or (b) of Section 130060, shall submit a
report to the office no later than June 30, 2009, describing the
status of each building in complying with the requirements of Section
130060. The report shall identify, at a minimum, all of the
following:
   (1) Each building that is subject to subdivision (a) of Section
130060.
   (2) The project number or numbers for retrofit or replacement of
each building.
   (3) The projected construction start date or dates and projected
construction completion date or dates.
   (4) The building or buildings to be removed from acute care
service and the projected date or dates of that action.
   (c) An owner of a general acute care hospital building that is
classified as a nonconforming, Structural Performance Category-1
(SPC-1) building, who has requested an extension of the deadline
described in subdivision (a) or (b) of Section 130060, shall submit a
report to the office no later than June 30, 2011, describing the
status of each building in complying with the requirements of Section
130060. The report shall identify at least all of the following:
   (1) For each building that is subject to subdivision (a) of
Section 130060 that is planned for retrofit or replacement, the
report shall identify:
   (A) The project number or numbers for retrofit or replacement of
each building.
   (B) The projected construction start date or dates and projected
construction completion date or dates.
   (C) The number of inpatient beds, by type of unit and type of
service to be provided.
   (2) For the building or buildings to be removed from acute care
service, the following information shall be included:
   (A) The projected date or dates the building will be removed from
service.
   (B) The inpatient services currently delivered in the building or
buildings.
   (C) The number of general acute care inpatient beds and patient
days, by type of unit and type of service, for the years 2008, 2009,
and 2010.
   (3) Each hospital owner shall also report, for each facility for
which any buildings will be removed from acute care service, any net
change in the number of inpatient beds, by type of unit and type of
service, taking into account beds provided in buildings to be taken
out of service, beds provided in buildings to be retrofitted or
replaced, and beds provided in any other buildings used for general
acute care inpatient services by the facility.
   (d) The office shall make the information required by subdivisions
(a) and (b), available on its Internet Web site within 90 days of
receipt of this information.
   (e) The office shall make the information required by subdivision
(c) available on its Internet Web site within 180 days of receipt of
this information. The office shall also, to the extent possible, for
service areas containing buildings for which hospital owners report
information pursuant to subdivision (c), include information on the
number of inpatient beds, by type of unit and type of service,
provided by facilities operating buildings that are classified as
SPC-2, SPC-3, SPC-4, and SPC-5.
   (f) Hospitals that have not reported pursuant to this section are
not eligible for the extension provided in subdivision (f) of Section
130060. 
             
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