reglab/statecodes huggingface dataset:
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 2 - Board of Directors › ARTICLE 2 - Powers › Section 32127.3.

32127.3. (a) Exclusively for the purpose of securing federal mortgage insurance, federal loans, federal loans or grants or guaranteed loans issued pursuant to the federal Consolidated Farm and Rural Development Act (7 U.S.C. Sec. 1921, et seq.), as amended by Public Law 109-171 on February 8, 2006, or federally insured loans issued pursuant to the National Housing Act (12 U.S.C. Secs. 1715w and 1715z-7) for financing or refinancing the construction of new health facilities, the expansion, modernization, renovation, remodeling, or alteration of existing health facilities, and the initial equipping of those health facilities under the federal mortgage insurance programs as are now or may hereafter become available to a local hospital district, and notwithstanding any provision of this division, or any other provision or holding of law, the board of directors of any district may do either or both of the following:
(1) Borrow money or issue bonds, in addition to other financing methods authorized under this division.
(2) Execute, in favor of the United States, appropriate federal agency, or federally designated mortgagor, first mortgages, first deeds of trust, or other necessary security interests as the federal government may reasonably require with respect to a health facility project property as security for that insurance.
(b) No payments of principal, interest, insurance premiums and inspection fees, and all other costs of financing obtained as authorized by this section shall be made from funds derived from the district’s power to tax.
(c) The Legislature hereby determines and declares that the authorizations for executing the mortgages, deeds of trust, or other necessary security agreements by the board and for the enforcement of the federal government’s rights thereunder are in the public interest in order to preserve and promote the health, welfare, and safety of the people of the state by providing, without cost to the state, a federal mortgage insurance program for health facility construction loans in order to stimulate the flow of private capital into health facilities construction to enable the critical need for new, expanded, and modernized public health facilities to be met.
(d) The Legislature further determines and declares that the United States, appropriate federal agency, or federally designated mortgagor named as beneficiary of any first mortgage or other security interest delivered as authorized by this section is not a private person or body within the meaning of Section 11 of Article XI of the California Constitution.
(Amended by Stats. 2010, Ch. 46, Sec. 1. (AB 2731) Effective January 1, 2011.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 2 - Board of Directors › ARTICLE 2 - Powers › Section 32127.5.

32127.5. (a)  Upon the adoption of a resolution of the board of directors of the district so providing, all funds on hand in the treasury of the district may, be paid over to the county treasurer of the county in which the district was organized, in which case and from and after the date of the adoption of such resolution the functions of the district treasurer shall be performed by the county treasurer. Except as to principal and interest of bonds, moneys in the treasury of the district shall be paid out by the county treasurer for purposes of the district upon warrants issued by the county auditor on orders signed by the president of the district and countersigned by the secretary of the district.
(b)  At any time, the district board may, by resolution, reestablish the office of district treasurer and, upon receipt of a copy of such resolution, notwithstanding any other provision of law, the county treasurer shall transfer all funds of the district to the district treasurer.
(Amended by Stats. 1970, Ch. 623.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 2 - Board of Directors › ARTICLE 2 - Powers › Section 32128.10.

32128.10. No hospital established by the board of directors pursuant to this article which permits sterilization operations for contraceptive purposes to be performed therein, nor the medical staff of such hospital, shall require the individual upon whom such a sterilization operation is to be performed to meet any special nonmedical qualifications, which are not imposed on individuals seeking other types of operations in the hospital. Such prohibited nonmedical qualifications shall include, but not be limited to, age, marital status, and number of natural children.
Nothing in this section shall prohibit requirements relating to the physical or mental condition of the individual or affect the right of the attending physician to counsel or advise his patient as to whether or not sterilization is appropriate. This section shall not affect existing law with respect to individuals below the age of majority.
(Added by Stats. 1972, Ch. 1425.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 2 - Board of Directors › ARTICLE 2 - Powers › Section 32129.

32129. Notwithstanding the provisions of the Medical Practice Act, the board of directors of a hospital district or any affiliated nonprofit corporation may contract with physicians and surgeons, podiatrists, health care provider groups, and nonprofit corporations for the rendering of professional health services on a basis as does not result in any profit or gain to the district from the services so rendered and as allows the board to ensure that fees and charges, if any, are reasonable, fair, and consistent with the basic commitment of the district to provide adequate health care to all residents within its boundaries.
(Amended by Stats. 1992, Ch. 981, Sec. 5. Effective January 1, 1993.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 2 - Board of Directors › ARTICLE 2 - Powers › Section 32129.5.

32129.5. Notwithstanding any other provision of law, the board of directors of a hospital district or any affiliated nonprofit corporation may contract with a physician and surgeon or podiatrist for the rendering of professional services in the hospital, for the purpose of assuring that a physician and surgeon or podiatrist will be on duty in an outpatient emergency department maintained by the hospital, on a basis as does not result in any profit or gain to the district from the professional services of the physician and surgeon. For purposes of this section, the contract with the podiatrist shall be for those services which the podiatrist is licensed to practice pursuant to Chapter 5 (commencing with Section 2000) of Division 2 of the Business and Professions Code.
(Amended by Stats. 1992, Ch. 981, Sec. 6. Effective January 1, 1993.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 2 - Board of Directors › ARTICLE 2 - Powers › Section 32130.

32130. A district may borrow money and incur indebtedness in an amount not to exceed 85 percent of all estimated income and revenue for the current fiscal year, including, but not limited to, tax revenues, operating income, and any other miscellaneous income received by the district, from whatever source derived. The money borrowed and indebtedness incurred under this section shall be repaid within the same fiscal year.
(Amended by Stats. 1986, Ch. 1355, Sec. 3.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 2 - Board of Directors › ARTICLE 2 - Powers › Section 32130.1.

32130.1. A district is also authorized, when funds are needed to meet current expenses of maintenance and operation, to borrow money on certificates of indebtedness or other evidence of indebtedness in an amount not to exceed five cents ($0.05) on each one hundred dollars ($100) of assessed valuation of the district, the certificates of indebtedness to run for a period not to exceed five years and to bear interest not to exceed the rate prescribed in Section 53531 of the Government Code.
All certificates of indebtedness or other evidence of indebtedness shall be issued after the adoption by a three-fifths vote of the board of directors of the district of a resolution setting forth the necessity for the borrowing and the amount of the assessed valuation of the district and the amount of funds to be borrowed thereon. All certificates of indebtedness or other evidence of indebtedness shall be offered at public sale by the board of directors of the district after not less than 10 days advertising in a newspaper of general circulation within the district and if no newspaper of general circulation is printed within the district, then in a newspaper of general circulation within the county in which the district is located. Each sale shall be made to the bidder offering the lowest rate of interest or whose bid represents the lowest net cost to the district. However, the rate of interest shall not exceed the rate prescribed in Section 53531 of the Government Code.
The certificates of indebtedness or other evidences of indebtedness shall be signed on behalf of the district by the presiding officer and attested by the secretary of the board of directors of the district. The board of supervisors of the county in which the district lies shall, at the time of fixing the general tax levy, sometimes called the annual assessment or regular annual assessment for the district, and in the manner for the general tax levy provided, levy and collect annually each year until the certificates of indebtedness or other evidences of indebtedness are paid or until there is a sum in the treasury set apart for that purpose sufficient to meet all sums coming due for principal and interest on the certificates of indebtedness or other evidences of indebtedness, tax sufficient to pay the interest on the certificates of indebtedness as the same become due and also, to constitute a sinking fund for the payment of the principal thereof at maturity. The tax shall be in addition to all of the taxes levied for district purposes and shall be placed in a certificate of indebtedness, interest and sinking fund of the district and, until all of the principal of the interest and certificates of indebtedness is paid, the money in the fund shall be used for no other purpose than the payment of the certificates of indebtedness and accruing interest thereon.
(Amended by Stats. 1987, Ch. 405, Sec. 1.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 2 - Board of Directors › ARTICLE 2 - Powers › Section 32130.2.

32130.2. (a)  A district may, by resolution adopted by a majority of the district board, issue negotiable promissory notes to acquire funds for any district purposes subject to the restrictions and requirements imposed by this section. The maturity of the promissory notes shall not be later than 10 years from the date thereof. The total aggregate amount of the notes outstanding at any one time shall not exceed 85 percent of all estimated income and revenue for the current fiscal year, including, but not limited to, tax revenues, operating income, and any other miscellaneous income of the district. Indebtedness incurred pursuant to any other provision of law shall be disregarded in computing the aggregate amount of notes that may be issued pursuant to this section.
(b)  Negotiable promissory notes may be issued pursuant to this section for any capital outlay facility, equipment, or item which has a useful life equal to, or longer than, the term of the notes, as determined by the board of directors.
(c)  The maximum annual interest rate which may be paid on negotiable promissory notes shall at no time exceed the amount authorized under Section 53531 of the Government Code.
(Amended by Stats. 1987, Ch. 405, Sec. 2.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 2 - Board of Directors › ARTICLE 2 - Powers › Section 32130.5.

32130.5. The first board of directors of a district may, within a period of two years from and after the formation of the district, pursuant to a resolution adopted by it for the purpose, borrow money on certificates of indebtedness, promissory notes, or other evidences of indebtedness, in anticipation of the estimated tax revenue for the following fiscal year, to be repaid within two years from the date of borrowing with interest at a rate not to exceed 5 percent per annum, in order to enable the district to meet all of its necessary initial expenses of organization, construction, acquisition, maintenance, and operation. The total amount of money borrowed and indebtedness incurred under this section and Section 32130 during this two-year period shall not exceed 50 percent of the total amount of estimated tax revenue as estimated by the county auditor or auditors of the county or counties in which the district lies for the following fiscal year.
The provisions of Section 32130 are applicable in respect to any indebtedness incurred under this section to the extent that they are consistent with this section.
(Amended by Stats. 1959, Ch. 1080.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 2 - Board of Directors › ARTICLE 2 - Powers › Section 32130.6.

32130.6. Notwithstanding any other provision of law, a district may do any of the following by resolution adopted by a majority of the district board:
(a) (1) Enter into a line of credit with a commercial lender that is secured, in whole or in part, by the accounts receivable or other intangible assets of the district, including anticipated tax revenues, and thereafter borrow funds against the line of credit to be used for any district purpose.
(2) Any money borrowed under this line of credit pursuant to paragraph (1) shall be repaid within five years from each separate borrowing or draw upon the line of credit.
(3) The district may enter into a new and separate line of credit to repay a previous line of credit pursuant to paragraph (1), provided that the district complies with this section in entering into a new line of credit.
(4) Enter into a line of credit with a commercial lender for the sole purpose of consolidating debt incurred by the district prior to January 1, 2010. Debt incurred under this paragraph shall be repaid within 20 years of the consolidation borrowing. The total amount of debt that a district may have outstanding at any one time under this paragraph shall not exceed the amount of two million dollars ($2,000,000).
(b) Enter into capital leases for the purchase by the district of equipment to be used for any district purpose.
(1) The term of any capital lease shall not be longer than 10 years.
(2) The district may secure the purchase of equipment by a capital lease by giving the lender a security interest in the equipment leased under the capital lease.
(c) Enter into lease-purchase agreements for the purchase by the district of real property, buildings, and facilities to be used for any district purpose. The term of any lease-purchase agreement shall not exceed 10 years.
(d) Nothing in this section shall provide the district with the authority to increase taxes in order to repay a line of credit established pursuant to subdivision (a) unless the tax is passed pursuant to Article 4.6 (commencing with Section 53750) of Chapter 4 of Part 1 of Division 2 of Title 5 of the Government Code.
(Amended by Stats. 2010, Ch. 70, Sec. 1. (SB 1458) Effective July 9, 2010.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 2 - Board of Directors › ARTICLE 2 - Powers › Section 32131.

32131. The board of directors may maintain membership in any local, state or national group or association organized and operated for the promotion of the public health and welfare or the advancement of the efficiency of hospital administration, and in connection therewith pay dues and fees thereto.
(Added by Stats. 1951, Ch. 277.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 2 - Board of Directors › ARTICLE 2 - Powers › Section 32132.

32132. (a)  Except as otherwise provided in this section, or in Chapter 3.2 (commencing with Section 4217.10) of Division 5 of Title 1 of the Government Code, the board of directors shall let any contract involving an expenditure of more than twenty-five thousand dollars ($25,000) for materials and supplies to be furnished, sold, or leased to the district, or any contract involving an expenditure of more than twenty-five thousand dollars ($25,000) for work to be done, to the lowest responsible bidder who shall give the security the board requires, or else reject all bids.
Except as otherwise provided in this section, for a local health care district that is a small and rural hospital, as defined in Section 124840, the board of directors shall acquire materials and supplies that cost more than twenty-five thousand dollars ($25,000), but less than fifty thousand dollars ($50,000), through competitive means, except when the board determines either that (1) the materials and supplies proposed for acquisition are the only materials and supplies that can meet the district’s need, or (2) the materials and supplies are needed in cases of emergency where immediate acquisition is necessary for the protection of the public health, welfare, or safety. As used in this paragraph, “competitive means” has the same meaning as used in subdivision (b) of Section 32138.
(b)  Subdivision (a) shall not apply to medical or surgical equipment or supplies, to professional services, or to electronic data processing and telecommunications goods and services.
(c)  Bids need not be secured for change orders that do not materially change the scope of the work as set forth in a contract previously made if the contract was made after compliance with bidding requirements, and if each individual change order does not total more than 5 percent of the contract.
(d)  As used in this section, “medical or surgical equipment or supplies” includes only equipment or supplies commonly, necessarily, and directly used by, or under the direction of, a physician and surgeon in caring for or treating a patient in a hospital.
(e)  Nothing in this section shall prevent any district health care facility from participating as a member of any organization described in Section 23704 of the Revenue and Taxation Code, nor shall this section apply to any purchase made, or services rendered, by the organization on behalf of a district health care facility that is a member of the organization.
(Amended by Stats. 1996, Ch. 1023, Sec. 297. Effective September 29, 1996.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 2 - Board of Directors › ARTICLE 2 - Powers › Section 32132.5.

32132.5. (a) Notwithstanding Section 32132 or any other law, upon approval by its board of directors, a health care district may use the design-build procedure described in Chapter 4 (commencing with Section 22160) of Part 3 of Division 2 of the Public Contract Code to assign contracts for the construction of a building or improvements directly related to construction of a hospital or health facility building.
(b) For purposes of this section, except where the context otherwise requires, all references in Chapter 4 (commencing with Section 22160) of Part 3 of Division 2 of the Public Contract Code to “local agency” shall mean a health care district that owns or operates a hospital or clinic and its board of directors.
(c) A hospital building project utilizing the design-build process authorized by subdivision (a) shall be reviewed and inspected in accordance with the standards and requirements of the Alfred E. Alquist Hospital Facilities Seismic Safety Act of 1983 (Chapter 1 (commencing with Section 129675) of Part 7 of Division 107).
(d) Except as provided in this section, this section shall not be construed to affect the application of any other law.
(e) This section shall remain in effect only until January 1, 2025, and as of that date is repealed.
(Amended (as amended by Stats. 2014, Ch. 931, Sec. 4) by Stats. 2016, Ch. 212, Sec. 2. (SB 957) Effective January 1, 2017. Repealed as of January 1, 2025, by its own provisions. See later operative version added by Sec. 5 of Stats. 2014, Ch. 931.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 2 - Board of Directors › ARTICLE 2 - Powers › Section 32132.5.

32132.5. (a) Notwithstanding Section 32132 or any other provision of law, upon approval by the board of directors of the Sonoma Valley Health Care District, the design-build procedure described in Chapter 4 (commencing with Section 22160) of Part 3 of Division 2 of the Public Contract Code may be used to assign contracts for the construction of a building or improvements directly related to construction of a hospital or health facility building at the Sonoma Valley Hospital.
(b) For purposes of this section, all references in Chapter 4 (commencing with Section 22160) of Part 3 of Division 2 of the Public Contract Code to “county” and “local agency” shall mean the Sonoma Valley Health Care District and its board of directors.
(c) A hospital building project utilizing the design-build process authorized by subdivision (a) shall be reviewed and inspected in accordance with the standards and requirements of the Alfred E. Alquist Hospital Facilities Seismic Safety Act of 1983 (Chapter 1 (commencing with Section 129675) of Part 7 of Division 107).
(d) This section shall become operative January 1, 2025.
(Repealed (in Sec. 4) and added by Stats. 2014, Ch. 931, Sec. 5. (SB 785) Effective January 1, 2015. Section operative January 1, 2025, by its own provisions.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 2 - Board of Directors › ARTICLE 2 - Powers › Section 32132.7.

32132.7. (a) Notwithstanding Section 32132 or any other law, upon approval by the board of directors of the Last Frontier Health Care District, the design-build procedure described in Chapter 4 (commencing with Section 22160) of Part 3 of Division 2 of the Public Contract Code may be used to assign contracts for the construction of a building or improvements directly related to construction of a hospital or health facility building at the Modoc Medical Center.
(b) For purposes of this section, all references in Chapter 4 (commencing with Section 22160) of Part 3 of Division 2 of the Public Contract Code to “local agency” shall mean the Last Frontier Health Care District and its board of directors.
(c) A hospital building project utilizing the design-build process authorized by subdivision (a) shall be reviewed and inspected in accordance with the standards and requirements of the Alfred E. Alquist Hospital Facilities Seismic Safety Act of 1983 (Chapter 1 (commencing with Section 129675) of Part 7 of Division 107).
(Added by Stats. 2014, Ch. 18, Sec. 2.5. (SB 268) Effective May 29, 2014. Operative on January 1, 2015, when Ch. 931 (SB 785) took effect, as provided in Stats. 2014, Ch. 18, Sec. 4. Note: The version added by Sec. 2 of Stats. 2014, Ch. 18, was previously operative.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 2 - Board of Directors › ARTICLE 2 - Powers › Section 32132.8.

32132.8. (a) Notwithstanding Section 32132 or any other law, upon approval by the board of directors of the Mayers Memorial Hospital District, the design-build procedure described in Chapter 4 (commencing with Section 22160) of Part 3 of Division 2 of the Public Contract Code may be used to assign contracts for the construction of a building or improvements directly related to construction of a hospital or health facility building at the Mayers Memorial Hospital.
(b) For purposes of this section, all references in Chapter 4 (commencing with Section 22160) of Part 3 of Division 2 of the Public Contract Code to “local agency” mean the Mayers Memorial Hospital District and its board of directors.
(c) A hospital building project utilizing the design-build process authorized by subdivision (a) shall be reviewed and inspected in accordance with the standards and requirements of the Alfred E. Alquist Hospital Facilities Seismic Safety Act of 1983 (Chapter 1 (commencing with Section 129675) of Part 7 of Division 107).
(Amended by Stats. 2016, Ch. 86, Sec. 188. (SB 1171) Effective January 1, 2017.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 2 - Board of Directors › ARTICLE 2 - Powers › Section 32132.96.

32132.96. (a) Except as provided in subdivision (b), (c), or (d), a district that is authorized and elects to use the design-build process described in Chapter 4 (commencing with Section 22160) of Part 3 of Division 2 of the Public Contract Code for the construction of housing shall require that at least 20 percent of the residential units constructed be subject to a recorded affordability restriction for at least 55 years and be affordable to all of the following:
(1) Lower income households, as defined in Section 50079.5.
(2) Very low income households, as defined in Section 50105.
(3) Extremely low income households, as defined in Section 50106.
(4) Persons and families of low or moderate income, as defined in Section 50093.
(b) Subdivision (a) shall not apply if the city, county, or city and county in which the district is predominantly located has adopted a local ordinance that requires a greater percentage of the units be affordable to lower income households, very low income households, extremely low income households, and persons and families of low or moderate income.
(c) Subdivision (a) shall not apply to any district that is authorized and elects to use the design-build process described in Chapter 4 (commencing with Section 22160) of Part 3 of Division 2 of the Public Contract Code for the construction of any health facilities or retirement facilities exclusively providing care or supportive services to the elderly, disabled adults, or individuals with dementia, including, but not limited to, residential care facilities for the elderly.
(d) Subdivision (a) shall not apply to any district that is authorized and elects to use the design-build process described in Chapter 4 (commencing with Section 22160) of Part 3 of Division 2 of the Public Contract Code for the construction of workforce housing that is otherwise required by local ordinance.
(Added by Stats. 2018, Ch. 257, Sec. 2. (AB 2019) Effective January 1, 2019.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 2 - Board of Directors › ARTICLE 2 - Powers › Section 32133.

32133. At least once each year the board shall engage the services of a qualified accountant of accepted reputation to conduct an audit of the books of the hospital and prepare a report. A notice of the report shall be published, pursuant to Section 6061 of the Government Code and shall include all of the following:
(a) The date the audit was completed.
(b) The preparer and the executor of the audit.
(c) The location, including address, of the file for public inspection.
(d) The website link to the audit report on the district’s internet website.
(e) A summary of any material findings or declaration of no material findings.
(Amended by Stats. 2021, Ch. 224, Sec. 5. (SB 813) Effective January 1, 2022.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 2 - Board of Directors › ARTICLE 2 - Powers › Section 32134.

32134. The effective date of any contract entered into for the construction and leasing of any hospital building or facilities shall be the date of execution of said lease notwithstanding the fact that said lease may be later amended.
(Added by Stats. 1957, Ch. 539.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 2 - Board of Directors › ARTICLE 2 - Powers › Section 32136.

32136. The board of directors may, without following the bidding provisions in Section 32132 hereof, let contracts for work to be done or for materials and supplies to be furnished, sold or leased to the district, if it first determines that an emergency exists warranting such expenditure due to fire, flood, storm, epidemic, or other disaster and is necessary to protect the public health, safety, welfare, or property.
(Added by Stats. 1959, Ch. 1081.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 2 - Board of Directors › ARTICLE 2 - Powers › Section 32137.

32137. The board of directors may, by resolution, change the name of the district. The change in the name of the district shall be effective upon the filing of a verified copy of the resolution with the county clerk of the county or counties in which the hospital district lies.
(Amended by Stats. 1998, Ch. 829, Sec. 42. Effective January 1, 1999.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 2 - Board of Directors › ARTICLE 2 - Powers › Section 32138.

32138. (a)  The board of directors shall acquire electronic data processing and telecommunications goods and services with a cost to the district of more than twenty-five thousand dollars ($25,000) through competitive means, except when the board determines either that (1) the goods and services proposed for acquisition are the only goods and services which can meet the district’s need, or (2) the goods and services are needed in cases of emergency where immediate acquisition is necessary for the protection of the public health, welfare, or safety.
(b)  As used in this section, “competitive means” includes any appropriate means specified by the board, including, but not limited to, the preparation and circulation of a request for a proposal to an adequate number of qualified sources, as determined by the board in its discretion, to permit reasonable competition consistent with the nature and requirements of the proposed acquisition.
(c)  When the board awards a contract through competitive means pursuant to this section, the contract award shall be based on the proposal which provides the most cost-effective solution to the district’s requirements, as determined by the evaluation criteria specified by the board. The evaluation criteria may provide for the selection of a vendor on an objective basis other than cost alone.
(Amended by Stats. 1992, Ch. 1358, Sec. 5. Effective January 1, 1993.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 2 - Board of Directors › ARTICLE 2 - Powers › Section 32140.

32140. Upon filing a petition under federal bankruptcy law, the board of directors shall provide written notice within 10 business days to the local agency formation commission of the principal county in which it is located.
(Added by Stats. 2018, Ch. 257, Sec. 4. (AB 2019) Effective January 1, 2019.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 2 - Board of Directors › ARTICLE 3 - Hearing Procedures › Section 32150.

32150. The board of directors shall adopt reasonable rules and regulations, or bylaws, providing for appellate review of any action, decision, or recommendation of the medical staff affecting the professional privileges of any member of, or applicant for membership on, the medical staff. This appellate review shall be conducted consistent with the requirements of Section 809.4 of the Business and Professions Code.
The board’s decision rendered after this appellate review shall be final. Nothing in this section shall abrogate the obligation of the hospital and the medical staff to comply with the requirements of Sections 809 to 809.9, inclusive, of the Business and Professions Code.
(Amended by Stats. 1992, Ch. 1358, Sec. 6. Effective January 1, 1993.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 2 - Board of Directors › ARTICLE 3 - Hearing Procedures › Section 32151.

32151. The secretary of the board of directors or the hospital administrator shall mail notice of the action or decision to the affected applicant or medical staff member within the time specified in the applicable bylaw or rule.
(Amended by Stats. 1992, Ch. 1358, Sec. 7. Effective January 1, 1993.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 2 - Board of Directors › ARTICLE 3 - Hearing Procedures › Section 32154.

32154. The board or the hearing officer, if one is appointed, shall have the same power with respect to the issuance of subpoenas and subpoenas duces tecum as that granted to any agency or presiding officer pursuant to Article 11 (commencing with Section 11450.10) of Chapter 4.5 of Part 1 of Division 3 of Title 2 of the Government Code. Any subpoena or subpoena duces tecum issued pursuant to this section shall have the same force and effect and impose the same obligations upon witnesses as that provided in Article 11 (commencing with Section 11450.10) of Chapter 4.5 of Part 1 of Division 3 of Title 2 of the Government Code.
(Amended by Stats. 1995, Ch. 938, Sec. 70. Effective January 1, 1996. Operative July 1, 1997, by Sec. 98 of Ch. 938.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 2 - Board of Directors › ARTICLE 3 - Hearing Procedures › Section 32155.

32155. The board of directors may order that the hearing pursuant to this article, and hearings on the reports of the hospital medical audit or quality assurance committees, be held in private or executive session, provided, that an applicant or medical staff member whose staff privileges are the direct subject of a hearing may request a public hearing. Deliberations of the board of directors in connection with matters pertaining to this article may be held in executive session.
(Amended by Stats. 1982, Ch. 1513, Sec. 11.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 3 - Assessments › ARTICLE 1 - Annual Assessments › Section 32202.

32202. The board of supervisors shall thereupon levy upon the taxable property of the district within its own county a tax sufficient in amount to maintain the district but not to exceed the twenty-cent ($0.20) limit provided in Section 32203 and, in addition, a tax sufficient to pay the interest on all outstanding bonds of said district as the same becomes due, and also to constitute a sinking fund for the payment of the principal thereof at maturity, and a tax sufficient to pay rentals and all other sums due or payable under any agreement for the construction and leasing or purchasing of any hospital buildings or facilities entered into by the district pursuant to Section 32135 prior to January 1, 1959. If the district embraces territory lying in more than one county, the amount estimated shall be ratably apportioned among the several counties in the district in proportion to the assessed value of the property in the several counties included within said district as shown upon the last assessment rolls of the said counties, and the estimates apportioned to the several counties shall be rendered to their respective boards of supervisors and the tax shall be levied and collected by the officials of each county upon the property of the district lying therein.
(Amended by Stats. 1958, 1st Ex. Sess., Ch. 80.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 3 - Assessments › ARTICLE 1 - Annual Assessments › Section 32203.

32203. The tax, exclusive of the levy for the payment of the principal and interest of bonds and any special assessment voted hereunder, and exclusive of the levy for the payment of rentals and all other sums due or payable under any agreement for the construction and leasing or purchasing of any hospital buildings or facilities entered into by the district pursuant to Section 32135 prior to January 1, 1959, shall in no case exceed the rate of twenty cents ($0.20) on each one hundred dollars ($100) of the assessed valuation of all taxable property within the district, but it may be in addition to all other taxes allowed by law to be levied upon such property.
Notwithstanding any other provision of law, if the board of directors of the district determines that the tax limit specified in this section is insufficient to raise enough revenue to maintain the district, the board may call an election pursuant to Section 32241 for the purpose of determining whether a higher maximum tax rate specified by the board in its resolution calling the election shall be established for a period not to exceed five years. If a majority of the voters voting at such election approve the increased tax limit, the board of supervisors shall thereupon levy upon the taxable property of the district within its own county a tax sufficient to maintain the district as provided in this chapter but not to exceed the maximum tax rate approved at the election for the period approved by the voters.
(Amended by Stats. 1971, Ch. 594.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 3 - Assessments › ARTICLE 1 - Annual Assessments › Section 32204.

32204. The tax shall be computed, entered upon the tax rolls and collected in the same manner as county taxes are computed, entered and collected. Such taxes shall be a lien on the taxable property of the district and shall be paid with, and not separately from, county taxes. All moneys so collected shall be paid into the county treasury or treasuries of the county or counties in which the district lies and shall be transferred upon order of the district board to the district and placed in the proper fund or funds of the district; provided, however, that the proceeds of any tax levied to pay principal or interest of bonds which is payable at the office of the treasurer of the organizing county at the option of the holder, or otherwise, shall be placed in the bond interest and sinking fund of the district in the treasury of the organizing county.
(Amended by Stats. 1981, Ch. 686.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 3 - Assessments › ARTICLE 1 - Annual Assessments › Section 32205.

32205. An election on the formation of a hospital district in and around the City of Dos Palos in the County of Merced, may be combined with an election for the adoption of a special tax pursuant to Article XIII  A of the California Constitution and Article 3.5 (commencing with Section 50075) of Chapter 1 of Part 1 of Division 1 of Title 5 of the Government Code, consistent with Article 3.7 (commencing with Section 53720) of Chapter 4 of Part 1 of Division 2 of Title 5 of the Government Code, and presented to the voters as a single ballot proposition. If both proposals are presented as a single ballot proposition, the proposed hospital district shall not be created, and the special tax shall not take effect, unless the proposition is approved by two-thirds of the voters voting upon the proposition.
(Added by Stats. 1988, Ch. 1346, Sec. 5. Effective September 26, 1988.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 3 - Assessments › ARTICLE 2 - Capital Outlays › Section 32221.

32221. The board of directors may establish a fund for capital outlays; provided, that no part of said fund shall be used for acquisition of additional patient bed capacity by lease or purchase of any hospital buildings or facilities or for new construction of additional patient bed capacity for an existing hospital without the approval of the appropriate voluntary area health planning agency established pursuant to Section 127155. If the fund is established, it shall include in the estimate required to be furnished to the board of supervisors a statement of the amount to be included in the annual assessment for this purpose. The amount to be raised shall be included in the tax limitation prescribed by Section 32203.
Notwithstanding any other provision of law, the board of supervisors may levy a tax in excess of the maximum tax levy specified in Section 32203 to be used for capital outlay if a majority of the district electors voting at an election held for that purpose approve the imposition of the tax.
(Amended by Stats. 1996, Ch. 1023, Sec. 298. Effective September 29, 1996.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 3 - Assessments › ARTICLE 2 - Capital Outlays › Section 32222.

32222. At any time after the creation of a capital outlay fund, the board of directors may transfer to such fund any unencumbered surplus funds remaining on hand in the district at the end of any fiscal year.
(Added by Stats. 1945, Ch. 932.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 3 - Assessments › ARTICLE 2 - Capital Outlays › Section 32223.

32223. Whenever a capital outlay fund is established, it shall be used only for such purposes, except the board of directors may, by a four-fifths vote of all members, if it finds that the fund is no longer necessary or that there remain in the fund moneys which are no longer required for such purpose, discontinue the fund or transfer so much thereof as is no longer required for capital outlay purposes to the repayment of any bonds outstanding, or if there are no bonds outstanding, to any fund used for the payment of current expenses of the district.
(Added by Stats. 1945, Ch. 932.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 3 - Assessments › ARTICLE 3 - Special Assessments › Section 32240.

32240. Whenever it is desired that expenditures be made by the district for the acquisition, construction, maintenance, or alteration of work for the purpose of facilitating the carrying out of the purpose of this division in any district, the board of directors thereof may submit to the electors of the district the question of whether or not the additional expenditure shall be made out of the proceeds of a special assessment to be levied in like manner and on the same basis as the regular annual assessment made by the district.
(Added by Stats. 1945, Ch. 932.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 3 - Assessments › ARTICLE 3 - Special Assessments › Section 32241.

32241. An election shall be held to authorize such assessment and may be called by the board of directors of the district in its discretion. Such an election shall be called upon presentation to the board of directors of a petition requesting the levy of the assessment and specifying the object and purposes for which the proceeds thereof shall be expended. Such petition must be signed by electors entitled to cast a number of votes at district elections equal to at least 15 per cent vote of the number of votes cast at the last district election.
(Added by Stats. 1945, Ch. 932.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 3 - Assessments › ARTICLE 3 - Special Assessments › Section 32242.

32242. The resolution of the board of directors calling an election to decide whether a special assessment shall be levied, in addition to all other matters required by this division for a resolution calling an election, shall state the amount of the proposed expenditure for which assessment is to be levied, the amount of the assessment which will be levied to raise such amount for expenditure, allowing for a delinquency of 15 per cent, and the rate of the assessment necessary to raise such amount.
(Added by Stats. 1945, Ch. 932.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 3 - Assessments › ARTICLE 3 - Special Assessments › Section 32243.

32243. If two-thirds of the votes cast at the election are in favor of the special assessment, the board of directors shall cause the assessment to be levied in like manner as a regular assessment to pay the regular annual expenses of the district. Such special assessment shall be in addition to the limitation prescribed in Section 32203.
(Added by Stats. 1945, Ch. 932.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 4 - Bonds › Section 32300.

32300. Bonds may be issued by a district for the purpose of acquiring, maintaining, constructing, or altering work, or for the purpose of funding the district’s portion of the funding of a coinsurance plan between a hospital and the member of its attending medical staff, when, in either case, in the opinion of the directors, a special assessment would be inadvisable, and the expenses of such operations will be in excess of an amount which can reasonably be raised by the regular annual assessment for the running expenses of the district.
(Amended by Stats. 1976, Ch. 1465.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 4 - Bonds › Section 32300.1.

32300.1. In determining the amount of bonds to be issued, the legislative body may include:
(a)  All costs and estimated costs incidental to or connected with the acquisition, construction, improving or financing of the project.
(b)  All engineering, inspection, legal and fiscal agent’s fees, costs of the bond election and of the issuance of such bonds, and bond interest estimated to accrue during the construction period and for a period of not to exceed 12 months after completion of construction.
(Amended by Stats. 1970, Ch. 623.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 4 - Bonds › Section 32301.

32301. An election shall be held to authorize the issuance of any bonds of a district. The board of directors of a district may call such election at its discretion, and it shall call such election upon presentation to it of a petition requesting the issuance of bonds, specifying the purpose to which the proceeds are to be applied, and signed by electors of the district entitled to cast votes equal in number to at least 15 per cent of the total number of votes of all the electors of the district.
(Added by Stats. 1945, Ch. 932.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 4 - Bonds › Section 32302.

32302. The resolution of the board of directors calling a bond election, in addition to all of the matters required by this division for a resolution calling an election, shall state the amount of the proposed bond issue, the rate of interest thereon, and the maximum date of maturity of bonds. If two-thirds of the votes cast at the bond election are in favor of the issuance of the bonds, the board of directors shall cause bonds to be issued.
(Added by Stats. 1945, Ch. 932.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 4 - Bonds › Section 32303.

32303. The board of directors by resolution entered on its minutes shall prescribe the form of the bonds and of the interest coupons attached thereto, shall fix the time when the whole or any part of the principal of said bonds shall be payable, which shall not be more than 30 years after their date of issuance, the denomination or denominations of the bonds, the date or dates of issuance of such bonds, the number or numbers of the bonds maturing at each date of maturity and the place or places of payment of such bonds. Said bonds may be payable at the office of the district or at the office of the county treasurer of the organizing county, or at any place or places designated therein at holder’s option.
(Amended by Stats. 1959, Ch. 910.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 4 - Bonds › Section 32304.

32304. Bonds first to mature in each issue shall mature not later than five years from the date of issuance thereof; and those last to mature of each issue shall mature not later than 30 years from the date of issuance thereof.
(Amended by Stats. 1959, Ch. 910.)