reglab/statecodes huggingface dataset:
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 1 - Formation of District › Section 32003.

32003. Whenever the formation of a local hospital district is desired, a petition may be presented at a regular meeting of the supervising authority of the county in which the land, or a greater portion of the land, in the proposed district is situated, said petition to be signed by the registered voters residing within the boundaries of the proposed district, equal in number to at least 12 percent of the voters registered within the boundaries of the proposed district 30 days prior to the date the petition is filed. The number of written protests required to terminate the proceedings shall be a majority of the registered voters residing in the proposed district.
If a majority of all the votes cast in the proposed district are in favor of organization, the supervising authority by resolution entered on its minutes shall declare the district duly organized under this act, shall give the name of the district as theretofore designated and shall describe the boundaries of such district. The county whose supervising authority declares the district organized shall be designated the “organizing county.”
(Amended by Stats. 1963, Ch. 1232.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 2 - Board of Directors › ARTICLE 1 - Election and Organization › Section 32100.

32100. The elective officers of a local hospital district shall be a board of hospital directors consisting of five members, each of whom shall be a registered voter residing in the district and whose term shall be four years, with the exception of the first board. The first board of directors shall be appointed, upon the formation of the district, by the board of supervisors of the county in which the land or a greater part of the land in the district is situated. Upon appointment, the first board shall, by lot, designate two members who shall leave office when their successors take office pursuant to Section 10554 of the Elections Code, and three members who shall leave office two years thereafter. Any vacancy upon the board shall be filled by the methods prescribed in Section 1780 of the Government Code.
(Amended by Stats. 1994, Ch. 923, Sec. 147. Effective January 1, 1995.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 2 - Board of Directors › ARTICLE 1 - Election and Organization › Section 32100.001.

32100.001. The board of hospital directors shall meet on the first Monday subsequent to 30 days after the completion of organization of the district and shall organize by the election of one of their members as chairperson or president and one as secretary.
(Added by renumbering Section 32102 by Stats. 1994, Ch. 696, Sec. 3. Effective January 1, 1995.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 2 - Board of Directors › ARTICLE 1 - Election and Organization › Section 32100.01.

32100.01. A petition to increase the number of members of the board of directors of any district providing at least 225 hospital beds from five to seven members may be signed and filed with the board of directors at least three months prior to any general hospital district election by registered voters residing within any such local hospital district, equal in number to at least 5 percent of the number of votes cast in that district for the office of Governor at the last preceding election at which a Governor was elected. Upon receipt of this petition the board of directors shall prepare a measure to be printed on the ballots used at the next general hospital district election. The measure shall be printed on the ballots substantially as follows:
“Shall the number of directors of the ____ Hospital District be increased from five to seven?”, with the words “Yes” and “No” so printed in connection therewith that the voters may express their choice.
The county elections official of the organizing county shall accept arguments for and against the measure to be mailed to each registered voter in the district, in accordance with the procedure specified in Article 3 (commencing with Section 9160) of Chapter 2 of Division 9 of the Elections Code.
Under the measure, in the manner provided in this article, there shall be printed the names of those persons who have been nominated for the additional directorships.
The returns of the election shall be canvassed and declared as at other general hospital district elections. If a majority of the votes cast in the election are in favor of the measure the board of directors shall by resolution declare that the lawful number of directors of the district has been increased by the designated number of members. If a majority of the votes cast in the election are opposed to the measure, no similar measure shall be placed on the ballot until the next general hospital district election.
(Amended by Stats. 1994, Ch. 923, Sec. 148. Effective January 1, 1995.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 2 - Board of Directors › ARTICLE 1 - Election and Organization › Section 32100.02.

32100.02. The election of directors to fill the additional vacancies on the board created by expansion shall be an election at large. A director elected at the election but receiving the lesser number of votes in the election shall hold office until a successor takes office pursuant to Section 10554 of the Elections Code, and the director elected at the election receiving the greater number of votes shall hold office until two years thereafter.
(Amended by Stats. 1994, Ch. 923, Sec. 149. Effective January 1, 1995.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 2 - Board of Directors › ARTICLE 1 - Election and Organization › Section 32100.03.

32100.03. If the majority of votes cast in the election specified in Section 32100.01 are in favor of expansion of the board of directors, the board of directors of the district, which has been divided into zones pursuant to Section 32100.1, shall by resolution divide the district into seven zones. The resolution shall also specify the boundaries of each zone. At the expiration of the terms of office of the members of the board of directors then in office, and thereafter, such members of the board of directors shall be elected by the zones established by such resolution.
(Added by Stats. 1971, Ch. 289.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 2 - Board of Directors › ARTICLE 1 - Election and Organization › Section 32100.04.

32100.04. A district which has added additional directors pursuant to Section 32100.01, but has not been divided into zones, may, in the manner provided by Section 32100.1, divide the district into zones, except that the resolution of the board of directors shall divide the district into seven zones. If at the expiration of the terms of office of the members of the board, in office at the time of such division into zones, four members of the board are to be elected, those four members shall be elected from zones designated by odd numbers; if three members are to be elected, those three members shall be elected from zones designated by even numbers.
(Added by Stats. 1971, Ch. 289.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 2 - Board of Directors › ARTICLE 1 - Election and Organization › Section 32100.05.

32100.05. (a) Notwithstanding Sections 32100 and 32100.01, the local agency formation commission, in approving either a consolidation of districts or the reorganization of two or more districts into a single hospital district may, pursuant to subdivisions (k) and (n) of Section 56886 of the Government Code, increase the number of directors to serve on the board of directors of the consolidated or reorganized district to 7, 9, or 11, who shall be members of the board of directors of the districts to be consolidated or reorganized as of the effective date of the consolidation or reorganization.
(b) Upon the expiration of the terms of the members of the board of directors of the consolidated district, or a district reorganized as described in subdivision (a), whose terms first expire following the effective date of the consolidation or reorganization, the total number of members on the board of directors shall be reduced until the number equals the number of members permitted by the principal act of the consolidated or reorganized district, or any larger number as may be specified by the local agency formation commission in approving the consolidation or reorganization.
(c) In addition to the powers granted under Section 1780 of the Government Code, in the event of a vacancy on the board of directors of the consolidated district or a district reorganized as described in subdivision (a) at which time the total number of directors is greater than five, the board of directors may, by majority vote of the remaining members of the board, choose not to fill the vacancy. In that event, the total membership of the board of directors shall be reduced by one board member. Upon making the determination not to fill a vacancy, the board of directors shall notify the board of supervisors of its decision.
(d) For the purposes of this section: “consolidation” means consolidation, as defined in Section 56030 of the Government Code; “district” or “special district” means district or special district, as defined in Section 56036 of the Government Code; and “reorganization” means reorganization, as defined in Section 56073 of the Government Code.
(Amended by Stats. 2006, Ch. 172, Sec. 12. Effective January 1, 2007.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 2 - Board of Directors › ARTICLE 1 - Election and Organization › Section 32100.2.

32100.2. Notwithstanding any other provision of law, the term of any member of the board of directors shall expire if he or she is absent from three consecutive regular meetings, or from three of any five consecutive meetings of the board and the board by resolution declares that a vacancy exists on the board.
(Amended by Stats. 1982, Ch. 1513, Sec. 2.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 2 - Board of Directors › ARTICLE 1 - Election and Organization › Section 32100.3.

32100.3. (a) Notwithstanding Section 32100, the members of the first board of directors of a health care district formed, after the effective date of the act that added this section, in the County of Trinity shall be elected at large.
(b) At their first meeting, the members of the directors shall classify themselves by lot into two classes. One class shall have three members and the other class shall have two members. For the class that has three members, the initial term of office shall be four years. For the class that has two members, the initial term of office shall be two years. Thereafter, the term of office of all members shall be four years.
(c) Any vacancies in the office of a member elected to the board of directors shall be filled pursuant to Section 1780 of the Government Code.
(Added by Stats. 2006, Ch. 18, Sec. 1. Effective April 17, 2006.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 2 - Board of Directors › ARTICLE 1 - Election and Organization › Section 32100.5.

32100.5. A hospital district general election shall be held in each local hospital district on the first Tuesday after the first Monday in November in each even-numbered year, at which a successor shall be chosen to each officer whose term shall expire when the successor takes office pursuant to Section 10554 of the Elections Code. The hospital district general election shall be consolidated with the statewide general election pursuant to Part 3 (commencing with Section 10400) of Division 10 of the Elections Code.
The person receiving the highest number of votes for each office to be filled at the election shall be elected thereto. The term of office of each elective officer of the district elected, shall be four years, or until his or her successor is elected and has qualified.
(Amended by Stats. 1994, Ch. 923, Sec. 151. Effective January 1, 1995.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 2 - Board of Directors › ARTICLE 1 - Election and Organization › Section 32100.6.

32100.6. Notwithstanding any other provision of law, the voters of the Eden Township Hospital District may file a petition with its board of directors pursuant to the provisions of Section 32100.1, to elect its directors either by zones or from zones; provided, however, that the petition shall be deemed sufficient if it is signed by registered voters of the district equal in number to 5 percent of the number of votes cast in the district for the office of Governor at the last preceding election at which a Governor was elected.
The term “by zones” shall mean the election of directors of a local hospital by the voters of the zone alone. The term “from zones” shall mean the election of directors of a local hospital district who are residents of the zone from which they are elected by the voters of the entire district.
(Added by Stats. 1980, Ch. 571.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 2 - Board of Directors › ARTICLE 1 - Election and Organization › Section 32100.7.

32100.7. Notwithstanding Section 32100.01, the Board of Directors of Valley Health System, a local hospital district, may adopt a resolution to increase the number of members of its board of directors from five to seven without the necessity of a petition or approval thereof by voters residing within the district. The resolution shall become effective on the date and subject to any conditions specified in the resolution. The additional vacancies created by the expansion shall be filled by election. Notwithstanding Section 32100.02, if Valley Health System has duly adopted election of directors by zones pursuant to Section 32100.1, the additional vacancies created by expansion shall likewise be filled by election by zones. Notwithstanding Section 32100.1, the initial election to fill the additional vacancies may be at any one of the regular election dates provided for in Section 2500 of the Elections Code and the resolution shall designate the election date. The director elected at the election but receiving the lesser number of votes shall hold office until a successor elected at the next following general election takes office pursuant to Section 23556 of the Elections Code, and the director elected at the election receiving the greater number of votes shall hold office until a successor elected at the general election two years thereafter takes office. After the expiration of the initial terms as provided in the previous sentence, the terms of directors elected to fill each of the additional vacancies shall be as provided in Section 32100.
(Added by Stats. 1994, Ch. 201, Sec. 1. Effective July 18, 1994. Conditionally operative as prescribed by Sec. 2 of Ch. 201. Note: Operational condition relates to execution of certificate of completion for Riverside County LAFCO Case #94-16.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 2 - Board of Directors › ARTICLE 1 - Election and Organization › Section 32100.8.

32100.8. (a) The following definitions shall apply for purposes of this section:
(1) “Board of supervisors” means the Board of Supervisors of the County of Contra Costa.
(2) “County” means the County of Contra Costa.
(3) “District” means the West Contra Costa Healthcare District.
(4) “District board” means the board of directors of the West Contra Costa Healthcare District.
(b) Notwithstanding any other law, the district board shall be dissolved, effective January 1, 2019, and any remaining members removed from office. Thereafter, the board of supervisors shall either elect to serve as the district board, or may appoint a district board as provided in subdivision (c).
(c) (1) If the board of supervisors elects not to serve as the district board pursuant to subdivision (b), it shall appoint a district board consisting of five members, all of whom shall reside in the district. The members appointed by the board may include, but need not be limited to, at least one of each of the following:
(A) A county supervisor.
(B) A city council member of any city located within district boundaries.
(2) The term of a district board member appointed under this subdivision shall be for four years, or until his or her successor qualifies and takes office.
(3) The board of supervisors shall determine whether members of the district board shall serve at the pleasure of the board of supervisors, or for staggered four-year terms, subject to removal for cause. Vacancies shall be filled by appointment of the board of supervisors.
(Added by Stats. 2018, Ch. 133, Sec. 2. (SB 522) Effective January 1, 2019.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 2 - Board of Directors › ARTICLE 1 - Election and Organization › Section 32103.

32103. (a) The board of directors shall serve without compensation except that the board of directors, by a resolution adopted by a majority vote of the members of the board, may authorize the payment of not to exceed one hundred dollars ($100) per meeting not to exceed six meetings a calendar month as compensation to each member of the board of directors. Commencing January 1, 2019, if the district compensates its members for more than five meetings in a calendar month, the board of directors shall annually adopt a written policy describing, based on a finding supported by substantial evidence, why more than five meetings per month are necessary for the effective operation of the district.
(b) The board of directors, by ordinance adopted pursuant to Chapter 2 (commencing with Section 20200) of Division 10 of the Water Code, may increase the amount of compensation received for attending meetings of the board by no more than 5 percent annually.
(c) Each member of the board of directors shall be allowed his or her actual necessary traveling and incidental expenses incurred in the performance of official business of the district as approved by the board. For purposes of this section, the determination of whether a director’s activities on any specific day are compensable shall be made pursuant to Article 2.3 (commencing with Section 53232) of Chapter 2 of Part 1 of Division 2 of Title 5 of the Government Code. Reimbursement for these expenses is subject to Sections 53232.2 and 53232.3 of the Government Code.
(Amended by Stats. 2018, Ch. 170, Sec. 3. (AB 2329) Effective January 1, 2019.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 2 - Board of Directors › ARTICLE 1 - Election and Organization › Section 32104.

32104. The board of directors shall provide for the time and place of holding its regular meetings and the manner of calling the same, and shall establish rules for its proceedings and may adopt such rules and regulations not inconsistent with law as may be necessary for the exercise of the powers conferred and the performance of the duties imposed upon the board.
(Added by Stats. 1945, Ch. 932.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 2 - Board of Directors › ARTICLE 1 - Election and Organization › Section 32106.

32106. (a)  Except as provided in this section, Section 32155, or the Ralph M. Brown Act (Chapter 9 (commencing with Section 54950) of Part 1 of Division 2 of Title 5 of the Government Code) all of the sessions of the board of directors, whether regular or special, shall be open to the public, and a majority of the members of the board shall constitute a quorum for the transaction of business.
(b)  The board of directors may order that a meeting held solely for the purpose of discussion or deliberation, or both, of reports involving district trade secrets be held in closed session. Except as provided in this subdivision, the closed session shall meet all applicable requirements of Chapter 9 (commencing with Section 54950) of Division 2 of Title 5 of the Government Code, including Section 54957.7.
(c)  “Health care facility trade secrets,” as used in this section, means a “trade secret,” as defined in subdivision (d) of Section 3426.1 of the Civil Code, and in addition meets all of the following:
(1)  Is necessary to initiate a new district service or program or add a district health care facility.
(2)  Would, if prematurely disclosed, create a substantial probability of depriving the district of a substantial economic benefit.
(d)  The exception provided in subdivision (b) to the general open meeting requirements for a meeting of the board of directors, shall not apply to a meeting where there is action taken, as defined in Section 54952.6 of the Government Code.
(e)  Nothing in this section shall be construed to permit the board of directors to order a closed meeting for the purposes of discussing or deliberating, or to permit the discussion or deliberation in any closed meeting of any proposals regarding:
(1)  The sale, conversion, contract for management, or leasing of any district health care facility or the assets thereof, to any for-profit or nonprofit entity, agency, association, organization, governmental body, person, partnership, corporation, or other district.
(2)  The conversion of any district health care facility to any other form of ownership by the district.
(3)  The dissolution of any district.
(Amended by Stats. 1994, Ch. 696, Sec. 4. Effective January 1, 1995.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 2 - Board of Directors › ARTICLE 1 - Election and Organization › Section 32107.

32107. A district may destroy a record pursuant to Chapter 7 (commencing with Section 60200) of Division 1 of Title 6 of the Government Code.
(Added by Stats. 2005, Ch. 158, Sec. 25. Effective January 1, 2006.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 2 - Board of Directors › ARTICLE 1 - Election and Organization › Section 32110.

32110. (a)  Except as provided in subdivision (d), no person who is a director, policymaking management employee, or medical staff officer of a hospital owned or operated by a district shall do either of the following:
(1)  Possess any ownership interest in any other hospital serving the same area as that served by the district hospital of which the person is a director, policymaking management employee, or medical staff officer.
(2)  Be a director, policymaking management employee, or medical staff officer of any hospital serving the same area as the area served by the district hospital.
(b)  For purposes of this section, a hospital shall be considered to serve the same area as a district hospital when more than 5 percent of the hospital’s patient admissions are residents of the district.
(c)  For purposes of this section, the possession of an ownership interest, including stocks, bonds, or other securities by the spouse or minor children or any person shall be deemed to be the possession or interest of the person.
(d)  No person shall serve concurrently as a director or policymaking management employee of a district and as a director or policymaking management employee of any other hospital serving the same area as the district, unless the boards of directors of the district and the hospital have determined that the situation will further joint planning, efficient delivery of health care services, and the best interest of the areas served by their respective hospitals, or unless the district and the hospital are affiliated under common ownership, lease, or any combination thereof.
(e)  Any candidate who elects to run for the office of member of the board of directors of a district, and who owns stock in, or who works for any health care facility that does not serve the same area served by the district in which the office is sought, shall disclose on the ballot his or her occupation and place of employment.
(Amended by Stats. 1994, Ch. 696, Sec. 5. Effective January 1, 1995.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 2 - Board of Directors › ARTICLE 1 - Election and Organization › Section 32111.

32111. (a) A member of a health care district’s medical or allied health professional staff who is an officer of the district shall not be deemed to be “financially interested,” for purposes of Section 1090 of the Government Code, in any of the contracts set forth in subdivision (b) made by any district body or board of which the officer is a member if all of the following conditions are satisfied:
(1) The officer abstains from any participation in the making of the contract.
(2) The officer’s relationship to the contract is disclosed to the body or board and noted in its official records.
(3) If the requirements of paragraphs (1) and (2) are satisfied, the body or board does both of the following, without any participation by the officer:
(A) Finds that the contract is fair to the district and in its best interest.
(B) Authorizes the contract in good faith.
(b) Subdivision (a) shall apply to the following contracts:
(1) A contract between the district and the officer for the officer to provide professional services to the district’s patients, employees, or medical staff members and their respective dependents, provided that similar contracts exist with other staff members and the amounts payable under the contract are no greater than the amounts payable under similar contracts covering the same or similar services.
(2) A contract to provide services to covered persons between the district and any insurance company, health care service plan, employer, or other entity that provides health care coverage, and that also has a contract with the officer to provide professional services to its covered persons.
(3) A contract in which the district and the officer are both parties if other members of the district’s medical or allied health professional staff are also parties, directly or through their professional corporations or other practice entities, provided the officer is offered terms no more favorable than those offered any other party who is a member of the district’s medical or allied health professional staff.
(c) This section does not permit an otherwise prohibited individual to be a member of the board of directors of a district, including, but not limited to, individuals described in Section 32110 of this code or in Section 53227 of the Government Code. Nothing in this section shall authorize a contract that would otherwise be prohibited by Section 2400 of the Business and Professions Code.
(d) For purposes of this section, a contract entered into by a professional corporation or other practice entity in which the officer has an interest shall be deemed the same as a contract entered into by the officer directly.
(Amended by Stats. 2004, Ch. 183, Sec. 207. Effective January 1, 2005.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 2 - Board of Directors › ARTICLE 2 - Powers › Section 32121.1.

32121.1. By resolution, the board of directors of a local hospital district may delegate to its administrator the power to employ (subject to the pleasure of the board of directors), and discharge, such subordinate officers and employees as are necessary for the purpose of carrying on the normal functions of any hospital operated by the district.
(Added by Stats. 1957, Ch. 640.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 2 - Board of Directors › ARTICLE 2 - Powers › Section 32121.2.

32121.2. Except as provided in this section, by resolution, the board of directors of a local hospital district may authorize the disposition of any surplus property of the district at fair market value by any method determined appropriate by the board.
The board of directors of a local hospital district may donate or sell, at less than fair market value, any surplus property to another local hospital district in California.
(Amended by Stats. 1982, Ch. 1513, Sec. 7.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 2 - Board of Directors › ARTICLE 2 - Powers › Section 32121.3.

32121.3. (a)  Notwithstanding any other provision of law, a hospital district, or any affiliated nonprofit corporation upon a finding by the board of directors of the district that it will be in the best interests of the public health of the communities served by the district and in order to obtain a licensed physician and surgeon to practice in the communities served by the district, may do any of the following:
(1)  Guarantee to a physician and surgeon a minimum income for a period of no more than three years from the opening of the physician and surgeon’s practice.
(2)  Guarantee purchases of necessary equipment by the physician and surgeon.
(3)  Provide reduced rental rates of office space in any building owned or leased by the district or any of its affiliated entities, or subsidize rental payments for office space in any other buildings, for a term of no more than three years.
(4)  Provide other incentives to a physician and surgeon in exchange for consideration and upon terms and conditions the hospital district’s board of directors deems reasonable and appropriate.
(b)  Any provision in a contract between a physician and surgeon and a hospital district or affiliated nonprofit corporation is void which does any of the following:
(1)  Imposes as a condition any requirement that the patients of the physician and surgeon, or a quota of the patients of the physician and surgeon, only be admitted to a specified hospital.
(2)  Restricts the physician and surgeon from establishing staff privileges at, referring patients to, or generating business for another entity.
(3)  Provides payment or other consideration to the physician and surgeon for the physician and surgeon’s referral of patients to the district hospital or an affiliated nonprofit corporation.
(c)  Contracts between a physician and surgeon and a hospital district or affiliated nonprofit corporation that provide an inducement for the physician and surgeon to practice in the community served by the district hospital shall contain both of the following:
(1)  A provision which requires the inducement to be repaid with interest if the inducement is repayable.
(2)  A provision which states that no payment or other consideration shall be made for the referral of patients to the district hospital or an affiliated nonprofit corporation.
(d)  To the extent that this section conflicts with Section 650 of the Business and Professions Code, Section 650 of the Business and Professions Code shall supersede this section.
(e)  The Legislature finds that this section is necessary to assist district hospitals to attract qualified physicians and surgeons to practice in the communities served by these hospitals, and that the health and welfare of the residents in these communities require these provisions.
(Amended by Stats. 1992, Ch. 1358, Sec. 4. 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 32121.4.

32121.4. Notwithstanding any other provision of law, a hospital district or any affiliated nonprofit corporation, upon a finding by the board of directors of the district that it will be in the best interests of the district to provide additional diversification of facilities, may lease and operate the realty, facilities, and business of another hospital district in California, or create a leasehold interest in its own realty, improvements, and business in favor of another hospital district, if all of the following apply:
(a)  That the lease when taken together with any extensions of the lease shall not exceed a total of 30 years.
(b)  That the lessee district shall not finance any capital improvements through the use of the lessor district’s credit.
(c)  That the lessor district shall have successfully completed any feasibility studies required by its board of directors as will reasonably ensure that the lessor hospital’s financial stability will not be endangered by the lease transaction.
(d)  Nothing in this section shall be construed to impair or limit the authority of the California Medical Assistance Commission to contract for the provision of inpatient hospital services under the Medi-Cal program with local hospital district hospitals as sole distinct entities, even though one or more hospital districts may have entered into leasehold or joint-venture arrangements.
Any lease made pursuant to this section to one or more nonprofit corporations affiliated with a district, that is part of or contingent upon a transfer of 50 percent or more of the district’s assets, in sum or by increment, to the affiliated nonprofit corporation shall be subject to the requirements of subdivision (p) of Section 32121.
(Amended by Stats. 1993, Ch. 698, Sec. 2. Effective October 4, 1993.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 2 - Board of Directors › ARTICLE 2 - Powers › Section 32121.5.

32121.5. (a) Notwithstanding any other provision of this division, a health care district may enter into a contract of employment with a hospital administrator, including a hospital administrator who is designated as chief executive officer, the duration of which shall not exceed four years, but which may periodically be renewed for a term of not more than four years.
(b) A contract entered into, or renewed, on or after January 1, 2014, shall not authorize retirement plan benefits to be paid to a hospital administrator, including a hospital administrator who is designated as chief executive officer, prior to his or her retirement.
(Amended by Stats. 2013, Ch. 92, Sec. 1. (AB 130) Effective January 1, 2014.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 2 - Board of Directors › ARTICLE 2 - Powers › Section 32121.6.

32121.6. If a health care district enters into a written employment agreement with a hospital administrator, including a hospital administrator who is designated as a chief executive officer, the written employment agreement shall include all material terms and conditions agreed to between the district and the hospital administrator regarding compensation, deferred compensation, retirement benefits, severance or continuing compensation after termination of the agreement, vacation pay and other paid time off for illness or personal reasons, and other employment benefits that differ from those available to other full-time employees.
(Added by Stats. 2012, Ch. 322, Sec. 1. (AB 2180) Effective January 1, 2013.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 2 - Board of Directors › ARTICLE 2 - Powers › Section 32121.8.

32121.8. The El Camino Hospital-Corporation may provide for the operation and maintenance through tenants of the whole or any part of the El Camino Hospital, and for that purpose may enter into any lease agreement that it believes will best serve the interest of the El Camino Hospital District. A lease entered into with one or more corporations, partnerships, limited liability companies or other entities or persons for the operation of 50 percent or more of the El Camino Hospital, or that is part of or contingent upon a transfer of 50 percent or more of the El Camino Hospital-Corporation’s assets, in sum or by increment, as described in Section 32127.7 shall be subject to the requirements of Section 32121.7. Any lease for the operation of El Camino Hospital shall require the tenant or lessee to comply with Section 32128. No lease for the operation of the entire hospital shall run for a term in excess of 30 years. No lease for the operation of less than the entire hospital shall run for a term in excess of 10 years.
(Added by Stats. 1999, Ch. 151, Sec. 2. Effective January 1, 2000.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 2 - Board of Directors › ARTICLE 2 - Powers › Section 32121.9.

32121.9. A district that leases or transfers its assets to a corporation pursuant to this division, including, but not limited to, subdivision (p) of Section 32121 or Section 32126, shall act as an advocate for the community to the operating corporation. The district shall annually report to the community on the progress made in meeting the community’s health needs.
(Added by Stats. 2000, Ch. 798, Sec. 3. Effective September 28, 2000.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 2 - Board of Directors › ARTICLE 2 - Powers › Section 32122.

32122. The board of directors may purchase all necessary surgical instruments and hospital equipment and equipment for nurses’ homes and all other property necessary for equipping a hospital and nurses’ home.
(Added by Stats. 1945, Ch. 932.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 2 - Board of Directors › ARTICLE 2 - Powers › Section 32123.

32123. The board of directors may purchase such real property, and erect or rent and equip such buildings or building, room or rooms as may be necessary for the hospital.
(Added by Stats. 1945, Ch. 932.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 2 - Board of Directors › ARTICLE 2 - Powers › Section 32124.

32124. The board of directors may establish a nurses’ training school in connection with the hospital, prescribe a course of study for such training and after the completion of the course, provide for the issuance of diplomas to graduate nurses.
(Added by Stats. 1945, Ch. 932.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 2 - Board of Directors › ARTICLE 2 - Powers › Section 32125.

32125. (a)  The board of directors shall be responsible for the operation of all health care facilities owned or leased by the district, according to the best interests of the public health and shall make and enforce all rules, regulations and bylaws necessary for the administration, government, protection and maintenance of health care facilities under their management and all property belonging thereto and may prescribe the terms upon which patients may be admitted thereto. Minimum standards of operation as prescribed in this article shall be established and enforced by the board of directors.
(b)  A district shall not contract to care for indigent county patients at below the cost for care. In setting the rates the board shall, insofar as possible, establish rates as will permit the district health care facilities to be operated upon a self-supporting basis. The board may establish different rates for residents of the district than for persons who do not reside within the district.
(c)  Notwithstanding any other provision of law, unless prohibited from doing so by action of the board of directors, the chief executive officer may establish a task force to assist the chief executive officer in operating the district’s facilities. The chief executive officer shall, if required to do so by action of the board, select task force members from individuals nominated by the board. Once established, the task force may be dissolved by action of the chief executive officer or the board. Any action by the board under this subdivision shall require four votes from a board on which there are five members or five votes from a board on which there are seven members.
(Amended by Stats. 1994, Ch. 696, Sec. 8. Effective January 1, 1995.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 2 - Board of Directors › ARTICLE 2 - Powers › Section 32126.

32126. (a) The board of directors may provide for the operation and maintenance through tenants of the whole or any part of any hospital acquired or constructed by it pursuant to this division, and for that purpose may enter into any lease agreement that it believes will best serve the interest of the district. A lease entered into with one or more corporations for the operation of 50 percent or more of the district’s hospital, or that is part of, or contingent upon, a transfer of 50 percent or more of the district’s assets, in sum or by increment, as described in subdivision (p) of Section 32121, shall be subject to the requirements of subdivision (p) of Section 32121. Any lease for the operation of any hospital shall require the tenant or lessee to conform to, and abide by, Section 32128. No lease for the operation of an entire hospital shall run for a term in excess of 30 years. No lease for the operation of less than an entire hospital shall run for a term in excess of 10 years.
(b) Notwithstanding any other provision of law, a sublease, an assignment of an existing lease, or the release of a tenant or lessee from obligations under an existing lease in connection with an assignment of an existing lease shall not be subject to the requirements of subdivision (p) of Section 32121 so long as all of the following conditions are met:
(1) The sublease or assignment of the existing lease otherwise remains in compliance with subdivision (a).
(2) The district board determines that the total consideration that the district shall receive following the assignment or sublease, or as a result thereof, taking into account all monetary and other tangible and intangible consideration to be received by the district including, without limitation, all benefits to the communities served by the district, is no less than the total consideration that the district would have received under the existing lease.
(3) The existing lease was entered into on or before July 1, 1984, upon approval of the board of directors following solicitation and review of no less than five offers from prospective tenants.
(4) If substantial amendments are made to an existing lease in connection with the sublease or assignment of that existing lease, the amendments shall be fully discussed in advance of the district board’s decision to adopt the amendments in at least two properly noticed open and public meetings in compliance with Section 32106 and the Ralph M. Brown Act (Chapter 9 (commencing with Section 54950) of Part 1 of Division 2 of Title 5 of the Government Code).
(c) A health care district shall report to the Attorney General, within 30 days of any lease of district assets to one or more corporations, the type of transaction and the entity to whom the assets were leased.
(Amended (as amended by Stats. 2005, Ch. 194, Sec. 4) by Stats. 2010, Ch. 699, Sec. 25.6. (SB 894) 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 32126.3.

32126.3. Notwithstanding any provision of law to the contrary, the lease in existence immediately preceding January 1, 2006, between the Grossmont Healthcare District and the Grossmont Hospital Corporation that was entered into on May 29, 1991, may be renegotiated or extended for up to an additional 30-year term. The renegotiations or extension shall be presented to, and approved by a majority of, the voters of the district.
(Added by Stats. 2005, Ch. 195, Sec. 1. Effective January 1, 2006.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 2 - Board of Directors › ARTICLE 2 - Powers › Section 32126.5.

32126.5. (a)  The board of directors of a hospital district or any affiliated nonprofit corporation may do any of the following when it determines that the action is necessary for the provision of adequate health services to communities served by the district:
(1)  Enter into contracts with health provider groups, community service groups, independent physicians and surgeons, and independent podiatrists, for the provision of health services.
(2)  Provide assistance or make grants to nonprofit provider groups and clinics already functioning in the community.
(3)  Finance experiments with new methods of providing adequate health care.
(b)  Nothing in this section shall authorize activities which corporations and other artificial legal entities are prohibited from conducting by Section 2400 of the Business and Professions Code.
(Amended by Stats. 1992, Ch. 981, Sec. 4. 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 32127.1.

32127.1. Notwithstanding any other provision of law, the board of directors of any district which is licensed to have 85 beds and located within a county of 2,000,000 or more population, as determined by the 1950 census, may, without establishing a fund for capital outlays and without the approval of the district electors, use all or any funds in the possession of, or held by, the district on the effective date of the amendment made to this section at the 1967 Regular Session which were derived from previous tax levies, for the 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.
(Amended by Stats. 1967, Ch. 102.)
2023 California Code › Health and Safety Code - HSC › DIVISION 23 - HOSPITAL DISTRICTS › CHAPTER 2 - Board of Directors › ARTICLE 2 - Powers › Section 32127.2.

32127.2. Exclusively for the purpose of securing state insurance of financing for the construction of new health facilities, the expansion, modernization, renovation, remodeling and alteration of existing health facilities, and the initial equipping of any such health facilities under Chapter 1 (commencing with Section 129000) of Part 6 of Division 107, and notwithstanding any provision of this division or any other provision or holding of law, the board of directors of any district may (a) borrow money or credit, or issue bonds, as well as by the financing methods specified in this division, and (b) execute in favor of the state first mortgages, first deeds of trust, and other necessary security interests as the Office of Statewide Health Planning and Development may reasonably require in respect to a health facility project property as security for the insurance. No payments of principal, interest, insurance premium and inspection fees, and all other costs of state-insured loans obtained under the authorization of this section shall be made from funds derived from the district’s power to tax. It is hereby declared that the authorizations for the executing of the mortgages, deeds of trust and other necessary security agreements by the board and for the enforcement of the state’s rights thereunder is in the public interest in order to preserve and promote the health, welfare, and safety of the people of this state by providing, without cost to the state, a state insurance program for health facility construction loans in order to stimulate the flow of private capital into health facilities construction to enable the rational meeting of the critical need for new, expanded and modernized public health facilities.
(Amended by Stats. 1996, Ch. 1023, Sec. 296. Effective September 29, 1996.)