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The Board makes the following findings.
A. The cost of healthcare continues to increase, making it harder for people to obtain the proper care they need.
B. The City and County of San Francisco's financial resources are strained and healthcare services the City now provides are either being cut or are at risk of being cut.
C. Section 4.110 of the Charter of the City and County of San Francisco provides that the Health Department and Health Commission shall provide for the preservation, promotion and protection of the physical and mental health of the inhabitants of the City and County of San Francisco.
D. Section 127340(a) of the California Health and Safety Code provides that "private not-for-profit hospitals meet certain needs of their communities through the provision of essential healthcare and other services. Public recognition of their unique status has led to favorable tax treatment by the government. In exchange, nonprofit hospitals assume a social obligation to provide community benefits in the public interest."
E. Due to their size, larger non-government healthcare providers have significant impact on the health of the people of the City and County of San Francisco. Therefore such providers have a responsibility to work along with government healthcare agencies and facilities to maintain the health of the communities they serve.
(Added by Ord. 224-04, File No. 041072, App. 8/25/2004)
The words and phrases as used in this Section and for the purposes of this Section, unless a different meaning is plainly required by context, shall have the meaning respectively ascribed to them in Section 97.2.
A. "Applicant Hospital" shall mean a private, non-governmental hospital that provides more than a forty (40) percent, or which is part of a hospital system that provides more than forty (40) percent, of the healthcare services provided by private, non-governmental hospitals in the City and County of San Francisco in any of the following categories, as defined in the Accounting and Reporting Manual for California Hospitals published by the Office of Statewide Health Planning and Development ("OSHPD") and as reported in the most recent OSHPD Hospital Annual Disclosure Reports available upon review of the hospital's permit application or other request for approval filed with an agency or department of the City and County of San Francisco or with the San Francisco Redevelopment Agency: licensed hospital beds, available licensed hospital beds, staffed licensed hospital beds, total patient days, or total discharges.
B. "Healthcare Impact Report" shall mean a document that analyzes the effects of the Applicant Hospital's proposed facility changes on the availability of hospital services, including but not limited to, emergency services, urgent care services, and behavioral health services to affected neighborhoods. The Healthcare Impact Report shall examine the accessibility of services to patients using all modes of transportation. Furthermore, the Healthcare Impact Report shall analyze the Applicant Hospital's current performance in the following areas and compare it with that of other private, non-governmental hospitals in the City and County of San Francisco:
2. Price of Care: The fees charged by the Applicant Hospital for a standardized set of hospital services, prescription and nonprescription drugs, medical supplies, and medical equipment. The standardized set of hospital services shall be established by the Health Department and shall incorporate any data reported in charge description masters recorded pursuant to California Health and Safety Code, Sections 1339.50
3. Caregiver Training, Education, and Development: The programs and financial support made available by the Applicant Hospital for caregiver training, education, and development.
(Added by Ord. 224-04, File No. 041072, App. 8/25/2004)
A. When an Applicant Hospital files a permit application or other request for approval with an agency or department of the City and County of San Francisco seeking approval for land use or construction activities involving the replacement or addition of more than two hundred (200) licensed hospital beds, the Health Department of the City and County of San Francisco shall prepare a Healthcare Impact Report. The Health Department shall make reasonable efforts to consult with the Applicant Hospital, as the Health Department deems necessary.
B. When an Applicant Hospital files a permit application or other request for approval with the San Francisco Redevelopment Agency seeking approval for land use construction activities involving the replacement or addition of more than two hundred (200) licensed hospital beds, and said application or request ultimately requires approval of an amendment to a Redevelopment Plan by the San Francisco Board of Supervisors or an agency or department of the City and County of San Francisco, the Health Department of the City and County of San Francisco shall prepare a Healthcare Impact Report. The Health Department shall make reasonable efforts to consult with the Applicant Hospital, as the Health Department deems necessary.
C. Upon completing the Healthcare Impact Report, the Health Department shall distribute it to the Health Commission, the Planning Commission, the Board of Supervisors and other City departments or agencies it deems appropriate. The Health Department shall complete and distribute the Healthcare Impact Report within six (6) months of being notified of the need for the report. If the Health Department does not complete and distribute the Healthcare Impact Report within that timeframe, Sections 97.3 (D, E, F) and 97.4 shall not apply.
D. A permit application or other request for approval with an agency or department of the City and Count of San Francisco seeking approval for land use or construction activities involving the replacement or addition of more than two hundred (200) licensed hospital beds shall not be considered complete until the Healthcare Impact Report is completed and distributed as described in this Section.
E. The Board of Supervisors or an agency or department of the City and County of San Francisco shall not approve an amendment to a Redevelopment Plan until it has received and reviewed a Healthcare Impact Report, when such a Healthcare Impact Report is required under this Section.
F. The Board of Supervisors, Planning Commission, Health Commission, and any other City departments or agencies provided with the Healthcare Impact Report by the Health Department shall review and consider the Healthcare Impact Report and use the comparisons therein as a criterion for determining whether or not to enact any legislation, grant any approval, or make any recommendations regarding amending a Redevelopment Plan or allowing or enabling the Applicant Hospital to replace or add more than two hundred (200) licensed hospital beds by building a new or retrofitting or remodeling an existing facility or structure in the City and County of San Francisco.
(Added by Ord. 224-04, File No. 041072, App. 8/25/2004)
The Health Department may charge and collect from the Applicant Hospital a fee for the preparation of the Healthcare Impact Report in an amount that does not exceed the actual cost of preparing the Healthcare Impact Report. The Health Department shall make reasonable efforts to use all data sources available in order to minimize costs.
(Added by Ord. 224-04, File No. 041072, App. 8/25/2004)