Chapter 1 - Health Planning

California Health and Safety Code — §§ 127280-127286

Sections (4)

Amended by Stats. 2021, Ch. 143, Sec. 73. (AB 133) Effective July 27, 2021.

(a)Every health facility licensed pursuant to Chapter 2 (commencing with Section 1250) of Division 2, except a health facility owned and operated by the state, shall each year be charged a fee established by the department consistent with the requirements of this section.
(b)Commencing in calendar year 2004, every freestanding ambulatory surgery clinic as defined in Section 128700, shall each year be charged a fee established by the department consistent with the requirements of this section.
(c)The fee structure shall be established each year by the department to produce revenues equal to the appropriation made in the

annual Budget Act or another statute to pay for the functions required to be performed by the department pursuant to this chapter, Article 2 (commencing with Section 127340) of Chapter 2, or Chapter 1 (commencing with Section 128675) of Part 5, and to pay for any other health-related programs administered by the

department. The fee shall be due on July 1 and delinquent on July 31 of each year.

(d)The fee for a health facility that is not a hospital, as defined in subdivision (f) of Section 128700, shall be not more than 0.035 percent of the gross operating cost of the facility for the provision of health care services for its last fiscal year that ended on or before June 30 of the preceding calendar year.
(e)The fee for a hospital, as defined in subdivision (f) of Section 128700, shall be not more than 0.035 percent of the gross operating cost of the facility for the provision of health care

services for its last fiscal year that ended on or before June 30 of the preceding calendar year.

(f)(1) The fee for a freestanding ambulatory surgery clinic shall be established at an amount equal to the number of ambulatory surgery data records submitted to the department pursuant to Section 128737 for encounters in the preceding calendar year multiplied by not more than fifty cents ($0.50).
(2)(A) For the calendar year 2004 only, a freestanding ambulatory surgery clinic shall estimate the number of records it will file pursuant to Section 128737 for the calendar year 2004 and shall report that number to the department by March 12, 2004. The estimate shall be as accurate as possible. The fee in the calendar year 2004 shall be

established initially at an amount equal to the estimated number of records reported multiplied by fifty cents ($0.50) and shall be due on July 1 and delinquent on July 31, 2004.

(B)The department shall compare the actual number of records filed by each freestanding clinic for the calendar year 2004 pursuant to Section 128737 with the estimated number of records reported pursuant to subparagraph (A). If the actual number reported is less than the estimated number reported, the department shall reduce the fee of the clinic for calendar year 2005 by the amount of the difference multiplied by fifty cents ($0.50). If the actual number reported exceeds the estimated number reported, the department shall increase the fee of the clinic for calendar year 2005 by the amount of the difference multiplied by fifty cents ($0.50) unless the actual

number reported is greater than 120 percent of the estimated number reported, in which case the department shall increase the fee of the clinic for calendar year 2005 by the amount of the difference, up to and including 120 percent of the estimated number, multiplied by fifty cents ($0.50), and by the amount of the difference in excess of 120 percent of the estimated number multiplied by one dollar ($1).

(g)There is hereby established the California Health Data and Planning Fund within the department for the purpose of receiving and expending fee revenues collected pursuant to this chapter.
(h)Any amounts raised by the collection of the special fees provided for by subdivisions (d), (e), and (f) that are not required to meet appropriations in the Budget Act for the current fiscal year

shall remain in the California Health Data and Planning Fund and shall be available to the department in succeeding years when appropriated by the Legislature in the annual Budget Act or another statute, for expenditure under the provisions of this chapter, Article 2 (commencing with Section 127340) of Chapter 2, and Chapter 1 (commencing with Section 128675) of Part 5, or for any other health-related programs administered by the department, and shall reduce the amount of the special fees that the department is authorized to establish and charge. In no event, however, shall those amounts be used for programs administered by the department pursuant to Sections 127676, 127679, 127681, 127683, and 127685, that become effective on or after January 1, 2019.

(i)(1) No health facility liable for the payment of fees

required by this section shall be issued a license or have an existing license renewed unless the fees are paid. A new, previously unlicensed, health facility shall be charged a pro rata fee to be established by the department during the first year of operation.

(2)The license of any health facility, against which the fees required by this section are charged, shall be revoked, after notice and hearing, if it is determined by the department that the fees required were not paid within the time prescribed by subdivision (c).
(j)This section shall become operative on January 1, 2002.

Amended by Stats. 2003, Ch. 230, Sec. 16. Effective August 11, 2003.

Notwithstanding any other provision of law, up to two hundred thousand dollars ($200,000) of the moneys collected pursuant to Section 127280 may be used by the State Department of Health Services for data collection on, analysis of, and reporting on, maternal and perinatal outcomes, if funds are appropriated in the Budget Act.

Amended by Stats. 2021, Ch. 143, Sec. 74. (AB 133) Effective July 27, 2021.

(a)Health facilities and clinics, except for chronic dialysis clinics as defined in subdivision (b) of Section 1204, shall annually report to the department all of the following information on forms supplied by the department:
(1)A current inventory of beds and services.
(2)Utilization data by bed type and service.
(3)Acquisitions of diagnostic or therapeutic equipment during the reporting period with a value in excess of five hundred thousand dollars ($500,000).
(4)Commencement of projects during the reporting period that require a capital expenditure for the facility or clinic in excess of one million dollars ($1,000,000).
(b)With respect to chronic dialysis clinics, the department may annually obtain this information to the extent it is available from the Federal End Stage Renal Disease Network.

Added by Stats. 2025, Ch. 398, Sec. 1. (AB 1418) Effective January 1, 2026.

(a)Commencing on January 1, 2027, health facilities, clinics, home health agencies, and hospices shall annually report to the department, on forms supplied by the department, whether all of their health care employees eligible for employer-sponsored health care coverage are eligible to receive coverage at the commencement of employment without a waiting period. If not all health care

employees eligible for employer-sponsored health care coverage are eligible without a waiting period, the health facilities, clinics, home health agencies, and hospices shall additionally report the following on forms supplied by the department:

(1)If the same waiting period applies to all eligible health care employees, the length of the waiting period.
(2)If different waiting periods apply to different classifications of eligible health care employees, the length of the waiting period for each classification employed by the health facility, clinic, home health agency, or hospice.
(b)The information required by paragraph (2) of subdivision (a) shall be collected for the following employee classifications:
(1)Physicians.
(2)Physician

interns, residents, and fellows.

(3)Registered nurses.
(4)Licensed vocational nurses.
(5)Aides and orderlies.
(6)Medical assistants.
(7)Home health aides.
(8)Technicians and specialists.
(9)Clerical and other administrative staff.
(10)Environmental services and food staff.
(11)Management and supervision.
(12)All other employee classifications.
(c)The department shall provide the health facilities, clinics, home health agencies, and hospices the ability to report the waiting period information required under subdivision (a) in the following date ranges:
(1)Zero days.
(2)1 to 14 days.
(3)15 to 30 days.
(4)31 to 60 days.
(5)61 to 90 days.
(6)More than 90 days.
(d)The department shall, to the extent feasible,

integrate the reporting obligation imposed pursuant to this section with existing reports that health facilities, clinics, home health agencies, and hospices are required to submit to the department to minimize any additional burden. Notwithstanding subdivision (a), this section shall not apply to health facilities, clinics, home health agencies, and hospices that are not required to file reports with the department.

(e)The department shall post the information reported pursuant to this section on its internet website on at least an annual basis.
(f)For purposes of this section, the following definitions apply:
(1)“Health

facilities, clinics, home health agencies, and hospices” means all of the following:

(A)“Health facilities,” as defined by Section 1250, except that “health facilities” does not include facilities within the meaning of subdivisions (e), (h), (j), or (m) of Section 1250.
(B)“Clinics,” as defined by Section 1200.
(C)“Home health agencies,” as defined by Section 1727.
(D)“Hospices,” as defined by Section 1746.
(2)“Waiting period” means the number of days between the date of commencement of employment and the start date of employer-sponsored health care coverage eligibility.