The Little Hoover Commission is taking up the issue of obsolete “healthcare” districts, like SHD. Here is the latest from SHD Director, Jack Hickey:
The Latest details for Little Hoover Roundtable.
Sequoia Healthcare District Board President, Art Faro, will not be attending as previously reported.
Little Hoover Commission
California Healthcare Districts Roundtable
Thursday, November 16, 2016
1:30 p.m. to 3:30 p.m.
BMG Conference Room, Lower Level, 925 L Street
The Little Hoover Commission’s November 16, 2016, advisory committee meeting on California healthcare districts continues a study theme of special districts facing two special and historic challenges: the inevitable impacts of climate change and the evolving post-Affordable Care Act (ACA) healthcare landscape. The Commission is reviewing special districts as a follow-up to its May 2000 report Special Districts: Relics of the Past or Resources for the Future? The Commission has held two public hearings as part of its study. A first on August 25, 2016, broadly explored the landscape of special district purpose, organization and financing. A second on October 27, 2016, examined how special districts, particularly in water supply and delivery, wastewater management and flood control, factor climate change adaptation into long-range infrastructure budgeting and use of property taxes and reserves.
Purpose of the Roundtable:
The two-hour November advisory committee meeting facilitates a roundtable discussion between several Commissioners and more than a dozen experts in hospital care, community health and special district issues. Participants will primarily discuss how healthcare districts are rethinking their roles and relevance in an Affordable Care Act era that favors preventative care over traditional hospital care – the original reason for the existence of California hospital districts. The meeting also is designed to provide Commissioners background to consider questions that have swirled for years among Capitol legislative committees, local grand juries, Local Agency Formation Commissions (LAFCOs) and healthcare analysts:
§ If a healthcare district does not operate or own a hospital should it continue to exist?
§ If a healthcare district primarily channels its property tax allocations to other entities as healthcare grants, might this better be done by county health departments or other local governments?
§ Do critics who maintain that healthcare districts without hospitals should be dissolved have too narrow a focus and lack understanding of shifts in the healthcare landscape?
§ In an era of higher emphasis on wellness and preventative care how are healthcare districts without hospitals modeling and offering a new menu of healthcare services?
§ Should Local Agency Formation Commissions have ultimate authority to steer decisions about the role of healthcare districts?
Commission Chairman Pedro Nava, as chair of the special districts study subcommittee, will facilitate the meeting with several other Commissioners and guide a discussion with participants. Other Commissioners confirmed so far include Don Perata and Janna Sidley. There is no need to bring prepared remarks or PowerPoint presentations.