Section § 1440

Explanation

This section defines the term 'board' specifically as the board of supervisors of a county for the purposes of this chapter.

As used in this chapter the term “board” means the board of supervisors of a county.

Section § 1441

Explanation

This law allows each county's board of supervisors to set up and run a county hospital. They can make the rules for how the hospital is managed, hire necessary staff, and keep them employed as long as the board wishes. The board can also allow the hospital to join health-related organizations and use tax money to pay for membership fees.

The board of supervisors in each county may establish and maintain a county hospital, prescribe rules for the government and management thereof, appoint a county physician and other necessary officers and employees thereof, who shall hold office during the pleasure of the board and authorize said hospital to be a member of and 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 to use tax funds for the payment of dues and fees.

Section § 1441.5

Explanation

This section explains when a member of a county hospital's medical staff, who is also a county officer, can be involved in hospital contracts without being considered to have a financial conflict of interest under California law. The officer must not participate in making the contract and must disclose their relationship to it. The decision-making body must ensure the contract is fair and authorized without the officer's input. The rule applies to certain service contracts, such as those involving medical services and insurance agreements, as long as they are no more favorable than those with other hospital staff. However, this doesn't allow prohibited individuals to serve on county boards, nor does it allow any contract banned by other laws. Contracts involving corporations the officer is associated with are treated as if they are directly with the officer.

(a)CA Health & Safety Code § 1441.5(a)  A member of a county hospital’s medical or allied health professional staff who is an officer of the board of supervisors, or of a board or commission appointed by the board of supervisors for the operation of a county hospital 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 county body or board of which the officer is a member if all of the following conditions are satisfied:
(1)CA Health & Safety Code § 1441.5(a)(1)  The officer abstains from any participation in the making of the contract.
(2)CA Health & Safety Code § 1441.5(a)(2)  The officer’s relationship to the contract is disclosed to the body or board and noted in its official records.
(3)CA Health & Safety Code § 1441.5(a)(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)CA Health & Safety Code § 1441.5(a)(3)(A) Finds that the contract is fair to the county hospital and in its best interest.
(B)CA Health & Safety Code § 1441.5(a)(3)(B)  Authorizes the contract in good faith.
(b)CA Health & Safety Code § 1441.5(b)  Subdivision (a) shall apply to the following contracts:
(1)CA Health & Safety Code § 1441.5(b)(1)  A contract between the county hospital and the officer for the officer to provide professional services to the hospital’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)CA Health & Safety Code § 1441.5(b)(2)  A contract to provide services to covered persons between the county hospital and any insurance company, health care service plan, employer, or other entity which provides health care coverage, and which also has a contract with the officer to provide professional services to its covered persons.
(3)CA Health & Safety Code § 1441.5(b)(3)  A contract in which the county hospital and the officer are both parties if other members of the county hospital’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 county hospital’s medical or allied health professional staff.
(c)CA Health & Safety Code § 1441.5(c)  This section does not permit an otherwise prohibited individual to be a member of the board of supervisors or any committee or commission thereof. Nothing in this section shall authorize a contract that would otherwise be prohibited by Section 2400 of the Business and Professions Code.
(d)CA Health & Safety Code § 1441.5(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.

Section § 1442.5

Explanation

Before a county facility in California can be closed, have its services reduced, or its management changed, the county must notify the public at least 14 days before a public hearing. Notices must include details on the changes, expected savings, and impact on people using the services.

Even if facilities close or services are reduced, the county must still ensure care for indigent people, either directly or through private contracts. These contracts must make services available to Medi-Cal and Medicare recipients.

The county must also provide a 24-hour information service for those eligible for services, a channel for complaints, and list contracted service providers in the local phone directory.

(a)CA Health & Safety Code § 1442.5(a)  Prior to (1) closing , (2) eliminating or reducing the level of medical services provided by, or (3) the leasing, selling, or transfer of management of, a county facility, the board shall provide public notice, including notice posted at the entrance to all county health care facilities, of public hearings to be held by the board prior to its decision to proceed. The notice shall be posted not less than 14 days prior to the public hearings. The notice shall contain a list of the proposed reductions or changes, by facility and service. The notice shall include the amount and type of each proposed change, the expected savings, and the number of persons affected.
(b)CA Health & Safety Code § 1442.5(b)  Notwithstanding the board’s closing of, the elimination of or reduction in the level of services provided by, or the leasing, selling, or transfer of management of, a county facility subsequent to January 1, 1975, the county shall fulfill its duty to provide care to all indigent people, either directly through county facilities or indirectly through alternative means.
(1)CA Health & Safety Code § 1442.5(b)(1)  Where the county duty is fulfilled by a contractual arrangement with a private facility or individual, the facility or individual shall assume the county’s full obligation to provide care to those who cannot afford it, and make their services available to Medi-Cal and Medicare recipients.
(2)CA Health & Safety Code § 1442.5(b)(2)  Where the county duty is fulfilled by alternative means, the facility or individual providing services shall be in compliance with Sections 441.18 and 1277.
(3)CA Health & Safety Code § 1442.5(b)(3)  The board shall designate an agency to provide a 24-hour information service that can give eligible people immediate information on the available services and access to them, and an agency to receive and respond to complaints from people eligible for services under this chapter. The designated agency may be the agency that operates the facility. This subdivision applies only in instances in which there is (1) a closing of, (2) an elimination or reduction in the level of services provided by, or (3) the leasing, selling, or transfer of, a county facility.
(4)CA Health & Safety Code § 1442.5(b)(4)  The board shall arrange for all facilities or individuals contracting to provide services to indigent people to be listed in the local telephone directory under county listings, and shall specify therein that the facilities or individuals fulfill the obligations of county facilities.
(5)CA Health & Safety Code § 1442.5(b)(5)  Section 25371 of the Government Code does not relieve the county of the obligation to comply with this section.

Section § 1443

Explanation

This law allows the board to arrange transportation for needy sick individuals to and from hospitals. It also permits transporting indigent individuals to other locations, provided this will stop them from being a public burden, their friends or relatives take responsibility for their care, or they are legally considered public charges in the new location.

The board may provide for transporting the needy sick to and from hospitals to which they may be sent by authority of the board, and may provide for transporting indigents to other counties or states when such indigents will thereby cease to become public charges, or when friends or relatives of such indigents agree to assume the cost and expense of the care and maintenance of such indigents, or when such indigents are legally public charges in the places to which they are so transported.

Section § 1444

Explanation

If you live in a county or city with one million or more people in California, the local government can buy ambulances and set up a service to transport people who need urgent care to hospitals. If someone cannot afford to pay for this service, the county will cover the cost. However, if they can afford it, the person must pay back the county according to a set payment schedule, which is not less than the actual cost of transportation.

The board of supervisors in each county or city and county, having a population of one million or more, may purchase ambulances, establish and maintain an ambulance service, and prescribe rules for the government and management thereof. In any county where such a service has been established, any person who has been injured in an accident or is ill and in need of immediate transportation to a hospital may be taken to any available hospital. If he is indigent and unable to pay for the service, the cost shall be a proper charge against the county. If he is not indigent, he shall reimburse the county for the cost of transportation, which shall be in accordance with a schedule to be adopted by the board, and in no case less than the actual cost.

Section § 1444.6

Explanation

If a county hospital arranges for an ambulance to transfer a mentally unstable patient who has a history of violence, the hospital must inform the ambulance staff about the patient's condition and potential for aggression. Procedures must be in place to ensure this information is shared and recorded properly.

If a county hospital requests an ambulance to transfer a mental health patient who is unstable and has a history of being assaultive to another facility, notwithstanding any other provision of law, the director of the hospital or a designee shall inform the ambulance personnel of the instability and potential assaultiveness of the mental health patient. The county hospital shall establish procedures as are necessary to assure that the notification required by this section is given in appropriate cases and to assure that these notifications are documented.

Section § 1445

Explanation

This law allows county boards of supervisors in California to provide medical and dental care, as well as other health services, for people who can't afford it, such as the indigent sick, the aged, and the poor. They can levy taxes to fund these services, aiming to prevent serious illness and reduce long-term public expenses. Counties are encouraged to meet these health needs promptly and effectively.

Under such limitations and restrictions as are prescribed by law, and in addition to jurisdiction and powers otherwise conferred, the boards of supervisors in each county may provide for the care and maintenance of the indigent sick or dependent poor of the county, and may provide medical and dental care and health services and supplies to persons in need thereof who are unable to provide the same for themselves, and for these purposes may levy the necessary taxes. Each county may, insofar as it is able to do so, provide the means to meet promptly and adequately the health needs of the indigent sick, the aged, and the poor, for the better prevention of serious illness and incapacity, to the end that such persons will not become public charges at the greater expense of those resources set aside for the public health and welfare.

Section § 1446

Explanation

To qualify for care, a person must live in the state and county where the care is given, unless stated otherwise within this chapter. The definition of residency follows guidelines from another specific part of the Welfare and Institutions Code.

Except as otherwise provided in this chapter, a person, in order to be eligible for care, shall be a resident of the state and county wherein care is furnished as defined in Chapter 2 (commencing with Section 17100) of Part 5 of Division 9 of the Welfare and Institutions Code.

Section § 1447

Explanation

This law states that if a person or family is receiving public assistance and they move to a new county in California, the new county must provide necessary medical or hospital care to them. This is required as long as they are otherwise eligible for this care. The new county becomes responsible as soon as the old county informs them of the move. The person doesn't need to meet the usual residency requirement in the new county to receive this care.

Notwithstanding any other provisions of the Welfare and Institutions Code, the county which is responsible for the payment of public assistance to any person or group of persons under Chapter 2 (commencing with Section 11200), Chapter 3 (commencing with Section 12000), or Chapter 4 (commencing with Section 12500) of Part 3 of Division 9 of that code, and the needy relative in the case of aid to needy children, shall provide the necessary hospital or medical care, or both, if otherwise qualified for that care. If a recipient of public assistance moves from one county to another county within this state to make his or her home, the county to which the recipient removes shall become responsible for providing medical or hospital care or both upon notification by the first county that the recipient has moved to the second county for the purpose of making his or her home in that county, provided that the recipient is otherwise qualified for the care, except that he or she need not meet the residence qualifications set forth in Section 17105 of the Welfare and Institutions Code.

Section § 1451

Explanation

This law outlines how the care for indigent (low-income) sick individuals or dependent poor must be managed by county boards. Generally, care cannot be outsourced to private individuals through contracts, except in special situations.

For cases that are particularly difficult, require special treatment, or involve emergency care not available at county hospitals, boards can collaborate with public or private hospitals and facilities. "Hospital service" encompasses a wide array of care, including medical, surgical, and convalescent care, along with necessary staff and equipment.

Additionally, counties have the option to contract with licensed boarding homes for children under 18 when county facilities are inadequate. They may also contract with licensed medical professionals for patient treatment when deemed necessary for coordination with other healthcare sources.

(a)CA Health & Safety Code § 1451(a) Except as otherwise provided in this section, the board shall not let the care, maintenance, or attendance of the indigent sick or dependent poor by contract to any person.
(b)CA Health & Safety Code § 1451(b) The board may secure for the indigent sick, and other persons admissible to the county hospital, at an agreed rate, hospital service, or any portion thereof, from any public or private hospital, clinic, rest home, sanitarium, or other suitable facility, or from any corporation formed under Section 9201 of the Corporations Code or under Chapter 11A (commencing with Section 11491) of Part 2of Division 2 of the Insurance Code that operates in the state, in the following cases:
(1)CA Health & Safety Code § 1451(b)(1) Cases of unusual difficulty.
(2)CA Health & Safety Code § 1451(b)(2) Cases that require treatment, or hospital services, or the use of facilities not immediately available in the county hospital.
(3)CA Health & Safety Code § 1451(b)(3) Cases requiring emergency care or continued treatment after the emergency has ceased to exist.
(c)CA Health & Safety Code § 1451(c) As used in this section, “hospital service” includes medical, surgical, radiological, laboratory, nursing service, convalescent care, and the furnishing of the necessary professional personnel, equipment, and facilities to manage the needs of patients on a continuing basis in accordance with accepted medical standards, with a staff of professional nursing personnel who are assigned and available under a clear and definite responsibility to the institution rendering the service for the provision of services to the patients, and any other care, service, or supplies that may be necessary for the treatment of the sick or injured.
(d)CA Health & Safety Code § 1451(d) The county may also contract with licensed boarding homes for 24-hour care for dependent children under the age of 18 years when suitable facilities are not otherwise available in any institution or establishment maintained and operated by the county.
(e)CA Health & Safety Code § 1451(e) The county may also contract for medical treatment of persons admissible to the county hospital with any licensed physician and surgeon, or a corporation operating under Section 9201 of the Corporations Code.
(f)CA Health & Safety Code § 1451(f) The county may also contract for health care services when the board determines that the hospital services or any portion thereof rendered by the county hospital should be coordinated with those provided by any other source.

Section § 1451.5

Explanation

This law allows a county board to pay for emergency medical care for indigent residents who receive treatment in another state, but only if it's more affordable than transporting them to a similar facility within California.

The board may authorize payment for care provided, on or after January 1, 1962, to an indigent resident of the county in a hospital or medical facility located in another state, where that care is provided in an emergency or can be secured at a lesser expense than would be the case were the person to be transported to a comparable facility in this State.

Section § 1452

Explanation

This section allows certain counties in California to set up a 'Hospital Trust Fund' in the county treasury for deposits made by patients when they enter a county hospital. After a patient is discharged, they are entitled to a refund of any unused portion of their deposit, with the hospital keeping the rest. The business manager or a designated person from the board of supervisors approves the refund, which is then executed by the county auditor and treasurer.

If a refund isn't made within 30 days of discharge, the patient can file a claim against the county as outlined in the Government Code.

The board of supervisors of counties of the 20th class and 40th to 58th class, inclusive, in connection with the administration of a county hospital may establish in the county treasury a special fund to be known as the “Hospital Trust Fund,” into which may be placed deposits made voluntarily by patients entering such hospital.
At the time of any patient’s dismissal from a county hospital, there shall be refunded to him, upon the order of the business manager or other person designated by the board of supervisors, such portion of the deposit made voluntarily by the patient at the time of his entrance into the hospital as was unneeded for his care while confined therein. The portion earned by the hospital shall be transferred to the hospital fund in the county treasury.
Upon presentation of an order for refund under this section, the county auditor shall draw his warrant on the Hospital Trust Fund, and the county treasurer shall pay the amount due thereon.
If no refund is made within 30 days after the patient’s discharge, the patient may file a claim against the county pursuant to Article 1 of Chapter 4 of Division 3 of Title 3 of the Government Code.

Section § 1453

Explanation

This law allows county hospital patients in California to have a special personal deposit fund set up in the county treasury for their money. Patients can ask the hospital superintendent to deposit their money into this fund. If a patient has a guardian or conservator, that person can request the money on the patient's behalf.

Patients can use this money for personal expenses while they're in the hospital. When a patient is discharged, any remaining money in their fund is returned to them. Patients or their representatives can also ask for their money back at any time before discharge, and the superintendent must arrange for its refund.

The board of supervisors of any county in connection with the administration of any county hospital may establish in the county treasury a special fund to be known as the “patients’ personal deposit fund.” When such fund is established, any patient in the hospital may request the superintendent thereof to deposit in the fund any moneys belonging to the patient. Upon any such request by any patient any moneys belonging to the patient shall be deposited in the name of that patient in the patients’ personal deposit fund, except that if a guardian or conservator of the estate is appointed for the patient, then the guardian or conservator shall have the right to demand and receive such moneys or to withdraw either in whole or in part the moneys theretofore deposited in the fund in the name of the patient. Any of the funds belonging to a patient deposited in the patients’ personal deposit fund may be used for the purchase of personal incidentals for the patient or otherwise used for the personal needs and benefits of the patient upon his request. At the time of the discharge from the hospital of any patient there shall be refunded to him upon the order of the superintendent the balance of any moneys standing to the credit of the patient in the fund.
Prior to the time of the discharge of any patient, upon the demand of the patient there shall be refunded to him upon the order of the superintendent the whole or any portion of the balance of any moneys standing to the credit of the patient in the fund. Upon such demand of the patient, or upon the discharge of the patient from the hospital, or upon the demand of the guardian or conservator of the estate of the patient, the superintendent shall order the refund to the patient or the payment to such guardian or conservator as hereinbefore provided.

Section § 1454

Explanation

If you live in a county in California with a county hospital and you're an expectant mother who can't afford care, the county hospital must admit you. The county where you live will cover the costs of your care while you're there.

In any county where a county hospital has been established, any expectant mother who is unable to pay for her necessary care shall be admitted to the county hospital, and the cost of her maintenance and care shall be a proper charge against and shall be paid by the county of her residence.

Section § 1455

Explanation

This law requires the board to hire a qualified medical graduate or graduates to care for needy or poor individuals in county hospitals and almshouses.

The board shall appoint a suitable graduate, or graduates, in medicine to attend such indigent sick or dependent poor in the county hospitals and almshouses.

Section § 1456

Explanation

This law allows county boards of supervisors to create a hospital and safety commission to advise them on public health and safety related to county hospitals. The commission's powers and duties, which can include promoting workplace safety and investigating accidents, are defined by the county's ordinance.

The commission members, who cannot be elected officials, are appointed by the board, and their residency in the county is required. They may be compensated and reimbursed for travel expenses if specified in the ordinance. Meetings must be public and held within the county.

The ordinance must detail the commission's name, functions, member appointments, compensation, and expenses. Existing commissions must comply or be re-established under these rules to continue functioning.

(a)CA Health & Safety Code § 1456(a)  In the interest of public health and safety the board of supervisors of any county which maintains a county hospital may by ordinance establish a hospital and safety commission. The commission shall be advisory to the board of supervisors.
(b)CA Health & Safety Code § 1456(b)  The commission shall exercise such powers and perform such duties relating to the administration of the county hospital as shall be prescribed by the ordinance. The commission shall further exercise such powers and perform such duties as shall be prescribed by the ordinance and which may include the following:
1.  To promote safety among all county officers and employees and to develop a program of accident prevention.
2.  To investigate all industrial, vehicular and all other accidents to county personnel and county equipment, including privately owned equipment operated by county personnel under contract with the county.
3.  To hold hearings in the course of such investigation and to report to the board of supervisors upon all accidents reported to and investigated by the commission.
4.  To recommend to the board of supervisors safety rules and regulations promoting the health and safety of all county officers and employees and agents in the prosecution of their office or employment and their use of all equipment in the course of their duties as such officers, employees, and agents.
(c)CA Health & Safety Code § 1456(c)  The commission shall be appointed by the board of supervisors. No person holding any elective office shall be appointed to the commission. Members of the commission shall be residents of the county. Members shall be appointed in the manner prescribed by the ordinance and shall serve for such term as is prescribed therein; subject, however, to the power of the board of supervisors to remove any member of the commission at any time by three-fifths vote of the board.
(d)CA Health & Safety Code § 1456(d)  The members of the commission shall serve with or without compensation as prescribed by the ordinance.
(e)CA Health & Safety Code § 1456(e)  Members of the commission may, when and if so provided in the ordinance, receive actual and necessary expenses in traveling from their place of residence to the place of meeting of the commission, and return, and such expenses shall be a proper charge upon the county; provided, however, that in no event shall any charge be made upon the county for any expense incurred by any member for any meal eaten at any meeting of the commission.
(f)CA Health & Safety Code § 1456(f)  Meetings of the commission shall be held in accord with the provisions of Chapter 9 (commencing with Section 54950) of Part 1 of Division 2 of Title 5 of the Government Code.
(g)CA Health & Safety Code § 1456(g)  The provisions of Section 54954 of the Government Code notwithstanding, any meeting of the commission shall be held only in a public building of the county and within the county in which such commission is established.
(h)CA Health & Safety Code § 1456(h)  The ordinance establishing the commission shall specifically prescribe the following:
(1)CA Health & Safety Code § 1456(h)(1)  The name of the commission;
(2)CA Health & Safety Code § 1456(h)(2)  The functions and duties thereof;
(3)CA Health & Safety Code § 1456(h)(3)  Number of members, method of appointment and term of members;
(4)CA Health & Safety Code § 1456(h)(4)  A statement of whether or not payment of compensation to members of the commission is authorized and, if authorized, a statement of the amount of such compensation and the maximum number of meetings of the commission in any one calendar month for which such compensation may be paid;
(5)CA Health & Safety Code § 1456(h)(5)  A statement of whether or not traveling expenses are authorized and, if authorized, a statement of the rate which will be allowed for mileage.
(6)CA Health & Safety Code § 1456(h)(6)  Subject to the limitations prescribed by this section, such ordinance may contain such additional provisions as the board of supervisors may deem expedient for the proper administration of the affairs of the commission.
(i)CA Health & Safety Code § 1456(i)  Any ordinance of any county establishing a hospital or a safety commission enacted prior to the effective date of this section is hereby validated, provided that the provisions of the ordinance substantially comply with the limitations and authorizations set forth in this section; provided expressly, however, that any such hospital or safety commission created by ordinance enacted prior to the effective date of this section shall cease to exist at the close of the 60th day following the effective date of this section, and no hospital or safety commission established by any such ordinance, or established in any other manner whatever, shall continue to exist or function thereafter in any county unless and until such hospital or safety commission is established by ordinance under the provisions of this section.

Section § 1457

Explanation

The State Department of Health Services sets rules for record-keeping at county hospitals, including details on patient admissions and discharges. These records must be maintained according to department regulations, but a county can decide to destroy them if they follow certain conditions.

Some hospital records, like those related to payment rates for healthcare services, are kept private and not open to public disclosure for three years after a contract is signed. This privacy rule does not apply to records concerning selective provider contracts, which are governed by specific laws.

(a)CA Health & Safety Code § 1457(a) The State Department of Health Services, with the advice of the State Department of Social Services, shall prescribe the records to be kept by county hospitals of persons received into or discharged from these institutions, including, but not limited to, records for the admission and processing of county hospital patients.
(b)CA Health & Safety Code § 1457(b) The records shall be preserved and maintained pursuant to regulations adopted by the department, or at the request of the county physician or other person in charge of the county hospital, the board of supervisors of the county may authorize the destruction of any record, paper, or document prescribed by the department following compliance with the conditions prescribed in Section 26205 of the Government Code.
(c)Copy CA Health & Safety Code § 1457(c)
(1)Copy CA Health & Safety Code § 1457(c)(1) Notwithstanding any other provision of law, those records of a hospital, or any other county medical facility, subject to this chapter that reveal the rates of payment for health care services rendered by or purchased by the hospital or other medical facility, or the deliberative processes, discussions, communications, or any other portion or aspect of the negotiations leading to those payment rates, shall not be considered public records subject to disclosure pursuant to the California Public Records Act (Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code), nor shall they be subject to public disclosure pursuant to any other law requiring the disclosure of records, for a period of three years following execution of a related contract establishing rates of payment.
(2)CA Health & Safety Code § 1457(c)(2) Notwithstanding paragraph (1), public disclosure or nondisclosure of records relating to any matters or activities connected with selective provider contracts entered into pursuant to Article 2.6 (commencing with Section 14081) of Chapter 7 of Part 3 of Division 9 of the Welfare and Institutions Code shall be determined pursuant to Article 2.6 (commencing with Section 14081) of Chapter 7 of Part 3 of Division 9 of the Welfare and Institutions Code and Section 7926.220 of the Government Code, and other applicable provisions of Division 10 (commencing with Section 7920.000) of Title 1 of the Government Code.

Section § 1458

Explanation

This law allows a board to set up a farm that is associated with a county hospital or almshouse. The board is also given the authority to create rules for how the farm operates.

The board may provide a farm in connection with the county hospital or almshouse and may make regulations for working the same.

Section § 1459

Explanation

This law states that county hospitals in California, and their medical staff, cannot impose special nonmedical requirements, like age, marital status, or number of children, on individuals seeking sterilization for contraceptive purposes. These requirements cannot be stricter than those imposed on people seeking other surgeries.

The law allows for requirements related to the physical or mental health of the individual and permits doctors to advise patients on whether sterilization is suitable. It also does not change existing laws concerning individuals under 18 years of age.

No county hospital 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.

Section § 1460

Explanation

This California law allows county boards of supervisors to set up scholarship programs for nurses and other healthcare professionals, excluding physicians, to address recruitment and retention needs. The board or its designee will oversee the scholarship programs.

If a graduate works at a county-operated health facility for less than one year after getting licensed, they must repay the scholarship with interest. If they work for more than a year, the scholarship debt is canceled. The terms for repayment or cancellation are outlined by the board's rules and regulations.

Interest accrues on these scholarships from the date they are issued until they are repaid or canceled according to these conditions.

(a)CA Health & Safety Code § 1460(a)  Upon a determination and establishment of the need to recruit and retain registered nurses, licensed vocational nurses, X-ray technicians, laboratory technologists, and other health care professionals, the board of supervisors of a county may establish nursing or health care professional scholarships. For purposes of this section, “health care professional” shall not include a physician and surgeon.
(b)CA Health & Safety Code § 1460(b)  The board of supervisors, or a designee of the board, shall administer the scholarship program for students participating in a nurse or health care professional training program and shall adopt such rules and regulations as are reasonably necessary to carry out the provisions of this section.
(c)CA Health & Safety Code § 1460(c)  Scholarships made pursuant to this section, shall be repayable to the board of supervisors or canceled under the following conditions:
(1)CA Health & Safety Code § 1460(c)(1)  A graduate nurse or health care professional who maintains employment in a county-operated health facility for less than one year after becoming licensed shall repay the scholarship in addition to accrued interest charges. The scholarships shall be repayable to the board of supervisors under the terms specified in the agreement.
(2)CA Health & Safety Code § 1460(c)(2)  The total amount of the scholarship and all accrued interest shall be canceled for a graduate nurse or graduate health care professional who maintains employment in a county-operated facility for more than a year from the date of licensure and may be canceled under any other conditions established by rules and regulations adopted by the board of supervisors. For the purposes of this section, one year of employment in a county-operated health facility shall be deemed to have lapsed one year from the date the licensed nurse or health care professional presents proof, in writing, to the board of supervisors, or designee of the board, that he or she is licensed and is employed in a county-operated health facility.
(d)CA Health & Safety Code § 1460(d)  In addition to the principal amount of the scholarship, interest shall accrue on the principal at a rate to be established by the board of supervisors. Interest shall accrue from the date the scholarship is made until it is repaid unless the scholarship is canceled pursuant to paragraph (2) of subdivision (c).

Section § 1461

Explanation

This law allows the board of directors at hospitals to hold closed sessions for hearings related to medical audits or quality assurance committee reports. However, if the hearing directly affects a medical staff member's privileges, that person can ask for the hearing to be public. Deliberations by the board about these hearings can also be closed to the public.

Notwithstanding any other provisions of law, the board of directors of any hospital subject to this chapter may order that any hearings on the reports of hospital medical audit or quality assurance committees be held in closed session. 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 these hearings may be held in closed session.

Section § 1462

Explanation

The law generally requires that hospital board meetings are open to the public. However, these meetings can be closed if they involve discussions about hospital trade secrets. Trade secrets are things necessary for new services or facilities that, if revealed too soon, could hurt the hospital financially.

Closed meetings can't be used to take actions or discuss plans like selling, leasing, or changing ownership of a county hospital. This ensures that major decisions are transparent and not hidden from the public.

(a)CA Health & Safety Code § 1462(a)  Except as provided in this section or Section 1461, all of the sessions of the board of directors of any hospital subject to this chapter, whether regular or special, shall be open to the public.
(b)CA Health & Safety Code § 1462(b)  The board of directors may order that a meeting held solely for the purpose of discussion or deliberation, or both, of reports involving hospital trade secrets to 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.
(c)CA Health & Safety Code § 1462(c)  “Hospital 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 which meets both of the following:
(1)CA Health & Safety Code § 1462(c)(1)  Is necessary to initiate a new hospital service or program or add a hospital facility.
(2)CA Health & Safety Code § 1462(c)(2)  Would, if prematurely disclosed, create a substantial probability of depriving the hospital of substantial economic benefit.
(d)CA Health & Safety Code § 1462(d)  The exemption 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)CA Health & Safety Code § 1462(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)CA Health & Safety Code § 1462(e)(1)  The sale, conversion, contract for management, or leasing of any county hospital or the assets thereof, to any for-profit or not-for-profit entity, agency, association, organization, governmental body, person, partnership, corporation, or other district.
(2)CA Health & Safety Code § 1462(e)(2)  The conversion of any county hospital to any other form of ownership by the county.
(3)CA Health & Safety Code § 1462(e)(3)  The dissolution of the county hospital.