Chapter 9Pajaro Valley Health Care District
Section § 32498.5
This law establishes the Pajaro Valley Health Care District in Santa Cruz and Monterey counties. The district can only be formed if the relevant county board appoints an initial board of directors. The district covers areas corresponding to the Pajaro Valley Unified School District, with specific boundaries detailed in the text. Once the district is formed, any changes must follow the rules of the Cortese-Knox-Hertzberg Local Government Reorganization Act of 2000.
Section § 32498.6
This law requires the Pajaro Valley Health Care District Board of Directors to create zones within the district within five years of their first meeting. These zones should reflect the area's demographics and geography, including population distribution.
The board must hold a hearing where local voters can share their thoughts on the proposed zones, but the board's decision will be final. These zones will then be used for the next district election as long as there is enough time to prepare accordingly.
Section § 32498.7
This law requires the district to inform the Santa Cruz local agency formation commission (LAFCO) if it or any other group acquires Watsonville Community Hospital. If the district hasn't acquired the hospital through a bankruptcy process by January 1, 2024, LAFCO must dissolve the district.
Section § 32498.8
If the district that operates Watsonville Community Hospital either sells the hospital or stops providing healthcare services there, they must inform the Santa Cruz County local agency formation commission. Upon receiving such a notification, the commission is required to dissolve the district.
Importantly, this dissolution process is exempt from certain government procedures and requirements usually involved in organizational changes, as well as certain taxation code requirements.
Section § 32498.9
This law mandates that within a year of its creation, the Santa Cruz County local agency must establish a "sphere of influence" for the district unless it dissolves before then. The district is also required to submit annual reports on healthcare services within its area by the end of 2023 and 2024.
Moreover, starting December 31, 2025, and every five years after, a municipal service review on healthcare services in the district must be conducted unless the district dissolves earlier.