Health facilities: clinics.

Entire Section 40458.7 was deleted, removing all requirements for South Coast Air Quality Management District aggregate operations including fence-line PM10 monitoring systems, pile height limits (8 feet), fencing requirements, mandatory cessation of activities at threshold limits, public signage, full enclosure of open storage piles near sensitive receptors, and monthly inspections for facilities with a history of exceeding PM10 thresholds.

The bill title and legislative digest no longer reference air pollution or the South Coast Air Quality Management District. The bill is now solely about health facility affiliate clinic licensing.

New condition in Section 1218.1(a)(5): the parent clinic must not itself be an affiliate clinic. This prevents a chain of affiliate clinics where one affiliate serves as the parent for another, ensuring there is always a fully independently licensed primary care clinic at the top of the structure.

New subdivision (c) in Section 1218.1 allows a primary care clinic that has held a valid license for at least five years with no immediate jeopardy violations to file a change of location using the streamlined affiliate clinic application process, without requiring an onsite survey.

New subdivision (c)(1) requires a clinic corporation to submit a request to the department to establish another primary care clinic as the parent clinic before the closure of a current parent clinic. The department must approve if the new parent meets all requirements, and cannot require resubmission of information already in the corporate file unless there are changes.

New subdivision (e) requires that any changes to information provided to the department for a clinic be filed on forms established and furnished by the department.

New subdivision (f) specifies that all fees required under Section 1218.1 shall be assessed by the department in accordance with Section 1266.

The signature requirement (application must be signed by a board officer or CEO/executive director) was moved from a standalone subdivision into the main text of subdivision (a), and subdivisions were renumbered accordingly (old d, e, f became g, h, i).

Senator Gonzalez was removed as co-author; only Senator Perez remains. The bill number formatting was adjusted for alignment.

Entirely new affiliate clinic licensing framework added (amending Section 1218.1 and adding Section 1218.15 of the Health and Safety Code). A clinic corporation operating at least one primary care clinic licensed for 5+ years with no serious violations can open a new clinic site or mobile health unit without an initial onsite survey, provided the parent and affiliate clinics share the same corporate officers, nonprofit organization, board of directors, and medical directors/policies.

The bill's stated purpose expanded from 'relating to air pollution' to 'relating to air pollution. health facilities.' The legislative digest now covers both the South Coast Air Quality Management District rule update and the clinic licensing changes.

New Section 1218.15 allows qualifying primary care clinics to file a change of location or change of ownership using the simplified affiliate process, and to identify or re-designate a parent clinic through simple notice to the department. If a parent clinic closes or surrenders its license, the corporation may designate a new parent clinic.

The affiliate clinic application must include 12 specific items: administrative office info, CEO contact, new site address, administrator contact, operating hours and services, mobile unit compliance evidence, building code compliance, fire clearance, lease or purchase agreement, transfer agreement with a local hospital, and current board member list. The department must issue a license within 30 days of receiving a completed application.

Reimbursement provisions were split into two separate sections: one for the clinic provisions (no reimbursement required because the act creates or changes a crime) and one for the air pollution provisions (no reimbursement required because local agencies can levy sufficient fees). The original had only the single air-pollution-related reimbursement section.

The air pollution provisions (Section 40458.7) were renumbered from Section 1 to Section 3 of the bill, with the new clinic provisions occupying Sections 1 and 2. A typo in the definition of 'covered facility' was corrected (removed redundant ': facility'). Senator's name was corrected from 'Menjivar' to 'Menjivar Perez.'

Covered facilities must now display prominent signage on their property perimeter informing the public about Rule 1157, what discharges would violate the rule, and how to submit complaints to the South Coast Air Quality Management District.

A new Section 2 was added containing legislative findings that a special statute is necessary under Article IV, Section 16 of the California Constitution because of unique air quality concerns in the South Coast Air Basin. This likely addresses potential legal challenges to applying rules to a specific geographic area.

The definition of 'covered facility' was corrected from an unclosed quotation mark ('Covered facility: means') to a properly closed one ('Covered facility' means). The fence-line monitoring system definition was updated to reference 'aggregate operation covered facility' instead of just 'aggregate operation,' tying it more explicitly to the defined term.

Senator Gonzalez was added as a coauthor, indicating broader Senate support for the bill.