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Inventory of the Office of Statewide Health Planning and Development Records
R167  
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Collection Details
 
Table of contents What's This?
  • Descriptive Summary
  • Administrative Information
  • Agency History
  • Scope and Content
  • Organization
  • Subjects

  • Descriptive Summary

    Title: Office of Statewide Health Planning and Development Records
    Dates: 1967-1990
    Collection number: R167
    Creator: California Office of Statewide Health Planning and Development
    Extent: 25.5 cubic feet
    Repository: California State Archives
    Sacramento, California
    Abstract: The record group consists of 25.5 cubic feet of textual records from the Office of Statewide Health Planning and Development and related agencies covering the years 1967 to 1990. Memoranda, correspondence, and reports form the bulk of the material and demonstrated the statewide effort at regulating the health care industry. The records contain material from the Health Planning Council, the Advisory Health Council, the Health Facilities Commission, and the Office of Statewide Health Planning and Development.
    Physical location: California State Archives
    Language: English

    Administrative Information

    Access

    Some the records within this collection are restricted due to Attorney-Client privilege. The specific series has been described and noted as restricted within the finding aid and the folders have been marked "Restricted" as well. Evidence Code Sections 952 and 954.

    Publication Rights

    For permission to reproduce or publish, please contact the California State Archives. Permission for reproduction or publication is given on behalf of the California State Archives as the owner of the physical items. The researcher assumes all responsibility for possible infringement which may arise from reproduction or publication of materials from the California State Archives collections.

    Preferred Citation

    [Identification of item], Office of Statewide Health Planning and Development Records, R167.[series number], [box and folder number], California State Archives, Office of the Secretary of State, Sacramento, California.

    Acquisition Information

    The California State Archives acquired the records of the Office of Statewide Health Planning and Development according to state law.

    Agency History

    The Office of Statewide Health Planning and Development (OSHPD) became a state agency in 1979. In 1985 it absorbed the responsibilities of two other state agencies, the Advisory Health Council and the Health Facilities Commission. The five agencies forming this collection helped coordinate California's health planning for the state government. Each agency had evolving areas of interest but all five concerned themselves with reducing public and private health care costs in order to grant wider health care access.
    In 1966, Congress passed Public Law 89-749, the Comprehensive Health Planning and Public Health Services Amendments of 1966. The law mandated that states coordinate their own statewide health plan as well as coordinate the plans with the federal government. California's response was AB1567 (Duffy, Chapter 1597, Statutes of 1967) that added Part 1.5 (commencing with Section 437) to Division 1 of the Health and Safety Code. The bill created the Health Planning Council, requiring the council to coordinate statewide health care with federal standards. The council originally consisted of thirteen members, eight appointed by the governor, two appointed by the Chair of the Senate Rules Committee, two appointed by the Speaker of the Assembly. The Council's chair was the Administrator of the Health and Welfare Agency. There were seven ex-officio members. In 1969, as a part of Governor Reagan's Reorganization Plan Number 1 of 1969, the Advisory Hospital Council ceased functioning and its duties fell to the Health Planning Council.
    Later, AB1404 (Duffy, Chapter 1550, Statutes of 1969) reorganized the Council with the total membership increased to twenty-one members, including twelve appointed by the governor, three each appointed by the Chair of the Senate Rules Committee and the Speaker of the Assembly. Additionally, the Directors of the both the departments of Public Health and Mental Hygiene, as well as a state government official concerned with health appointed by the Governor, were all members. The governor appointed both the Chair and Vice-Chair. The Council changed one last time before becoming the Advisory Health Committee. With AB2528 (Schabarum, Chapter 1217, Statutes of 1971), the Council gained four members: two more governor appointees, one member from the California Committee on Regional Medical Programs, and an ex-officio member appointed by the Administrator of the Veterans Affairs.
    In 1973, the Advisory Health Council emerged from Governor Reagan's Government Reorganization Plan 1 of 1970 (July 1, 1973). With AB437 (Hayden, Chapter 142, Statutes of 1973), the new council absorbed the duties of several other previous statewide health agencies, primarily the Health Planning Council. The Advisory Health Council originally had twenty-one members, including thirteen appointed by the Governor, three each appointed by the Chair of the Senate Rules Committee and the Speaker of the Assembly, one appointed by the California Committee on Regional Medical Programs and one ex-officio member appointed by the Administrator of the Veterans Affairs. The Council was restructured by AB4001 (Keene, Chapter 854, Statutes of 1976). One of the changes required the Council to act as the appeals body for the Certificates of Need Program. The Council continued to advise various state agencies on health policy until 1985, when the Advisory Health Council merged into the OSHPD. The Health Facilities Commission was another state program integrated into the OSHPD along with the Council.
    The Health Facilities Commission was originally the Hospital Commission. Created in 1971 by the Hospital Disclosure Act, SB283 (Teale, Chapter 1242, Statutes of 1971), the Hospital Commission's original objective was to develop and administer the implementation of regulations requiring a uniform system of accounting as well as financial and statistical reporting for every Californian hospital. Important goals for the Commission included both increasing efficiency of hospital services while stabilizing hospital costs in addition to establishing a uniform accounting and reporting system. The seven-member commission worked closely with the California Hospital Association (CHA) to create regulations and accounting manuals. In 1973, AB2123 (Hayden, Chapter 1072, Statutes of 1973) tasked the Commission to report in 1975 to the State Legislature on a proposed Economic Stabilization Program for hospitals to replace the Federal Wage-Price Stabilization Program.
    The California Hospital Commission's name changed to the Health Facilities Commission with AB4396 (Ingalls, Chapter 1171, Statutes of 1974), which also increased the Commission membership to thirteen and changed the Hospital Disclosure Act into the Health Facilities Disclosure Act. Additional Commission duties entailed collecting annual fiscal information and compiling a statewide report on hospitals. In 1975, the Commission gained two extra members with AB1812 (Murphy, Chapter 1169, Statutes of 1975), bringing the total to fifteen. After the newly reconfigured commission became the collector of hospital information, the scope of the Commission fluctuated frequently from 1976 until 1979. By 1980, the Health Facilities Commission produced statewide cost and service analysis on over 600 hospitals and 1,200 long-term care providers. This work lasted until 1985 when the Commission's responsibilities were given to the Office of Statewide Health Planning and Development.
    The Office of Statewide Health Planning and Development emerged from the complete reorganizing of the Health and Welfare Agency made by SB363 (Gregorio, Chapter 1252, Statutes of 1977). The Legislature tasked the OSHPD with creating and maintaining uniform standards for hospitals and other health providers throughout the state. This would ensure efficient resource use. They reasoned that spending resources efficiently was an important step in improving health care. Furthermore, the legislature mandated public oversight of the health care industry to force the industry to account for public resources. The OSHPD would later adopt the functions of other state agencies. In 1985, with SB181 (Campbell, Chapter 1326, Statutes of 1984) abolished the Health Facilities Commission and the Advisory Health Council and moved both agencies' duties to the Office of Statewide Health Planning and Development. The expanded office became responsible for the duties assigned to the terminated agencies in addition to the OSHPD's previous responsibilities. After this change, the Office coordinated with the twelve existing local Health Systems Agencies.

    Scope and Content

    The record group consists of 25.5 cubic feet of textual records from the Office of Statewide Health Planning and Development and related agencies covering the years 1967 to 1990. Memoranda, correspondence, and reports form the bulk of the material and demonstrated the statewide effort at regulating the health care industry. The records contain material from the Health Planning Council, the Advisory Health Council, the Health Facilities Commission, and the Office of Statewide Health Planning and Development.
    This collection will interest researchers concerned with the health care industry. All five record creators had oversight of some portion of the health care industry. Of the four creators, the records of the Health Facilities Commission offer the most complete picture of daily operations and changes in heath care. The records were created between 1973 and 1985 and include comprehensive amounts of material produced by the Commission's various elements. The constant changes in the Commission's scope and regulatory power highlighted the clash between government regulations and private autonomy of hospitals and other health care facilities. An important analysis of this change was temporary Executive Director Gordon Cummings' report in 1980 summarizing the health care industry over the previous fifty years.
    The records of the Health Planning Council and Advisory Health Council share a similar scope. Both record groups detail the formation and execution of statewide health planning from 1967 until 1985. The meeting files of both councils reflect the health care industry's evolution and reveal what government regulators, doctors, and health care providers discussed and planned. Meeting files also form the bulk of material from both groups. Important subjects for each council included organizing California's health care industry, coordination of local Health Systems Agencies, and ensuring that California followed federal guidelines.
    The records from the actual Office of Statewide Health Planning and Development were limited to records produced by Legislative Liaison. As such, the records do not shed light on the OSHPD's daily operation, only highlighting the office's legislative agenda. Several important topics appear throughout the collection. One of the most important was regulating Certificate of Need for hospitals. Certificates of Need regulated health care facilities by limiting hospital expansion or health care-related purchases unless the facility had a documented need for the expansion or purchase. The Office also concerned itself with various health care regulations, such as nurse and doctor regulations.

    Organization

    This record group is organized into four subgroups: Health Planning Council records, Advisory Health Council records, Health Facilities Commission records, and records of the Legislative Liaison.

    Subjects

    California. Office of Statewide Health Planning and Development
    California. Advisory Health Council
    California Health Facilities Commission