Existing law, the Alfred E. Alquist Hospital Facilities Seismic Safety Act of 1983, establishes a program of seismic safety building standards for certain hospitals. Existing law requires, by January 1, 2030, owners of all acute care inpatient hospitals to either seismically retrofit all acute care inpatient hospitals, or demolish, replace, or change to nonacute care use all hospital buildings not in substantial compliance with regulations and standards developed by the department in accordance with the act, as specified. This bill would authorize the Children's Hospital Los Angeles to seek approval from the Department of Health Care Access and Information for an extension to the January 1, 2030, compliance deadline described above by up to 3 years. The bill would authorize the hospital to submit a seismic compliance plan, as specified, and, if necessary, a Nonstructural Performance Category-5 evaluation report in order to seek an extension. The bill would also require the hospital and department to identify least 2 major milestones relating to the seismic compliance plan that will be used as the basis for determining whether a hospital is making adequate progress towards meeting the hospital's seismic compliance deadline. The bill would subject the submitted seismic compliance plan to departmental review for reasonableness and require the hospital seeking the extension to submit any documentation requested by the department to assist its review. The bill would require the department to approve or deny a seismic compliance plan and any extension to the seismic compliance deadline within 120 days. The bill would also authorize the department to adjust the approved extension of time, the milestones agreed upon, or both, as necessary to deal with contractor, labor, or material delays, acts of God, governmental entitlements, or other circumstances beyond the hospital's control. The bill would impose a fine of $5,000 per calendar day for the hospital's failure to comply with a revised construction schedule or to meet any major milestone established by the department until the requirements or milestones, respectively, are met. The bill would also generally prohibit these hospitals from being issued a building permit for any building in the facility except those required for seismic compliance, maintenance, and emergency repairs until the milestone is met and the hospital is adequately progressing toward meeting the hospital's seismic compliance, as determined by the department. The bill would require the department to implement the above-described provisions by regulation, as specified. This bill would make legislative findings and declarations as to the necessity of a special statute for the County of Los Angeles.