Existing law, the Alfred E. Alquist Hospital Facilities Seismic Safety Act of 1983, establishes, under the jurisdiction of the Department of Health Care Access and Information, a program of seismic safety building standards for certain hospitals constructed on and after March 7, 1973. Existing law requires that, by January 1, 2030, owners of these hospitals must either demolish, replace, or change to nonacute care use all hospital buildings that are not in compliance with these standards or seismically retrofit all acute care inpatient hospital buildings so they are in substantial compliance with these standards, unless subject to an abeyance. This bill would authorize a hospital owner or operator to submit an application, by specified dates, to the department for additional extensions to the compliance deadline. The bill would require the department to grant or deny an extension of the deadline for substantial compliance with seismic safety regulations or standards up to January 1, 2035. The bill would require the application to contain a seismic compliance plan, a specified evaluation report, a financial plan, and an attestation to the department that the appropriate governing board of that hospital is aware that the hospital building is required to be in substantial compliance with the seismic safety regulations or standards. By imposing the above-described attestation, this bill would expand the crime of perjury and impose a state-mandated local program. This bill would require the hospital and the department to identify specified milestones that are used for determining whether the hospital is making progress towards meeting the hospital's seismic compliance deadline. The bill would require the hospital to demonstrate efforts to comply with the seismic compliance deadline by providing the department with a plan outlining how seismic construction costs and other financial responsibilities will be met and what funding sources will be used if the hospital fails to meet an agreed-upon milestone due to circumstances that were within the hospital owner's or operator's control. The bill would require the owner or operator of that hospital to submit to the department an attestation that the appropriate governing board of that hospital is aware of the hospital's responsibility to comply with the associated construction costs to meet the seismic compliance deadlines. By requiring the owner or operator of a hospital to submit to the department an attestation, this bill would expand the crime of perjury and impose a state-mandated local program. This bill would require the department, before granting an extension past January 1, 2030, to provide public notice of a hospital's request for an extension, provide copies, upon request, of any publicly available material submitted by the hospital in support of their extension to interested parties, and allow the public to submit written comments on the extension proposal, as specified. The bill would require the department, beginning January 1, 2027, to post on the department's internet website specified information, including, among other things, its decision to grant or deny any extension. The bill would require the department to notify the county board of supervisors, the city council, and the Assembly and Senate representative in writing and electronically if a hospital within their district has been granted or denied an extension. This bill would require the department, on or before January 1, 2026, to adopt regulations and standards or revise regulations and standards, or both, to extend the deadlines for meeting the structural performance and nonstructural performance requirements. The bill would specify that regulatory submissions made by the department to the California Building Standards Commission are deemed to be emergency regulations and that the adoption of these regulations are to be deemed an emergency and necessary for the immediate preservation of the public peace, health and safety, and general welfare. Existing law requires, before January 1, 2024, the owner of an acute care inpatient hospital that includes a building that does not substantially comply with seismic safety regulations or standards to post in a lobby or waiting area generally accessible to patients or the public a notice provided by the department that the hospital is not in compliance with the seismic safety requirements the hospital is required to meet by January 1, 2030. Existing law requires, on or before January 1, 2024, and annually thereafter, the owner of an acute care inpatient hospital that includes a building that does not substantially comply with seismic safety regulations or standards to provide an annual status update on the Structural Performance Category ratings of the buildings and the services provided in each hospital building on the hospital campus to specified entities until each of the hospital buildings owned by that hospital building owner is compliant. This bill would require, before January 1, 2025, the owner or operator of an acute care inpatient hospital that includes a building that does not substantially comply with the seismic safety regulations or standards to post in any lobby or waiting area generally accessible to patients or the public the notice mentioned above. The bill would also require, on or before January 1, 2025, and annually thereafter, the owner or operator to provide an annual status update, as specified. This bill would specify that the provisions of this act are severable. The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement. This bill would provide that no reimbursement is required by this act for a specified reason.