ENROLLED ORIGINAL
AN ACT
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IN THE COUNCIL OF THE DISTRICT OF COLUMBIA
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To approve the development agreement transmitted by the Mayor on June 8, 2020, as a contract in
excess of $1 million for the construction of a new hospital at St. Elizabeths; to approve the
operations agreement transmitted by the Mayor on June 8, 2020, as a multiyear contract and
contract in excess of $1 million for the operation of the hospital; to authorize the Mayor to
dispose of the hospital and the real property on which the hospital will be located to UHS
East End Sub, LLC; to establish a special fund as a startup reserve for the hospital; and to
amend the Health Services Planning Program Re-Establishment Act of 1996 to establish
an uncompensated care requirement for the hospital.
BE IT ENACTED BY THE COUNCIL OF THE DISTRICT OF COLUMBIA, That this
act may be cited as the New Hospital at St. Elizabeths Amendment Act of 2020.
TITLE I. CONTRACT APPROVAL; DISPOSITION AUTHORIZATION.
Sec. 101(a) Pursuant to section 451 of the District of Columbia Home Rule Act, approved
December 24, 1973 (87 Stat. 803; D.C. Official Code 1-204.51), and notwithstanding the
Procurement Practices Reform Act of 2010, effective April 8, 2011 (D.C. Law 18-371; D.C.
Official Code 2-351.01 et seq.), the Public-Private Partnership Act of 2014, effective March
11, 2015 (D.C. Law 20-228; D.C. Official Code 2-271.01 et seq.), or any other law, the
Council approves:
(1) The Development Agreement between the District of Columbia and UHS
Building Solutions, Inc., for the design and construction of a hospital and other facilities
(Hospital Facilities) at St. Elizabeths and for other purposes (Development Agreement),
transmitted by the Mayor to the Council on June 8, 2020, as a contract involving expenditures in
excess of $1 million during a 12-month period; and
(2) The Hospital Operations Agreement between the Government of the District
of Columbia and UHS East End Sub, LLC, for the operation of a hospital at St. Elizabeths and
for other purposes (Operations Agreement), transmitted by the Mayor to the Council on June
8, 2020, as a multiyear contract and as a contract involving expenditures in excess of $1 million
during a 12-month period.
(b) Notwithstanding An Act Authorizing the sale of certain real estate in the District of
Columbia no longer required for public purposes, approved August 5, 1939 (53 Stat. 1211; D.C.
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Official Code 10-801), or any other law, the Council authorizes the Mayor to dispose of the
Hospital Facilities to UHS East End Sub, LLC, or its successor or assign, in fee simple or by
lease for up to 99 years and to dispose of the real property known for assessment and taxation
purposes as Lot 859 in Square 5868S (New Hospital Property) by lease for up to 99 years to
UHS East End Sub, LLC, or its successor or assign, as provided for in the Lease Agreement
between the District of Columbia as landlord and UHS East End Sub, LLC, as tenant (Lease
Agreement), transmitted by the Mayor to the Council on June 8, 2020, as such agreement may
be amended by the Mayor from time to time, and to provide easements to owners of real property
adjacent to the New Hospital Property and utility providers as may be necessary or appropriate
for the construction and operation of the Hospital Facilities.
(c) Notwithstanding any other provision of law, the Mayor is authorized to take such
actions as are appropriate to implement the Development Agreement, Operations Agreement,
and Lease Agreement.
TITLE II. NEW HOSPITAL AT ST. ELIZABETHS STARTUP RESERVE FUND.
Sec. 201. This title may be cited as the New Hospital at St. Elizabeths Startup Reserve
Establishment Fund Act of 2020.
Sec. 202. New hospital at St. Elizabeths startup reserve fund.
(a) There is established as a special fund the New Hospital at St. Elizabeths Startup
Reserve Fund (Fund), which shall be administered by the Department of Health Care Finance
in accordance with subsections (c) and (d) of this section.
(b) There shall be deposited into the Fund such amounts as shall be appropriated,
consistent with the Hospital Operations Agreement between the Government of the District of
Columbia and UHS East End Sub, LLC, for the operation of a hospital at St. Elizabeths and for
other purposes (Operations Agreement), approved pursuant to Title I.
(c) Money in the Fund shall be used for the purposes set forth in the Operations
Agreement.
(d)(1) The money deposited into the Fund but not expended in a fiscal year shall not
revert to the unassigned fund balance of the General Fund of the District of Columbia at the end
of a fiscal year or at any other time.
(2) Subject to authorization in an approved budget and financial plan, any funds
appropriated in the Fund shall be continually available without regard to fiscal year limitation.
TITLE III. UNCOMPENSATED CARE REQUIREMENT.
Sec. 301. Section 6 of the Health Services Planning Program Re-Establishment Act of
1996, effective April 9, 1997 (D.C. Law 11-191; D.C. Official Code 44-405), is amended by
adding a new subsection (a-1) to read as follows:
(a-1) The requirement set forth in subsection (a) of this section, that a health care facility
submit an assurance of its provision of a reasonable volume of uncompensated care through the
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annual compliance level of 3% of its operating costs, shall not apply to the hospital referenced
in Title I of the New Hospital at St. Elizabeths Amendment Act of 2020, passed on 2nd reading
on July 21,2020 (Enrolled version of Bill 23-777 (New Hospital Act). Such hospital shall
instead submit an assurance of its compliance with the uncompensated care, charity care, and
community benefits requirement set forth in section 3.7 of the Operations Agreement approved
in section 101(a)(2) of the New Hospital Act..
TITLE IV. GENERAL PROVISIONS.
Sec. 401. Fiscal impact statement.
The Council adopts the fiscal impact statement in the committee report as the fiscal
impact statement required by section 4a of the General Legislative Procedures Act of 1975,
approved October 16, 2006 (120 Stat. 2038; D.C. Official Code 1-301.47a).
Sec. 402. Effective date.
This act shall take effect following approval by the Mayor (or in the event of veto by the
Mayor, action by the Council to override the veto), and a 30 day period of Congressional review
as provided in section 602(c)(1) of the District of Columbia Self-Government and Governmental
Reorganization Act, approved December 24, 1973 (87 Stat. 813; D.C. Official Code 1-
206.02(c)(2)), and publication in the District of Columbia Register.
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Chairman
Council of the District of Columbia
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Mayor
District of Columbia
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