SB 1400CALIFORNIASession 20252026

Alameda County Board of Supervisors gains authority to restructure hospital board and expand health system partnerships

Original title: Alameda Health System: hospital authority.

August 24, 2026

Alameda Health System hospital authority county governance healthcare administration AlamedaHealthSystem hospitalauthority

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Where This Stands

Currently Unknown. The next step in the legislative lifecycle is Introduced.

Version history & redline

3 versions on file

Official version history is partial: 3 linked texts are unavailable or incomplete. Source links remain available below.

Comparing 02/20/26 - Introduced → 04/16/26 - Amended Senate

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The Frame

What this does

This bill changes how the Alameda Health System is governed and managed, potentially altering the oversight of public healthcare services and the system's ability to expand its network through new partnerships.

Who is mentioned in the record

Potentially affected actors named in the source documents. Mention is not a position.

Alameda Health System

The system's governance structure, operational delegation, and expansion capabilities are modified by this bill.

Alameda County Board of Supervisors

The board gains expanded authority to amend the hospital system's enabling ordinance and appoint county officials to the governing board.

What changed

Last recorded activity August 24, 2026.

What's next

Introduced.

Summary

SB 1400 allows the Alameda County Board of Supervisors to amend the 's governing structure, including adding representatives from supporting public entities and appointing county officials to the board. The bill also grants the hospital authority new powers to acquire or affiliate with other medical facilities and delegate operational tasks to expert-led subsidiary bodies.

Key Facts

You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.

Why It Matters

Frequently Asked Questions

Can county supervisors serve on the hospital authority board?

Yes, this bill allows the Board of Supervisors to appoint its own members or county employees to the 's governing board.

Can the hospital authority expand to other facilities?

Yes, the bill authorizes the authority to affiliate with or acquire ownership of additional public or private hospitals, clinics, or programs.

News Coverage

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Related Legislation

State Bill