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<br />e Karen J. Kupel, 85488 Appletree Court, said she is a consumer who has <br /> investigated hospital operations elsewhere and found that Sacred Heart <br /> General ~Hospital serves the community well. She recommended approval of the <br /> proposal before the council. <br />. Tom Heusel, 3318 Olive Street, said he has been employed by Sacred Heart . <br /> General Hospital for the pas~ eight years and considers the care available <br /> there to be of the highest qua1ity. He suggested adding a proviso to <br /> approval of the hospital authority that would require Sacred Heart to drop <br /> finance charges on the unpaid balance of medical bills to reduce the burden <br /> on impoverished health care consumers. ~ <br /> Sister Barbara Haase, 574 East 14th Avenue, reviewed the process involved in <br /> developing the proposal for the creation of a hospital authority. She noted <br /> that the bonds to be issued by the hospital facility authority could be used <br /> only for those capital projects which meet IRS tax-exempt criteria. <br /> Qualifying projects could include facilities for the delivery of health care, <br /> equipment used in patient care, and parking structures directly intended for <br /> patient use. Medical office buildings would not meet the criteria. Sister <br /> Barbara said the potential savings represented by the hospital authority may <br /> help Sacred Heart reduce the rate of future increases and may enable the <br /> hospital to continue providing needed services that are not self-supporting <br /> (e.g., the prenatal clinic, the neo-natal intensive care unit, <br /> rehabilitation, and treatment for adolescent substance abuse). <br /> Sister Barbara said that the hospital is prepared to secure bond insurance to <br />e avoid any possibility of the hospital authority having an adverse effect on <br /> the City's bond rating. She added that Sacred Heart intends to comply with <br /> Oregon law that prohibits the use of bond proceeds for general operating <br /> expenses or to offset charity or indigent care and emphasized that all <br /> contemplated uses of those funds meet the criteria set forth in ORS 441.525. <br /> There being no further requests to speak, Councilor Schue closed the public <br /> hearing. <br /> Answering Ms. Ehrman's questions, Bill Gary, City Attorney's Office, said <br /> that by statute, the board of the hospital authority is prohibited from <br /> operating a hospital faCility. Mr. Gleason said that the authority could <br /> establish standards for its review of applications and could expect that the <br /> corporation would meet those standards. <br /> Mr. Bennett asked whether changing the scope and no longer limiting eligible <br /> facilities to acute care, in-patient facilities would allow any sort of <br /> out-patient care facility to qualify. Keith Martin responded that an <br /> applicant must provide the type of care that meets the statutory definition <br /> of in-patient or out-patient care. A distinction is made between domiciliary <br /> care and a facility that provides some medical assistance. <br /> Mr. Green asked about the authority's effect on competitive health care <br /> providers. Mr. Martin replied that any provider of the types of care <br /> identified in the definitions could apply. He pointed out that the ordinance <br />e MINUTES--Eugene City Council October 9, 1989 Page 5 <br />