BILL ANALYSIS                                                                                                                                                                                                    



                                                                       


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          |SENATE RULES COMMITTEE            |                  SB 1055|
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                                 THIRD READING


          Bill No:  SB 1055
          Author:   Morrow (R)
          Amended:  6/19/01
          Vote:     27 - Urgency

           
           SENATE ENERGY, U.&C. COMMITTEE  :  9-0, 6/12/01
          AYES:  Bowen, Morrow, Alarcon, Battin, Murray, Sher,  
            Speier, Vasconcellos, Vincent

           SENATE APPROPRIATIONS COMMITTEE  :  Senate Rule 28.8


           SUBJECT  :    Public Utilities Commission:  customer  
          priorities

           SOURCE  :     California Association of Health Facilities


           DIGEST  :    This bill requires the California Public  
          Utilities Commission (CPUC) to establish priorities  
          relative to public health and safety in the usage of  
          electricity and gas.

           ANALYSIS  :    Existing law requires CPUC to establish  
          priorities among the types or categories of customers of  
          every electrical corporation and every gas corporation, and  
          among the uses of electricity or gas by those customers.   
          In establishing those priorities, the commission is  
          required, among other things, to identify those customers  
          and uses that provide the most important public benefits  
          and serve the greatest public need in descending order of  
          priority.

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          This bill would require the commission to also include as a  
          consideration when establishing these priorities a  
          determination of unacceptable jeopardy or imminent danger  
          to public health and safety that creates substantial  
          likelihood of severe health risk requiring medical  
          attention.  The bill would also require the commission to  
          consider the effect of providing a high priority to some  
          customers on nonpriority customers.

           Background
           
          California's electricity crisis manifests itself in at  
          least two ways: extraordinarily high prices and supply  
          shortages.  Supply shortages may be due to withholding of  
          supply by generators and marketers, drought conditions in  
          the Northwest which vastly reduce available imports, and  
          inadequate generation capacity.  The consequence of these  
          shortages is both higher prices for the electricity the  
          state can buy and blackouts when there just isn't enough  
          electricity to purchase.  A report by the North American  
          Electric Reliability Council, a non-profit electric  
          industry trade group, estimates California will have 260  
          hours of rolling blackouts this summer, though the  
          California Independent System Operator (ISO) believes that  
          estimate is high. 

          The electric distribution grid is comprised of circuits  
          which generally serve several thousand customers.  When a  
          planned rolling blackout is instituted, power is cut to the  
          entire circuit, so exempting an "essential customer" from  
          blackouts also exempts every other customer on that  
          circuit.  

          For example, Pacific Gas & Electric (PG&E) has about 2,600  
          essential customers, but because the entire circuit serving  
          the essential customer is exempt from blackout, about 2.4  
          million customers are exempted from blackouts.  The result  
          is that 48% of the load served by PG&E is exempt from  
          blackouts, meaning when a rolling blackout is called, the  
          remaining 52% of the load has to bear the inconvenience.   
          The numbers are similar for Southern California Edison  
          (SCE) and San Diego Gas & Electric (SDG&E). The CPUC's goal  
          is to keep at least 40% of load eligible for rotating  
          blackouts.  If blackouts occur with some frequency this  







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          summer, it will be increasingly hard to defend as equitable  
          in the current blackout priority system if customers find  
          that half (or more) of the customers never get blacked out  
          simply because they're fortunate enough to share a circuit  
          with an exempt facility.

          As the Senate Energy, Utilities and Communications  
          Committee heard at its May 10 hearing on blackout protocols  
          and procedures, the CPUC recently issued a decision  
          revising the list of essential customers who are exempt  
          from blackouts.  That list is a long one, including  
          essential public services such as police, fire, prisons,  
          national defense installations, hospitals, specified  
          customers who agree to reduce their usage during blackouts,  
          and more.  With the exception of that last group, blackout  
          exemptions are limited to those circumstances where the  
          public health and safety are at risk - exemptions for  
          economic hardship aren't permitted.

          Adding more people or businesses to the blackout exemption  
          list will concentrate the inconvenience on fewer customers  
          for longer periods of time.  Historic and current utility  
          practice is to limit rotating blackouts to one to two  
          hours.  The utility shuts down a particular circuit for a  
          maximum of one hour, but at the customer end, that shutdown  
          means the power is actually out for one to two hours.  The  
          CPUC has opened a process to allow customers to ask to be  
          added to the essential customer list and it has received  
          over 10,400 requests from cemeteries, nightclubs, ice cream  
          parlors, hair salons, oil refineries and thousands of  
          others.

          The CPUC has asked the utilities for suggestions to reduce  
          the number of "free riders" (non-essential customers who  
          are exempted from blackouts solely because they happen to  
          be located on the same circuit as an essential customer) so  
          blackouts can be more equitably spread.  Those reports were  
          due on June 1. 

          PG&E has said it may be able to do some amount of circuit  
          shifting (which doesn't require any capital outlay) that  
          could add up to 300 megawatts (MW) worth of load to the  
          "eligible to be blacked out" list by June 15.  However,  
          according to PG&E, any reconstruction of circuits to  







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          completely eliminate "free riders" could take six to eight  
          months.

          As defined in the Health and Safety Code, a "nursing  
          facility" is a licensed health facility certified to  
          provide care either as a skilled health facility in the  
          federal Medicare program or as a nursing facility in the  
          federal Medicaid program.  A "skilled nursing facility" is  
          a health facility that provides skilled nursing care and  
          supportive care to patients whose need access to skilled  
          nursing care on an extended basis.  According to the  
          sponsors, the two types of facilities provide identical  
          services and the terms are used interchangeably.  

          There are approximately 1,300 nursing or skilled nursing  
          facilities in California and they serve 140,000 patients  
          statewide.  Patients may be recovering from serious,  
          invasive medical procedures or may be in need of  
          specialized medical care utilizing high-tech medical  
          devices. 

          Nursing facilities are required by regulation to have an  
          emergency electrical system to serve all lighting, signals,  
          alarms, elevators, some heating, ventilation, and air  
          conditioning equipment, and, optionally, additional  
          equipment and receptacles (Title 22, California Code of  
          Regulations, Section 72641).  However, these requirements  
          were developed during a time when blackouts were rare and  
          of uncertain, though probably extended, duration.  Thus,  
          the emergency electrical system powered devices necessary  
          to accommodate an evacuation of the facility.  The current  
          blackout circumstances are different:  Blackouts will be  
          more frequent and the duration will likely be about an  
          hour.  Rather than being forced - or having a desire - to  
          evacuate, it's more likely that nursing facilities will  
          wait out the outage.

          The Department of Health Services has issued a memo to all  
          long-term care health facilities reminding them to expect  
          rolling blackouts and to use portable fans and other  
          temporary cooling devices.  In Executive Order D-38-01, the  
          Governor required all utilities, including municipal  
          utilities, to provide customers with at least one hour of  
          notice prior to implementing blackouts, including  







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          recognition of the safety considerations for persons in  
          nursing homes.

           Comments  

           Impact of Nursing Home Exemption  .  The CPUC has asked the  
          utilities to report on the effect of including nursing  
          facilities on the essential customer list, including an  
          estimate on the amount of megawatts that would be removed  
          from rotating outage and the effect on other, non-exempted  
          customers.  PG&E estimates including skilled nursing  
          facilities will exempt another 1,200 MW of load from  
          rotating outages, which would reduce the percentage of  
          customers subject to blackout from 52% to less than 46%.   
          For SCE, exempting nursing facilities will exempt 658 MW  
          from rotating outages, reducing the load available to be  
          blacked out from 54% to 51%.

           FISCAL EFFECT  :    Appropriation:  No   Fiscal Com.:  Yes    
          Local:  No

           SUPPORT  :   (Verified  7/11/01)

          California Association of Health Facilities (source)

           ARGUMENTS IN SUPPORT  :    California's more than 1,200 state  
          nursing facilities (SNFs) care for the most medically  
          fragile of the state's population.  In recent years there  
          has been a dramatic increase in the acuity levels of  
          patients in nursing homes.  With an emphasis on lowering  
          the overall costs of health care, sicker patients are being  
          discharged earlier from hospitals to SNFs with increasingly  
          complex and difficult care needs.  Also, nursing homes are  
          caring for more short-stay residents - categories of  
          patients that only a few years ago would have been in  
          hospitals.  The average age of residents in a SNF is 85  
          years old.  It is common for these higher acuity residents  
          to be dependent on oxygen tanks, feeding tubes, drip IVs,  
          dialysis machines, electric therapeutic beds, and  
          ventilators, and to be recovering from serious medical  
          procedures such as a hip replacement, tracheotomy, or organ  
          transplant.

          The health and well-being of these elderly and disabled  







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          residents depends greatly on the facility's ability to  
          provide quality care in a safe, low stress environment,  
          which depends on temperature control, lighting, infection  
          control and the use of high-tech medical equipment.   
          Because of the fragile nature of the patient population, an  
          interruption in power in a SNF can result in serious injury  
          and/or death.


          NC:sl  7/11/01   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  SEE ABOVE

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