Santa Monica City Council
March 22, 2022

Unfortunately, under-resourced families often find themselves being serviced in facilities that are subpar to those servicing privately insured patients. Saint John's is looking to change that which is truly exciting.

It is my hope that you will vote ‘yes’ on moving forward with the Phase II Master Plan.

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Packet Pg. 1171 Attachment: Written Comments (4853 : Providence Saint John's Development Agreement (180 min)) March 21, 2022
Dear Santa Monica City Council Members,
My name is Darci Niva; I am the Executive Director of the Westside Coalition. On behalf of the Board of Directors for the Westside Coalition we would like to express our support for Providence St. John’s Health Center’s Phase II Master Plan. St. John’s has been a member of the Westside Coalition (WC) for many years and we are proud of our partnership with this impressive organization. WC is an alliance of 70 organizations on the Westside, many of which are in Santa Monica. Our members are committed to working collaboratively on issue of housing, hunger and health. We are passionate about supporting St. John’s because of their incredible contribution to our community and the populations that we collectively serve.

St. John’s has proven time after time that their Mission to care for the poor and vulnerable extends well beyond the confines of the hospital. We are particularly proud of the support that we receive from St. John’s to produce the annual Celebrating Success Breakfast. This important event highlights the incredible work of our member agencies in addressing homelessness. St. John’s is also a partner in Project Connect events in the Winter Shelter. They are tireless in their support and compassion for those that need their help the most.

We are particularly impressed with the Phase II Master Plan’s commitment to mental and behavioral health, homeless services and space for educational events for the community, things that we are involved in and partner together with St. John’s Health Center. If approved, the Phase II Master Plan would provide $10 million to the city’s behavioral health initiatives. This funding could dramatically help organizations, like ours and our members, that are providing mental health, substance abuse and community programs to local residents in need.

Please recommend approval of this Phase II Master Plan that will help expand what can be accomplished with community partners like us through enhanced services and properties.

Very Sincerely,
The Westside Coalition Board of Directors and staff
1343 Ocean Park Blvd., Santa Monica, CA 90405 Phone:(310) 314-0071 www.westsidecoalitionla.org Item 9.A
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Packet Pg. 1172 Attachment: Written Comments (4853 : Providence Saint John's Development Agreement (180 min)) Westside Coalition Board of Directors:

Rev. Eric Shafer - Chair
Mt. Olive Lutheran Church- Senior Pastor
Jocelyn Cortese- Secretary
St. Matthew’s Episcopal Parish - Board Member and Outreach Commission Chris Baca- Treasurer
Meals on Wheels West- Executive Director
Achee Stevenson
St. Joseph Center- Senior Director of Programs
Bianca Smith
Chrysalis - Assistant Vice President, Program Operations Dr. Frances Rosenau
Culver City Presbyterian Church- Senior Pastor
Haley Fuselier
PATH- Senior Director
Julie Kirk
Westside Family Health Center-Director of Community Outreach and Education Lori Bowe
The People Concern- Project Director of Turning Point Interim Housing Rev. Mark Jones
Westwood Presbyterian Church- Director of Mission & Outreach and Pastoral Care Rachel Stich
Safe Place for Youth- Deputy Executive Director
Theresa White
Mt. Olive Representative/ Gap Executive
1343 Ocean Park Blvd., Santa Monica, CA 90405 Phone:(310) 314-0071 www.westsidecoalitionla.org Item 9.A
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Packet Pg. 1173 Attachment: Written Comments (4853 : Providence Saint John's Development Agreement (180 min)) March 22, 2022
Dear City Council:

My name is Adam Cortez, and I am a licensed therapist at Providence Saint John’s Child and Family Development Center. I began my journey here as a graduate student intern working on the Youth Development Project (YDP) – one of the many teams here at our agency – and where I currently work as a full-time therapist. From my very first experiences here, it was clear to me that each clinician works so wholeheartedly to serve the needs of youth and families in our Santa Monica community.

As mental health therapists, it is not uncommon for us to encounter a broad range of intersected clinical and case management needs among the vulnerable clients we serve – these needs can include depression, anxiety, substance use, traumatic stress, housing, legal counsel, food access, and transportation. These needs tend to be exacerbated by complex and systematic issues, including community financial hardship, challenges with resource allocation amongst neighborhoods, cultural stigma towards mental health, and other barriers, such as access to affordable parking and transportation. The intersection of such complex barriers can make the navigation and access to mental wellbeing much more difficult to begin – yet alone achieve.

Cognizant of these barriers in my service delivery, I find it of utmost value to work under an organization that has made concerted efforts to provide access to quality mental health services to some of the most vulnerable populations in our Santa Monica community. As part of its mission to work towards health equity, Providence Saint John’s and our Child and Family Development Center have taken actionable steps such as onboarding ethnically diverse and linguistically responsive staff, conducting community needs assessments, and establishing programs (such as our Youth Development Project) that extend our presence in the community, thus extending a more equitable opportunity for our more vulnerable families to access mental health services. Through these efforts, we have been able to reach and serve thousands of Santa Monica youth and families more equitably.

Our efforts in health equity align directly with the value and initiatives the city of Santa Monica has taken to advance equity and inclusion and foster a more balanced community for all its residents. That is the goal we are hoping to achieve with the passing of the Phase II Master Plan – to be able to deliver our health care services in a manner that contributes to a more balanced community. The Phase II Master Plan will allow us the flexibility to move into a new facility that will help to address many of the barriers our clients face to accessing services – including parking, physical access, and historical stigma. It is my sincere hope that you will vote ‘yes’ on moving forward with the Phase II Master Plan so that we may have this opportunity to further serve the Santa Monica community.

Sincerely,
Adam Cortez, LCSW
Licensed Clinical Social Worker
Lead Therapist Youth Development Project
Providence Saint John’s Health Center
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Packet Pg. 1175 Attachment: Written Comments (4853 : Providence Saint John's Development Agreement (180 min)) 1 Vernice Hankins
From: O'Dea, Carol <Carol.O'[email protected]>
Sent: Monday, March 21, 2022 12:16 PM
To: councilmtgitems; Gleam Davis; Sue Himmelrich; Kristin McCowan; Phil Brock; Oscar de la Torre; Lana Negrete; Christine Parra; David Martin; Roxanne Tanemori Cc: David White; David Martin; Roxanne Tanemori
Subject: Support for Saint John's Phase II Master Plan

EXTERNAL
Dear City Council Members,
Saint John’s Health Center has been a beacon of hope for the Santa Monica/Westside community for 80 years. From its inception Saint John’s Health Center has been intertwined with the community and that bond continues to this day. I know this to be true because for the last 9.5 years, I have had the privilege of serving as the quality executive at Saint John’s. The culture of an organization is paramount to how it is perceived, and the culture of Saint John’s is one of excellence and compassion. I felt it the first time I came through the doors and despite the myriad of changes in the healthcare arena as well as the challenges Saint John’s has experienced‐‐ from the Northridge earthquake through re‐ sponsorship from Sisters of Charity to Providence; that sense of who we are and what we do has never wavered.

The care that we provide today will only be strengthened with the approval of Phase II of the Master Plan. We will be able to expand on our vision of university care within a community hospital setting by enhancing the Saint John’s Cancer Institute, the Pacific Neurosciences Institute and fully actualizing the Cardiovascular, Women’s Health, Digestive Health and Orthopedics Institutes. Today we are centers of excellence for our Stoke Program, which has been nationally recognized as well as for Joint Replacements to name just a few. With expanded capacity and resources, there is so much more we will offer the Santa Monica community while well as increasing the reputation of Santa Monica as the home of an elite hospital.

Our close identification with the Santa Monica area reaches far and wide. We provide care and support for the most vulnerable of our population. Several years ago, we invested in a homeless program and have coordinators who work with our community partners to safely discharge and provide on‐going services for these patients. The Child and Family Development Center works exclusively with underserved children and their families by offering a developmental preschool, individual educational and psychological sessions. How wonderful it will be to provide them with a state‐of‐ the‐art facility, slated for the South Campus.

You may expect that due to my position, I would naturally say these things about Saint John’s, but it is important you know that my husband and I chose Saint John’s for our care before I came to work here and know from personal experience that excellence and compassion are synonymous with its care. I have not been asked or encouraged to write to you. Instead, it is my personal choice as I believe in Saint John’s and the work we do.

While many of us will be retired by the time Phase II is completed, it will be the legacy of this team that will be remembered as not only having had the vision but the dedication to see it through.

Thank you.

Carol
Carol O’Dea, RN, MN, Ed.D
Quality Executive Director
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Packet Pg. 1176 Attachment: Written Comments (4853 : Providence Saint John's Development Agreement (180 min)) 2 2121 Santa Monica Blvd.

Santa Monica, CA 90404
310.829.8291
carol.o’[email protected]
This message is intended for the sole use of the addressee, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you are not the addressee you are hereby notified that you may not use, copy, disclose, or distribute to anyone the message or any information contained in the message. If you have received this message in error, please immediately advise the sender by reply email and delete this message.

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Packet Pg. 1177 Attachment: Written Comments (4853 : Providence Saint John's Development Agreement (180 min)) 3 Vernice Hankins
From: Yun, Andrew G <[email protected]>
Sent: Monday, March 21, 2022 12:07 PM
To: councilmtgitems; Gleam Davis; Sue Himmelrich; Kristin McCowan; Phil Brock; Oscar de la Torre; Lana Negrete; Christine Parra
Cc: David White; David Martin; Roxanne Tanemori; Ricks, Michael R Subject: Support for Saint John’s; ‘Yes’ on Saint John’s Master Plan

EXTERNAL
Dear Santa Monica City Council,
My name is Dr. Andrew Yun and I am an Orthopaedic Surgeon and Board Member at Providence Saint John’s Health Center. Saint John’s has always been a vital part of the community. The master plan is an incredible opportunity for the hospital to increase its level of service for Santa Monica and its surrounding neighborhoods.

Of course, this effort will require extensive budgeting, planning, and time, but it is also clear that this effort should go forward. Just like the community from 20 years ago built the current Saint John’s, we also share the same responsibility to plan ahead. The work and planning we do now will be a gift for future generations.

Please vote for this measure.

Sincerely,
Andrew Yun MD, MBA
Director of Joint Replacement Services
This message is intended for the sole use of the addressee, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you are not the addressee you are hereby notified that you may not use, copy, disclose, or distribute to anyone the message or any information contained in the message. If you have received this message in error, please immediately advise the sender by reply email and delete this message.

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Packet Pg. 1178 Attachment: Written Comments (4853 : Providence Saint John's Development Agreement (180 min)) 4 Vernice Hankins
From: MICHAEL GRUNING <[email protected]>
Sent: Monday, March 21, 2022 11:48 AM
To: Sue Himmelrich; Kristin McCowan; Gleam Davis; Phil Brock; Christine Parra; Lana Negrete; Oscar de la Torre; councilmtgitems
Cc: David Martin; Roxanne Tanemori
Subject: Item 9-A - PSJ Phase II approval

EXTERNAL
Dear City Councilmembers,
I am joining fellow community members in supporting the Providence Phase II Plan, which will be before you on Tuesday night. The approval of Phase II will transform the health center, and indeed Santa Monica’s entire healthcare community.

Saint John’s – now Providence Saint John’s – has operated as a non-profit hospital in Santa Monica for 80 years. That operation has been continuous, except for a brief period after the disastrous Northridge Earthquake, when the hospital sustained extensive damage. After the quake, the Sisters of Charity of Leavenworth Kansas made the bold and wellreasoned decision to rebuild, investing tremendous time and resources in a new Saint John’s, which was planned to anticipate the healthcare demands of the 21st century. The “new” Saint John’s serves countless community members every year.

Once again, Saint John’s, under the leadership of Providence Health and Services, has elected to move forward with much-needed new facilities and a truly unprecedented benefits package that will meet the community’s needs in decades to come.

The proposed plan includes features that I endorse wholeheartedly:
 A new Saint John’s Cancer Institute
The former John Wayne Cancer Institute is a world-renowned facility that boasts world-class researchers, leading edge science and a record of breakthroughs in the detection and treatment of cancers such as melanoma and breast cancer. It currently operates in a less-than-adequate facility. A new Cancer Institute facility is essential. It is a prominent feature of the Phase II plan.
 Mental and Behavioral Health
Saint John’s will make a whopping $10 million contribution to the city’s behavioral health initiatives and a commitment to fund and operate the Child and Youth Development Project through 2052.  Temporary Housing
Visiting Cancer Institute faculty and families of critically ill patients will have a place for short-term stays when travel is burdensome.
 Community Open Space
The Phase II plan sets aside open space for use by caregivers, community members, patients and their families to enjoy gardens and sunlight. The open space will also provide a safe pedestrian connection from Broadway Avenue to Santa Monica Boulevard.
 Education and Conference Center
The Phase II plan provides for world-class space for medical, patient, health care and community events. Modern meeting and conference facilities are badly needed in Santa Monica.  Parking
Phase II provides a solution to the health center’s parking issues, accommodating vehicle, bicycle and pedestrian circulation and parking.
 On-Site Childcare
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Packet Pg. 1179 Attachment: Written Comments (4853 : Providence Saint John's Development Agreement (180 min)) 5 Phase II will Increase childcare spaces and tuition subsidies, with preference given to hard-working Saint John's employees and residents of Santa Monica.

Providence Saint John’s Phase II has given the health center an opportunity to demonstrate its focus on the Santa Monica community, and a responsiveness to its needs. I urge you to reflect on what Phase II will bring to your constituents and vote yes on this plan.

Sincerely,
Dr. Michael Gruning
Mike Gruning | Pence Hathorn Silver
310.741.1713 | www.phsrealty.com
To help protect your privacy, Microsoft Office prevented automatic download of this picture from the Internet. 1333 Montana Avenue
Santa Monica, CA 90403
***WIRE FRAUD IS REAL***

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Packet Pg. 1180 Attachment: Written Comments (4853 : Providence Saint John's Development Agreement (180 min)) 1 Vernice Hankins
From: Jerry Rubin <[email protected]> Sent: Monday, March 21, 2022 10:41 AM
To: [email protected]
Cc: Sue Himmelrich; Kristin McCowan; Gleam Davis; Phil Brock; Christine Parra; Lana Negrete; Oscar de la Torre; David White; David Martin; Roxanne Tanemori; councilmtgitems Subject: Supporting Saint John's Hospital Phase II Plan (City Council meeting Tuesday, March 22 agenda Item # 9-A)

EXTERNAL
Dear Santa Monica City Council Members:

I am sending you this email in full support of the Saint Johns Hospital Phase II plan on your Tuesday, March 22 agenda (Item # 9‐A).

I support the proposed new childcare facilities, affordable housing and a new cancer center.

I’ve been a patient at Saint John's a number of times and received excellent and compassionate care.

I especially remember the amazing help I got at their Emergency Ward and as an in‐patient for 3 days 25 years ago after I collapsed during a 26‐day water‐only environmental hunger strike.

Please always remember: We’re talking about a hospital not a fast‐food mall! And an excellent hospital at that, a hospital that has served Santa Monica well for many decades! I hope to be able to speak during the Tuesday meeting if your meeting doesn’t go too long into the night.

Thank you so very much!
Peace and gratitude,
Jerry Rubin
Santa Monica resident
310‐399‐1000
L.A. Times Photo of me getting needed help at Saint John's Hospital in mid‐March,1997 Item 9.A
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Packet Pg. 1181 Attachment: Written Comments (4853 : Providence Saint John's Development Agreement (180 min)) 2 Item 9.A
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Packet Pg. 1182 Attachment: Written Comments (4853 : Providence Saint John's Development Agreement (180 min)) 1 Vernice Hankins
From: Nishikubo, Carol Y <[email protected]> Sent: Monday, March 21, 2022 9:50 AM
To: councilmtgitems; Gleam Davis; Sue Himmelrich; Kristin McCowan; Phil Brock; Oscar de la Torre; Lana Negrete; Christine Parra
Cc: David White; David Martin; Roxanne Tanemori
Subject: Yes on Saint John's Master Plan

EXTERNAL
March 21, 2022
Dear Members of the Santa Monica City Council:

I am writing in support of the Phase II Master Plan being presented at your upcoming meeting, being put forth by Providence Saint John’s Health Center.  The plan provides direct benefits in terms of funding to help improve mental health care available to the Santa Monica Community and to help address the homelessness crisis that is affecting our community.  In addition to that, however, as a medical oncologist who has practiced in Santa Monica and at Saint John’s for over 20 years, I also want to highlight the benefits of the plan in terms of advancing health care and providing the community with access to ground breaking new therapies and surgical techniques.

Investigators at the Cancer Institute at Saint John’s have revolutionized care for thousands of people with cancer, most notably in melanoma and breast cancer, but those therapies have in turn, advanced care in other diseases as well.  The development of the sentinel node technique in identifying tumor involvement or lack of involvement in the first lymph nodes draining a tumor has spared thousands of patients from more extensive surgery that could cause loss of function of a limb and allowed those patients to continue to work and care for their families.  These techniques were developed here in Santa Monica at Saint John’s and provided early access to patients participating in those studies.  Moreover, the sentinel node sampling technique has become the standard of care nationwide and now benefits men and women across the country.  Likewise, some of the early studies of immunotherapies for melanoma were conducted here at Saint John’s and have rapidly become one of the leading ways we treat a multitude of cancers, saving thousands of lives nationally and internationally.   The Master Plan allows for this type of research to continue and to expand.  It allows the Santa Monica Community access to cutting edge therapies and techniques as well as researching methods for early detection to hopefully be able to prevent disease in the future.

I would respectfully request your support of the proposed plan to be able to allow this important work to continue and expand.

Sincerely,
Carol Nishikubo, MD
This message is intended for the sole use of the addressee, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you are not the addressee you are hereby notified that you may not use, copy, disclose, or distribute to anyone the message or any information contained in the message. If you have received this message in error, please immediately advise the sender by reply email and delete this message.

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Packet Pg. 1183 Attachment: Written Comments (4853 : Providence Saint John's Development Agreement (180 min)) 2 Vernice Hankins
From: Samo Mama <[email protected]>
Sent: Monday, March 21, 2022 7:53 AM
To: councilmtgitems
Cc: [email protected]
Subject: Support Saint John’s Master Plan

EXTERNAL
Dear Honorable Mayor and City Council Members,
I am writing to express my whole-hearted support of Providence Saint John's Child and Family Development Center’s (CFDC) facility expansion project.

When I say that therapist Juliane Da Silva Vitolo and the Perinatal Wellness Program at CFDC saved my life, I am writing without hyperbole. Approval of this agenda item is critical to insure that crucial mental health services reach a greater number of Santa Monica families.

At my son’s 4-week checkup, his pediatrician announced that she was referring us to a pediatric neurologist. Stunned, I found myself questioning my baby’s every movement—frightened, Googling. It was the height of the COVID-19 pandemic, and, triggered by my son’s condition, I found myself feeling anxious, isolated, and overwhelmed. This is certainly not a singular experience—a large part of our communities’ collective journey during these challenging times relates to mental health—however, my particular circumstance is further distinguished by a surprise pregnancy and finding myself both unhoused and unemployed in the wake of a break up.

CFDC’s Perinatal Wellness Program (PWP) is more than just in-home mental health counseling for new parents—it is about promoting the infant-parent bond, providing advice on child development, insuring the family’s essential needs are being met (e.g. food, housing, diapers, etc.), and matching families with key partner programs and resources in the greater Santa Monica community, including, in my case, MyLA311, the Santa Monica Housing Authority, Early Head Start, Westside Regional Center, and the Well Baby Center.

Because it is not a one-size-fits-all program, it is hard to describe the multifaceted impact of PWP. Here are a few snapshots of what care looked like for me:
ꞏ It’s Friday. I leave a frazzled message. I have just been accepted to the PWP and the baby has his first outpatient neurology appointment on Monday. I’m disorganized, frightened, frayed. Within 24 hours Juliane calls me back for an impromptu session and we spend an hour discussing my game plan—everything from how to navigate Los Angeles Children’s Hospital while taking COVID precautions, to how I can best communicate my questions to the clinician.
ꞏ My child seems different from other babies. He doesn’t seem to make eye contact, he rarely vocalizes unless he is hungry. Of course, most of this is conjecture because in-person baby groups have been suspended due to COVID—What do I know about babies? Over Zoom, Juliane and I discuss the week’s goings on and my apprehensions. While we speak, she carefully observes the interaction between myself and my child. Gently bringing my attention back to the baby, Juliane notes he is closely tracking my finger movements. I change his diaper while Juliane explains different infant temperaments and modes of communication. ꞏ The baby is rejecting his bottle. He just won’t suckle. It’s going to be weeks, if not months, before our insurance approves an occupational therapist. Juliane gives me the name and number of a registered lactation consultant—we connect just days later.
ꞏ Julianne calls me from outside my mother’s home, she’s just dropped off a bag of baby supplies outside the gate. Following social distance protocols, we wave at each other from afar. I give her the thumbs up as I close the gate.

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Packet Pg. 1184 Attachment: Written Comments (4853 : Providence Saint John's Development Agreement (180 min)) 3 ꞏ We meet in Clover Park, my son is taking his very first steps and we have graduated from park blankets to a bench near the play structure. Juliane and I sit and discuss my job prospects while my toddler inspects the park flora and fauna enjoying his newfound liberty.

Today, I feel fully connected to my child. I am confident in my role as a mother. I have a balanced perspective of my strengths and weaknesses as a parent and a clear directive. At 17 months, my son still hasn’t said his first word, but thanks to Juliane, I sincerely cherish our non-verbal communication based on looks, gestures, and basic sign language. He is receiving support for development delays from Westside Regional Center and Early Head Start. I’m not in a state of constant anxiety about the future because I have made provisions for my son and I know how to advocate for his needs. It is a delight to be his steward. Do we still have bad days? Yes. But this is part of what I have learned from Juliane, how to take setbacks in stride and to have empathy for myself and my child in challenging moments.

As city councilors, you have been tasked with the all-important duties of dictating the policies, priorities, and budget for our community. Your choices and leadership define the future of Santa Monica. Today, you have the opportunity to provide support for CFDC, an establishment that serves some of your youngest and most vulnerable constituents—members of some of Santa Monica’s most vulnerable families. I hope you will keep in mind PWP’s positive impact on under-resourced infants and their families—those of us facing poverty, domestic violence, mental health and substance abuse challenges—when deliberating on the future of Providence St. John's Child and Family Development Center.

Thank you for your service, time, and consideration.

Sincerely,
A Santa Monica Mother*
*In order to be entirely candid about mental health treatment, I am writing this semi-anonymously, however, I would welcome a private audience with individuals on the council to discuss my experience with CFCD in depth and in person. Please feel to email, or contact:

Ms. Juliane Da Silva Vitolo, LMFT, APCC
In-Home Therapist, Perinatal Wellness Program
Child and Family Development Center
Providence Saint John’s Health Center
[email protected]

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Packet Pg. 1185 Attachment: Written Comments (4853 : Providence Saint John's Development Agreement (180 min)) 1 Vernice Hankins
From: Pam O'Connor <[email protected]>
Sent: Monday, March 21, 2022 3:51 AM
To: Sue Himmelrich; Kristin McCowan; Gleam Davis; Christine Parra; Phil Brock; Lana Negrete; Oscar de la Torre; councilmtgitems
Cc: David Martin; Roxanne Tanemori
Subject: Item 9A

EXTERNAL
Santa Monica City Council,
I am writing to voice strong support for Providence Saint John's Phase II Master Plan.

I served on the City Council from 1994 to 2018. During my first term on Council, I worked with my fellow Councilmembers, City Staff, County and State agencies to bring our community back from the devastating 1994 Northridge earthquake. Many Santa Monica residents and businesses experienced significant disruption of their lives and livelihoods and damage to their property.

Alarmingly, Santa Monica’s hospitals, our “lifeboats” in times of disaster, sustained major damage.

Saint John’s elected to rebuild its acute care facility to be in conformance with the requirements of SB 1953 and to deliver on its original commitment to the people of Santa Monica.

We have benefited greatly from their decision to rebuild in Santa Monica. St. John’s Hospital, Providence Health and Services has continued to provide leading edge care to our community, while expanding its partnerships with local non-profits whose missions extend Saint John’s reach into our diverse community – and vice-versa.

On Tuesday night you will be tasked with reviewing and voting on the Phase II Master Plan, the product of a years-long effort by the Providence Saint John's Phase II team and City Staff, including community input and float-ups at Planning Commission and City Council. The process has produced an outstanding plan, which includes significant contributions to mental and behavioral health initiatives, generous cash grants and in-kind services to homeless services, replacement of 10 vacant, rent-controlled apartments with 10 deed-restricted affordable units, community open space, a much-needed education and conference center space for medical, patient, health care and community uses, expanded on-site childcare and tuition subsidies serving Saint John’s employees and Santa Monica families. Transportation initiatives and improvements include enhanced transportation management to accommodate vehicle, bicycle and pedestrian circulation and parking.

In addition, the Phase II plan will allow for a new Saint John’s Cancer Institute where the groundbreaking work of its world-class clinicians and researchers will continue to narrow the gap between disease and cure.

This is a major plan. When it is fully implemented, it will be transformative, responding in new ways to our community’s healthcare needs, integrating 5+ acres of underutilized property into the surrounding neighborhood, and demonstrating once more that a community hospital founded by nuns in 1942 remains relevant, in fact essential, to our city.

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Packet Pg. 1186 Attachment: Written Comments (4853 : Providence Saint John's Development Agreement (180 min)) 2 I urge you to support the exhaustive planning and negotiation process and approve Staff’s recommendation.

Sincerely,
Pam O’Connor
Former Mayor and City Councilmember
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Packet Pg. 1187 Attachment: Written Comments (4853 : Providence Saint John's Development Agreement (180 min)) 1 Vernice Hankins
From: Kate underwood <[email protected]>
Sent: Sunday, March 20, 2022 2:32 PM
To: councilmtgitems; Gleam Davis; Sue Himmelrich; Kristin McCowan; Phil Brock; Oscar de la Torre; Lana Negrete; Christine Parra
Cc: David White; David Martin; Roxanne Tanemori
Subject: Yes on Saint John’s Master Plan

EXTERNAL
My name is Kate Underwood and I am a Physician Assistant at a family medicine clinic in Downtown LA, called Los Angeles Christian Health Center and I am a Pacific Palisades resident, former Santa Monica resident. I delivered my fourth child at Saint John’s in 2019. I was hoping to voice my support for Saint John’s Master Plan and explain why.

As part of the plan, I believe that the Child and Family Development Center (CFDC) will be an enormous asset to the community. As I’m sure you know, the demand for mental health services during Covid19 and as a result of Covid19 are immense. There is a critical shortage of mental health resources and the mental health resources that the CFHC will provide will be invaluable. Also, the many community partners and non‐profit affiliations that will collaborate through this plan is a highly effective way to provide comprehensive care to patients. As a result, not only will patients seek out Saint Johns as their home healthcare providers, but healthcare workers will want to work for Saint Johns because their patient outcomes will be more successful.

I also am in support of the Phase II plan because, as a Board member of Harvest Home, a nonprofit organization that serves women in our community who are homeless and pregnant, our clients have started to utilize programs at the Child and Family Decelopment Center that helps them have mentorship, child care, parenting classes etc. Expanding these resources would be such a benefit for our clients who we hope will leave our home and be constructive and healthy members of our community.

The Phase II Master Plan, if it passes, will be such a benefit to our community and I hope you would vote in favor of this plan.

Thank you for your consideration,
Kate Underwood
213‐215‐2804

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Packet Pg. 1188 Attachment: Written Comments (4853 : Providence Saint John's Development Agreement (180 min)) 1 Vernice Hankins
From: Stephanie Ayers <[email protected]>
Sent: Sunday, March 20, 2022 8:51 AM
To: councilmtgitems; Gleam Davis; Sue Himmelrich; Kristin McCowan; Phil Brock; Oscar de la Torre; Lana Negrete; Christine Parra
Cc: David White; David Martin; Roxanne Tanemori
Subject: Yes on Saint John’s Master Plan
Attachments: Support for Saint John's Phase II Master Plan.docx

EXTERNAL
To: Santa Monica City Council
I have been a nurse for 5 years and have been working in health care for 15 years. It is a true joy to be a part of Providence Saint John’s Health Center and I look forward to what the future may hold.

I am writing today in support of the Phase II plan to further the amazing services I witness daily through our organization.

For Saint John’s I am the registered nurse sepsis program coordinator and witness our incredible critical care programs daily. I am also a certified public health nurse and have a passion for the health and wellness of our community.

I believe it is vital to the health and wellness of populations to focus on preventative health care and education. These types of programs are what allow people to thrive daily and can reduce suffering from chronic conditions and hospitalizations. In my role in the hospital, I see the need for greater focus on community education and ambulatory care. There are far too many patients whose admissions to the hospital may have been prevented if they had more support in managing a chronic illness and more education on signs and symptoms to manage them before they become critical issues.

I see the Phase II Plan at Saint John’s as part of the solution to allow for more access to excellent outpatient health care, preventative medicine and health education. I know I would personally utilize the education and conference facilities to provide community education and resources on sepsis and infection prevention to better equip the community. The plans for the beautiful campus and facilities will only facilitate outreach to community members to engage in and prioritize their health.

Additionally, I am an active member of Vintage Church in Santa Monica and know our congregation would love to partner with Saint John’s on this mission to enhance health and wellness. We are particularly in support of the investment in mental health services, child and family development services, improved bike and walk spaces, among others. Many members of our church love and utilize Saint John’s as their primary location for health care and are thrilled to hear of potential growth and development.

Thank you for your support of health care workers and the investment of health in the community.

Sincerely,
Stephanie Ayers RN
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Packet Pg. 1189 Attachment: Written Comments (4853 : Providence Saint John's Development Agreement (180 min)) March 14, 2022
Santa Monica City Council
City Hall
1685 Main Street, Room 209
Santa Monica, CA 90401
RE: Providence Saint John’s Health Center Phase Two Master Plan, Development Agreement Amendment
Dear Mayor Himmelrich and Councilmembers,
The Social Services Commission (SSC) wants to thank everyone at Providence St.

John’s Health Center for their tremendous dedication and sacrifice to our community during the on-going COVID-19 crisis. We also thank Providence St.

John’s Health Center for their on-going commitment and generosity to the Santa Monica community.

As our community moves out from the global pandemic, the need for Providence St.

John’s leadership and generosity is still sorely needed to help reduce our continuing crisis of homelessness and mental illness.

The City of Santa Monica currently has ZERO psychiatric beds. The Social Service Commission and community activists have made it abundantly clear that psychiatric beds are our number one request. However, in the spirit of compromise the Commission recognizes that to ask Providence St. John’s alone to shoulder the financial burden for psychiatric beds is unreasonable. Additionally, the SSC recognizes there are other types of mental health interventions needed in our community, including supportive housing, preventive services, and a wide range of aftercare services.

We urge the City Council to ask Providence St. John’s to continue their support to our community by doubling their commitment to the City’s behavioral health initiative. We recommend $20 million in total with $15 million to be used as seed money to leverage additional providers in the City of Santa Monica and the public sector to help build a robust behavioral health center for our community. We also ask the City Council to use the remaining $5 million on mental health services for our unhoused immediately through expanded services.

We also want to provide an updated list of community needs we included within our original letter to Providence St. John’s.
• We request Providence St. John’s Health Center directly fund and expand the Preserve Our Diversity program that keeps low-income seniors at risk of losing their housing in their homes and off our streets. Preventing new people from losing their housing is vital addressing the homelessness crisis.

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Packet Pg. 1190 Attachment: Written Comments (4853 : Providence Saint John's Development Agreement (180 min)) • We would like Providence St. John’s Medical Center to provide and staff a monthly mobile van to do health screenings for individuals experiencing homelessness (for example typhus screenings and treatment). • The Commission appreciates the dedication to a homeless navigator, however, we would like Providence St. John’s to add 24-hour social workers in the emergency room to work with multiple needs such as homelessness and victims of crime.
• We request a minimum of one-third of the slots at the new daycare center for Santa Monica residents who are not employed by Providence St. John's and low-income.
• We request bi-monthly health clinics for Santa Monica College students who are experiencing homelessness or food insecurity.
• We request that the new conference center be available at least four times a month for community groups to use for free.
• Finally, we ask Providence St. John’s Medical Center to offer wellness programs such as one for children to combat obesity and diabetes, and other targeted age groups such as certificates for youth participating in sports programs.

We need all our institutions to help solve this homelessness crisis and better meet the behavioral health needs of the whole community. Only together, can we get people off our streets and back on their feet. The burden must not just be taxpayers, but every institution in our great city.

Sincerely,
City of Santa Monica Social Services Commission
Kay Ambriz
Cindy Akin
Tamara Kagel
Marie Manvel
Bill Parent
Ellen Sloan
Brian Stedge-Stroud, Vice Chair
Winnie Wechsler, Chair
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Packet Pg. 1191 Attachment: Written Comments (4853 : Providence Saint John's Development Agreement (180 min)) 1 Vernice Hankins
From: Ernie Powell <[email protected]>
Sent: Monday, March 21, 2022 3:15 PM
To: Sue Himmelrich; Kristin McCowan; Gleam Davis; Phil Brock; Christine Parra; Lana Negrete; Oscar de la Torre; councilmtgitems
Cc: David Martin; Roxanne Tanemori
Subject: Providence St. Johns PHASE 2 YES!

EXTERNAL
Good afternoon,
As most of you know, I continue to follow issues in Santa Monica. I do so because through the years, Santa Monica has always been a place of progressive ideas and open, vibrant citizen engagement.

I know St. Johns. Furthermore, I was there the night when the great Jack Sikking passed away in 1981 from Cancer. Jack was the architect, leader and organize of the movement that saved our much beloved Santa Monica Pier.

I took a fall one afternoon while visiting one of your wonderful restaurants. A friend surmised that I should have someone check me out, as the fall was pretty harsh. We went to St. John's and within minutes all was fine.

St John's is a community hospital. It is a great asset to your fine city and our entire region. There are more stories I could share, but bottom line, the Phase 2 project (with the housing also to be built) should be approved without hesitation.

Thank you,
Ernie Powell
* * * * * * * *
Ernie Powell
Campaigns, Organizing and Public Policy
3355 Wilshire Blvd. #1014
Social Security Works California
Los Angeles, California 90010
(916) 761-5718
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Packet Pg. 1192 Attachment: Written Comments (4853 : Providence Saint John's Development Agreement (180 min)) Dr. David Agus
111 Esparta Way
Santa Monica, California 90402
March 21, 2022
Santa Monica City Council
City Hall
1685 Main Street, Room 209
Santa Monica, California 90401

VIA EMAIL
Re: Support for Providence Saint John’s Health Center’s Phase II Master Plan Dear Mayor Himmelrich and City Councilmembers,
As a resident of Santa Monica and a physician affiliate of Providence Saint John’s Physician Partners, I am requesting the Council’s support of the Providence Saint John’s Health Center’s Phase II Master Plan.

I have been affiliated with Providence Saint John’s Physician Partners and Providence Saint John’s Health Center since May of 2021. During this time, my staff and I have partnered with the Saint John’s Cancer Institute to offer clinical trial participation to our cancer patients. This partnership not only improves our ability to conduct scientifically rigorous clinical studies, it also helps ensure that our research always centers on patient benefit, providing them with the best options available for treatment. This partnership and the critical care it allows us to provide to area cancer patients would only be enhanced by the Phase II Master Plan before you today.

Through improvements to existing facilities and the addition of dedicated space for education and conference areas, the Phase II Master Plan would help expand these clinical trials and the ongoing research that helps us improve patient care and treatment daily. It would modernize and build out research facilities with state-of-the-art equipment, allowing Providence Saint John’s Health Center to expand upon their top tier staff and bring in the best-of-the-best in terms of medical and research talent to care for our community.

A health care facility like Providence Saint John’s Health Center is an invaluable benefit and partner for a city. I ask that you prove their value to our community by supporting their efforts to expand upon and modernize their services through their Phase II Master Plan.

Sincerely,
David Agus, M.D.

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Packet Pg. 1193 Attachment: Written Comments (4853 : Providence Saint John's Development Agreement (180 min)) From: Paul Makarewicz [email protected]
Subject: Approve Saint John’s Master Plan
Dear City Council,
My name is Paul Makarewicz. I have served as the Chief Mission Integration Officer of Providence Saint John’s for the last four years and have also been a resident in Santa Monica during this period. It is an honor for me to be a part of Providence Saint John’s because of our commitment to a faith-based Mission that has served this community for 80 years in the care of all, but especially those who are poor and vulnerable. The founding Sisters had a commitment of service to this community and reminded us to always “respond to the changing times.” As a community hospital providing university-level care and research, we seek to respond to these changing times through our Phase II Master Plan so that we can continue our Mission of service.

I am proud about the ways that we live our Mission in the hospital but also through our commitment to the community. We bring compassionate care to vulnerable patients and families. We also live our Mission for those in need through partnerships with many Westside nonprofits who deliver vital services for the most vulnerable. I am honored to be on the advisory committee of the Saint John’s Health Center Foundation’s Community Impact Fund that distributes millions of dollars to community organizations in support of their Missions to serve those in need.

In the Phase II Master Plan, I am personally very excited about several of the community benefits that will be provided to address areas of Mental and Behavioral Health, Homeless Services, and Community Housing. These were some of the priority health needs identified in our Community Needs Assessment that will continue to be addressed through collaborative partnerships within the Master Plan.

Once approved, I believe that the Phase II Master plan will provide future opportunities to better integrate Providence Saint John’s campus within the community we serve. It will sustain our Mission of caring for the most vulnerable through expanded clinical and community services.

I ask you to vote in favor of the Phase II Master plan so that we may continue to live our Mission for the benefit of our patients and the surrounding community we serve.

Sincerely,
Paul Makarewicz
Providence Saint John’s Health Center
Chief Mission Integration Officer
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Packet Pg. 1194 Attachment: Written Comments (4853 : Providence Saint John's Development Agreement (180 min)) 1 Vernice Hankins
From: [email protected]
Sent: Monday, March 21, 2022 11:20 PM
To: councilmtgitems; Christine Parra; Gleam Davis; Kristin McCowan; Lana Negrete; Oscar de la Torre; Phil Brock; Sue Himmelrich; David White
Cc: [email protected]
Subject: City Council 3/22/22 agenda item 9-A -- Real community benefits

EXTERNAL
March 21, 2022
To: Mayor Himmelrich and City Council members
From: Zina Josephs
RE: 3/22/22 agenda item 9-A: Providence St. John's development agreement I urge the City Council to include the following in the St. John's DA:

1. Provide a minimum of 50 mental health beds for short-term inpatient care.

2. Provide a Mental Health Urgent Care Center (up to 24-hour care)

3. Provide a wellness program for SMMUSD students to combat obesity and diabetes and for targeted age groups, such as those who need health certificates in order to participate in youth sports programs.

4. Make the new conference center available at least four times a month for community groups to use for free.

5. Any funding for homeless services to community groups be given through an independent "board" or group so that it is not simply targeted to those who already receive funding from the City grants programs. Any funding set aside for community benefits should to have an outside group monitor how it is spent and report to Providence St. John's and the City Council on the expenditure of funds. This could be the "We Are Santa Monica Board" or another administrative group. Funds should not be put into the Santa Monica general fund pots, such as child care, or the housing trust fund.

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Packet Pg. 1195 Attachment: Written Comments (4853 : Providence Saint John's Development Agreement (180 min)) 1 Vernice Hankins
From: Elizabeth Van Denburgh <[email protected]>
Sent: Monday, March 21, 2022 11:08 PM
To: Sue Himmelrich; Kristin McCowan; Christine Parra; Lana Negrete; Phil Brock; Oscar de la Torre; Gleam Davis; councilmtgitems
Cc: David White; Susan Cline; Anuj Gupta
Subject: 3/22/22-City Cnl. Mtg. - Item 9.A - OPPOSE adoption of St. John's Development Agreement

EXTERNAL
Mayor Himmelrich and Council Members,
The St. John's‐Providence proposal for community benefits needs to be reviewed with a fine‐tooth comb to ensure real community benefits are being provided and monitored with the DA expansion.  The following points address where St.

John is window dressing its community benefits, not specifically defining what the benefit is, not providing the 50 psychiatric beds which is a standard for the housed and unhoused of Santa Monica and how the city should focus greater transparency and accountability of associated monies from the DA.

Many Proposed Community Benefits for DA Expansion are Already Required and are Not an Increase Which is Required with the DA Expansion
St John's‐Providence reports many stated "community benefits" which are already required by regulation and law and would be provided whether or not the DA was being expanded.  These are not " benefits" for this project, they are required.  These include:
 Child Care provisions ‐ are not aimed to provide significant increases in the number of slots but more an incentive for the employment of hospital staff.  The new facility does not provide commensurate slots for the additional development that is being proposed
 Health Assessment ‐ this is a documented exercise that must be done to be a hospital system in the state Open Space Definition and Accessibility is NOT Clearly Defined In the staff report there is a reference to 35% open space on the south campus.  In the community benefit section it refers to "publicly‐accessible open space".  What percentage of the 35% open space is public open space?  How do these two converge?
Barriers with Mental Health and Homelessness Funds being Used for Most Important Services and Selecting Most Effective Providers
 The mental health dollars are not what the community needs nor what the Rand report suggested.  The Rand report (2021) called for 50 beds for every 100,000 in population.  Today we have zero psychiatric beds in Santa Monica, and none are planned.  The closest psychiatric beds will be the 100+ bed that UCLA will build at the Olympia Hospital site at Olympic and Fairfax.  This is too far and will be inadequate for the westside that it seeks to serve.  Santa Monia needs psychiatric beds now, for Santa Monica's housed and unhoused population.  These beds are needed not just for our unhoused population but for our residents as well.  I understand that there is a current discussion with others in the mental health arena regarding a counseling center and an urgent behavioral health center on the expanded campus.  These may be part of a system of service but they must be secondary to the bed need.  The Audit Subcommittee is currently having a Homelessness report conducted and a key aspect is "identifying unmet needs and gaps" as requested by the Social Services Commission.  WHAT could be more important in terms of "unmet needs and gaps" than having appropriate psychiatric beds for Santa Monica's housed and unhoused residents? Item 9.A
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Packet Pg. 1196 Attachment: Written Comments (4853 : Providence Saint John's Development Agreement (180 min)) 2  Currently the city has established a condition that the distribution of cash grants must be to organizations that have been city funded (via the Human Services Grant program) within the last three years.  There should be an independent review and application process for these grants including an RFP process and an independent decision‐making body to select and monitor these grants.  The We are Santa Monica fund, a separate advisory board with grants finalized through the California Community Foundation, is an example of such a board.

Stewardship, Transparency and Effective Use of Development Agreement Funds The In Lieu Funds, part of the "Community Benefits" are placed in multiple funds including: housing trust fund, recreation and parks, child care and arts fund.  There is NO accountability to the public or City officials as to how staff might budget, allocate or spend these funds.  If a project, such as St John's‐Providence DA expansion does not meet the water neutraily standard (and I still don't understand how this is calculated or decided) then in lieu funds are made.  Who determines how much and where the funds go, much less how these funds are spent and then reported? This is the largest DA the city has seen and needs to be scrutinized carefully to ensure the "community benefits" are received by the residents and the city to address our "unmet needs and gaps" and mitigate the 20 years of construction and the doubling of St. John's.  The St. John's that never built their parking structure from the first phase of their rebuild.

Thank‐you,
Elizabeth Van Denburgh
Wilshire Montana Neighborhood Coalition (Wilmont)
Chair
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Packet Pg. 1197 Attachment: Written Comments (4853 : Providence Saint John's Development Agreement (180 min)) Lisa Flashner
211 Mills Street
Santa Monica, CA 90405
March 21, 2022
Santa Monica City Council
1685 Main Street, Room 209
Santa Monica, CA 90401
Re: Providence Saint John’s Health Center – Support for Phase II Master Plan Mayor and Santa Monica City Councilmembers,
I am writing to you today to voice my support for the Providence Saint John’s Health Center Phase II Master Plan that is currently under consideration by the Council.

I am a Santa Monica resident, and I fully support this project and the immediate and long term benefits our community will reap from it. These benefits will have a positive impact on a wide array of issues we are focused on as a community, including the City’s behavioral health initiatives, funding and services for people experiencing homelessness, and the creation of additional community open space.

Additionally, the project will upgrade many of Providence Saint John’s Health Center’s existing facilities and create new education and conference center space. These improvements and additions will serve to attract top tier medical talent to our area to care for our community, as well as to promote ongoing research that furthers health care both locally and globally.

Providence Saint John’s Health Center has been a proven health care provider and partner for the Santa Monica community for more than 75 years. I ask that you support all their efforts to implement improvements that will allow them to continue providing a high standard of care in our community for many years to come.

Respectfully,
Lisa Flashner
Santa Monica Resident
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Packet Pg. 1198 Attachment: Written Comments (4853 : Providence Saint John's Development Agreement (180 min)) Valerie Griffin
Santa Monica, CA 90403
March 22, 2022
City Council
Agenda Item 9-A
St. John’s
I’ve written and spoken about St. John’s development on prior occasions, not always supporting their position.

Today, I essentially support the proposed development.

There are excellent community benefits that truly bring the hospital complex into the neighborhood. Having open spaces that are inviting to members of the community as well as people associated with the hospital complex allow this world-class medical resource be part of a real Santa Monica neighborhood. For me, the Child and Family Development Center is an essential component. We need affordable, high-quality daycare. We also need community mental health care that makes seeing a mental health practitioner every bit as normal as getting health care for a broken arm.

I had a challenging childhood. I was fortunate enough to go away to school where I had access to on-campus mental health care to help me recover from this childhood and to deal with the fact that my career choice, while rewarding, would always be associated with significant gender bias. The on-campus practitioner referred me to a mental health center that was part of a hospital complex that was walking distance from campus. Having this service available has made my life much easier and more successful, professionally and as a human being. In addition to being part of a family-centric center, community mental health outreach should include populations going through life-stage challenges such as those associated with high school, college, retirement, and others where there may not be any available family component.

Another aspect of the development I believe is critical is that it is not all specified. Instead, it can be influenced by evolving changes in medical care and in the community itself, including our response to climate change. This approach helps future-proof the development.

Valerie Griffin
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Packet Pg. 1199 Attachment: Written Comments (4853 : Providence Saint John's Development Agreement (180 min)) March 22, 2022
Dear Santa Monica City Council Members,
My name is Christina Crawford and I am the Supervisor for the Community Health Department at Providence Saint John’s. I oversee our Homeless Navigation Program in the Emergency Department where our two Care Coordinators work together with local organizations, such as the St. Joseph Center and the People Concern, to get those individuals experiencing homelessness connected and placed in a form of housing. In addition to this, our department offers health education classes, as well as CalFresh application assistance to provide food security, at no cost to members of the community.

The Phase II Master Plan will continue to provide support to the community outside of the hospital walls and expand the level of support and good work Providence Saint John’s can provide. Every Tuesday a member of the Saint John’s team is at Virginia Avenue Park helping individuals apply for food assistance. So far this year we helped 27 families apply for CalFresh in effort to put healthy food on the table. I am writing today to share the impact that has made on the daily lives of some citizens of Santa Monica, who have asked to pass along their testimonies in support of the Phase II Master Plan. These testimonies are in regards to the CalFresh application assistance that they received.

Please see the testimonies below.

Many Blessings,
Christina Crawford
Supervisor, Community Health, Providence Saint John’s Health Center Testimony 1 (See Translation Below)
To Providence Health and Services,
Yo Mara Guzman, primeramente le doy gracias a Dios por los servicios que ofrece el Hospital Providence en Santa Monica.

Los beneficios de CalFresh han sido de mucha ayuda para mi y para mi hijo. Puedo traer a nuestra mesa comida saludable.

Cuando hago mis compras, escogo los alimentos mas saludables como carne, pollo, frutas, verduras y leche.

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Packet Pg. 1200 Attachment: Written Comments (4853 : Providence Saint John's Development Agreement (180 min)) Tengo un nino con el sindrome de down y problemas de tiroides de la clase que hace que mi hijo suba de peso y con los beneficios
de CalFresh puedo comprar alimentos para prepararle comidas saludables y de esa manera evitar que mi hijo suba mas de peso
Ahora mismo todos los alimentos estan muy caros y los beneficios de CalFresh han impactado la vida de mi familia grandemente.

Tambien quiero tomar esta oportundad para darle las gracias a Judith Ramos por ayudarme a llenar el formulairo de renovacion para
mis beneficios de CalFresh y enviarlos a Departamento de Servicios Publicos para que mis beneficios fuesen aprovados nuevamente.

En escala de 1 al 10, le doy un 10 a Judith por su excelente service. En Anos pasados mis servicios fueron cancelados por que no tenia
a alquien que me ayudara a enviar la recertifcacion. Gracias Providence por sus trabajadores comunitarios son de gran ayuda para nosotros.

Soy muy bendecida con los servicios que he recibido, Dios los bendiga, ustedes valen oro.

Sinceramente,
Maria Guzman
Translated Version
To Providence Health and Services,
I, Maria Guzman, would like to thank God for the services offered by Providence St. John’s Health Center in Santa Monica, CA.

CalFresh benefits have been very helpful to me and my son. It has given me the opportunity to bring healthy food to our table. When I shop, I choose the healthiest fruits and vegetables.

I have a child with down syndrome and thyroid problems which has my son gain weight and with the benefits from CalFresh I can buy food to prepare healthy meals and thus prevent my son from gaining more weight. Right now, all food is very expensive and CalFresh benefits have impacted my family's life for the better.

I want to take this opportunity to thank Judith Ramos for helping me fill out the renewal form for my CalFresh benefits and sending my application to the Department of Public Services to have my benefits re-approved.

On a scale of 1 to 10, I give Judith a 10 for her excellent service. In past years my benefits were canceled because I did not have someone to help me send the recertification. Thank you, Providence St. John Health Center for your community workers because they are a great help to us.

I am very blessed with the services I have received; God bless you, you are worth gold.

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Packet Pg. 1201 Attachment: Written Comments (4853 : Providence Saint John's Development Agreement (180 min)) Regards,
Maria Guzman
Testimony 2
To Providence Health and Services,
I, Ana Castillo would like to thank God for all the services Providence provides, especially the CalFresh Program.

My CalFresh benefit is a blessing to my life. I can purchase healthy meals, fruits, and vegetables. I can also buy a
descent meal from restaurants that accept EBT cards. I am very grateful for my CalFresh benefits.

Also, I’d like to thank Judith Ramos for helping me fill out my CalFresh application and submitting all documents required by
the Department of Public Social Services. I really appreciate her excellent service.

Thank you Providence, God bless you.

Sincerely,
Ana Castillo
Testimony 3
To Providence Health and Services
I Juan Carlos Chairez want to let Providence know that my family and I are very happy with our CalFresh benefits.

We are able to put fresh food such us chicken and meat and fresh fruits and vegetables on our table.

We purchase healthy products to prepare healthy meals.

The CalFresh benefits has been a great help to me and my family. Thank you so much for your help.

We really appreciate all the help that providence provides on behalf of the Community Health Workers.

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Packet Pg. 1202 Attachment: Written Comments (4853 : Providence Saint John's Development Agreement (180 min)) I would like to thank Judith Ramos for helping me fill out my CalFresh application and submitting all the documents required to the Department of Public Social Services for my CalFresh benefits to be approved.

Thank you so much for all your help and services,
Sincerely,
Juan Carlos Chairez
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Packet Pg. 1203 Attachment: Written Comments (4853 : Providence Saint John's Development Agreement (180 min)) Jan. 24, 2022
RE: Saint John’s Phase II Master Plan
Dear Planning Commissioners:

As Superintendent of the Santa Monica Malibu Unified School District (SMMUSD), I recognize the essential need for our students, faculty and staff to have extraordinary partners in our communities. For many years, Saint John’s has been one of those extraordinary community partners providing:
• Services to children and families impacted by community violence, family discord, poverty, substance abuse and/or trauma.
• Individual and family therapy, group therapy, case management, parent training and teacher consultations.
• Mental/behavioral health services to students who may be at risk of school dropout, gang involvement, peer isolation and communication issues with adults and authority figures. • Additional services to students experiencing behavioral and emotional issues such as anxiety, disruptive behaviors, depression and trauma.

Most recently, Saint John’s has been an invaluable partner by providing vaccines and boosters to many of our faculty, staff and students.

I understand Saint John’s is bringing forward a Phase II Master Plan to the Planning Commission that would expand its healthcare services and provide an astonishing $100M community benefit’s package, a portion of which will be an investment in the youth of Santa Monica over the next 30 years.

I urge you to promptly approve this Phase II Master Plan and allow Saint John’s to move forward in its campus development and renewed commitment to the youth of our city.

Respectfully,
Ben Drati, EdD
Superintendent
Santa Monica Malibu Unified School District
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Packet Pg. 1204 Attachment: Written Comments (4853 : Providence Saint John's Development Agreement (180 min)) Michael Fiore
1626 Lincoln Blvd #505
Santa Monica, CA 90404
21 March 2021
Providence Health and Services
To whom this may concern:

In December 2021, Judith Ramos Albeno of Providence Health and Services assisted my wife and myself in our application for CalFresh awards. Judith helped us fill out the necessary forms, forwarded all pertinent documentation to DPSS, and followed up both with us and with DPSS to see that our application was processed.

In fact, if it had not been for Providence’s community outreach, my wife and I would not have known that we might be eligible for CalFresh assistance. Then, after the initial application, when further information was required by DPSS, Judith explained how we were to acquire this information and forwarded it to the correct case workers at DPSS for us.

The assistance we receive from CalFresh has substantially benefited our two-person household by putting food on our table and easing our monthly cash outlay for these necessary expenses.

We express our gratitude to Judith and Providence for offering their helpful service, and our hope that they may continue to extend this, and similar services, to those in need in our community.

Sincerely,
Michael Fiore
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Packet Pg. 1205 Attachment: Written Comments (4853 : Providence Saint John's Development Agreement (180 min)) 2121 Santa Monica Boulevard
Santa Monica, California 90404
310-582-7340
providence.org
Santa Monica City Council
Planning Commission
22 MARCH 2022

LETTER OF SUPPORT
To the Planning Commission:

I have lived and worked in Santa Monica since September 2015, having moved here from San Diego because of the promise that was the Saint John’s Cancer Institute. I am an oncology nurse, a nurse scientist, and an Air Force reservist. A physician I worked with in San Diego asked if I would be willing to relocate to help establish a brain tumor program in Los Angeles. I said yes even if Los Angeles was not on my short list of preferred cities to live or work in.

As it turns out, moving to Santa Monica (not Los Angeles but Santa Monica), was one of the best decisions I made for my career. I love being able to claim that I work at the Saint John’s Cancer Institute, which changed the surgical management of patients with skin cancer forever by developing the sentinel lymph node biopsy technique, now a standard globally. Saint John’s has been a pioneer in medical innovations- and dare I say, Saint John’s is to Santa Monica, as UCLA is to Westwood, or NIH is to Bethesda.

The past two years, during the pandemic, I saw first-hand the contributions of Saint John’s to the community. We opened COVID vaccine and booster clinics for city employees, school districts within and in the immediate vicinity of the city, Santa Monica Police and Fire Departments, the archdiocese of Los Angeles. I lost count of the number of retired priests who told me they appreciated returning to Saint John’s where they were born.

The promise that is the Saint John’s Cancer Institute continues to instill hope. Just last month, a press release announced that Saint John’s was the first in the nation to treat glioblastoma patient with revolutionary radiation therapy. Strong clinical and research program brings key thought leaders to Santa Monica- physicians, scientists, investor, not to mention patients.

I want to bring nurses and even service members to train with us but we do not have the facilities for instruction. I have seen many of them walk through the doors of Saint John’s, the hospital, and gasp at how nice the lobby is. The reaction is even more profound during the Christmas season. Then they walk over to the Cancer Institute, a brick building that was painted over with gray paint. I’m not going to describe their reaction. I guess my point is, we need to update our campus and I am hoping that the commission will help Saint John’s so Saint John’s can continue to help the community of Santa Monica.

Sincerely,
Marlon Garzo Saria, PhD, RN, AOCNS, NEA, BC, NPD-BC, FAAN Director | Nursing Professional Practice | Providence Saint John’s Health Center Assistant Professor | Saint John’s Cancer Institute
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Packet Pg. 1206 Attachment: Written Comments (4853 : Providence Saint John's Development Agreement (180 min)) Bethany Proctor
My name is Bethany Proctor. I spoke in favor of St. John's Phase II a few years ago at the Planning Commission and City Council float-up hearings. I don’t think I can be at the Tuesday night hearing, so I am sending an email instead.

I want to express my support one more time. I’m asking you to vote YES for a plan that will serve my generation and our children and grandchildren to come. St. John’s incredible generosity of resources and energy and spirit is a gift to our community. As City Council members and our representatives, the community needs you to acknowledge that St.

John’s will be meeting the people of this city more than halfway in the plan that the hospital has sent to you. Let’s all of us give them a green light to move forward. My support is based on how I see the future of wellness in Santa Monica and on my own personal experience.

My relationship with St. John’s starts at the beginning – my beginning. I was born prematurely at St. John’s 14 days before the Northridge earthquake. I was in the NICU when the quake hit. Obviously, I don't remember the evacuation of the hospital, which was horribly damaged, but everyone in my neighborhood has a story about that day and how my mid-city neighborhood was impacted. The staff of St. John’s went into action and safely evacuated and relocated everyone at St. John’s. Those people are still serving Santa Monica through crises both personal and regional.

Coming into the world very prematurely can present challenges. When I was in elementary school, I was assessed at the St. John’s Child and Family Development Center, and a plan of care was set into motion. The issues I faced were thank goodness temporary, thanks in part to intervention by the expert staff. The CFDC is a reminder of how broad the health center’s mission really is. A new and improved CFDC will make a huge difference in kids’ and families’ lives.

I didn’t really interact with St. John’s again until six years ago, when my mom was diagnosed with a rare form of cancer. After surgical treatment at another hospital, she found fellowship in an online support group where patients discussed treatment options, clinical trials, and ways to cope with everyday challenges. As my mom tried to understand her illness and envision a path forward in terms of life-extending treatment, the convener of the support group suggested that since my mom lived in Santa Monica, she should go to where the research is and get a consultation. Of course, the convener meant the John Wayne Cancer Institute (now renamed as St. John’s Cancer Institute). My mom quickly connected with a world-famous researcher/surgeon there who happened to have expertise in this kind of cancer. He was incredibly knowledgeable, compassionate, and best of all, totally honest with her about her prognosis when she asked. The prognosis was hard for my mom, but she was a person of faith, and she shared with him her concern about the people she met in the support group who were struggling with this cancer.

The doctor said to her help is on the way. Help in the form of life-saving research that could someday turn into effective treatments available to patients in other communities across the country.

We lost her four years ago, but we are incredibly thankful for the doctors and scientists at the Cancer Institute and for the incredible work they do.

Everyone knows that the Cancer Institute needs a new facility to continue that work, but it can’t even be designed until Phase II is approved. I know that Phase II is basically a zoning and legal issue, but I ask you, when you vote, to remember the actual people who work at St. John’s and SJCI who welcome new lives and save others, and remember the people of this city who will count on this great health center throughout their lives. We will all benefit from your YES vote.

Thank you for reading my email.

Bethany Proctor
Santa Monica, CA
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Packet Pg. 1207 Attachment: Written Comments (4853 : Providence Saint John's Development Agreement (180 min)) 1 Vernice Hankins
From: Zachary Gaidzik <[email protected]>
Sent: Tuesday, March 22, 2022 12:08 PM
To: Sue Himmelrich; Kristin McCowan; Gleam Davis; Phil Brock; Christine Parra; Lana Negrete; Oscar de la Torre; councilmtgitems
Cc: David Martin; Roxanne Tanemori
Subject: Item 9-A - support

EXTERNAL
City Councilmembers,
I am Zachary Gaidzik, and I serve as West/Metro LA Field Deputy for County Supervisor Sheila Kuehl, sit on the Board of Ocean Park Association, and Climate Action Santa Monica. However, I am writing as an individual Santa Monica resident only.

I urge you to vote affirmatively on the incredibly important Phase II Plan. It will complete the Development Agreement process that actually started decades ago after the Northridge Quake and the assessment of critical care facilities and mandates of our State Senate. We now have a critical care facility that can withstand a strong seismic event and continue to function.

Moreover, I strongly support the presence of a community hospital in Santa Monica, one that can deliver high-touch and high-tech care to the people we love. I believe Saint John’s must continue to evolve with community need and make the most of the property it already owns in a thoughtful and practical way. This plan exemplifies those objectives. That is why approval of Phase II is essential.

I have a personal connection to Providence Saint John’s. I was born and raised in Santa Monica and have been a patient at Saint John’s numerous times. My aunt received emergency care at Saint John’s on more than one occasion for serious cardiac events. But what left the deepest impression for me was the care given to my grandfather who was a patient at the hospital at the end of his life. My family and I feel very strongly that the care that doctors, nurses, and other staff has been exemplary.

The Phase II Plan before you tomorrow night is future-focused. It updates the healing mission of the health center, providing improved and/or brand-new critical community-serving facilities such as the Cancer Institute and CFDC. New proposed uses, including outpatient facilities, will meet a critical need in the local healthcare space. A conference center that meets 21st century communications demands will aid the research and clinical staff and will provide a welcome addition to meeting room stock available to our engaged community. On-site parking for all will be a game-changer for the Mid-City neighborhood and visitors, and the generous open space element on the south property will be a huge bonus and obvious benefit to our community. The same goes for the deed-restricted affordable housing.

Finally, the community benefits attached to the Phase II Plan are, I believe, precedent breaking. It is extraordinary that a not-for-profit health center will devote significant dollars and in-kind services to meet the needs of Santa Monicans, while still providing excellent healthcare and research services to the community. I commend Providence Saint John’s for its vision and generosity of spirit and resources, and again ask you to vote yes on this truly important plan. ‐‐
Sincerely
Zachary Gaidzik
310-422-3435
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Packet Pg. 1208 Attachment: Written Comments (4853 : Providence Saint John's Development Agreement (180 min)) 2 Vernice Hankins
From: Julie Thompson <[email protected]>
Sent: Tuesday, March 22, 2022 12:01 PM
To: Oscar de la Torre; councilmtgitems; Sue Himmelrich; Kristin McCowan; Gleam Davis; Phil Brock; Christine Parra; Lana Negrete
Subject: ITEM 9A Support

EXTERNAL
Dear Santa Monica City Council People:

As longtime Santa Monica residents (40 years and counting) we have utilized and benefited from the excellent services of St. John's hospital and have met countless doctors and researchers who work to provide Santa Monica residents (and way beyond) with advanced and sometimes leading edge health care. With their Phase II Building Plan we know they would be able to greatly expand the breadth of research and medical services to our beloved community. We hope you will partner with them in approving support for the Phase II Building Plan so they can move ahead.

Thanks for all the good work you do for Santa Monica.

Best Regards,
Julie M. Thompson
Brogan T. de Paor
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Packet Pg. 1209 Attachment: Written Comments (4853 : Providence Saint John's Development Agreement (180 min)) 3 Vernice Hankins
From: Tricia Crane <[email protected]>
Sent: Tuesday, March 22, 2022 12:01 PM
To: Sue Himmelrich; Kristin McCowan; Christine Parra; Lana Negrete; Phil Brock; Oscar de la Torre; Gleam Davis; councilmtgitems; David White; Susan Cline; Anuj Gupta Subject: The Board of Northeast Neighbors OPPOSE the proposed Community Benefits in Agenda Item 9.A

EXTERNAL
To: City Council
From: The Board of Northeast Neighbors
Re: OPPOSE adoption of St. John's Development Agreement – Agenda Item 9.A March 22, 2022
The Board of Northeast Neighbors agrees with the chairs of Friends of Sunset Park and Wilshire Montana Neighborhood Coalition and support the recommendations in both of their letters to Council (embedded below) that the proposed Community Benefits for the St. John’s-Providence DA must be revised to include meaningful specificity and monitoring.

Thank you.
##
Mayor Himmelrich and Council Members,
The St. John's-Providence proposal for community benefits needs to be reviewed with a fine-tooth comb to ensure real community benefits are being provided and monitored with the DA expansion. The following points address where St. John is window dressing its community benefits, not specifically defining what the benefit is, not providing the 50 psychiatric beds which is a standard for the housed and unhoused of Santa Monica and how the city should focus greater transparency and accountability of associated monies from the DA.

Many Proposed Community Benefits for DA Expansion are Already Required and are Not an Increase Which is Required with the DA Expansion
St John's-Providence reports many stated "community benefits" which are already required by regulation and law and would be provided whether or not the DA was being expanded. These are not " benefits" for this project, they are required. These include:
 Child Care provisions - are not aimed to provide significant increases in the number of slots but more an incentive for the employment of hospital staff. The new facility does not provide commensurate slots for the additional development that is being proposed
 Health Assessment - this is a documented exercise that must be done to be a hospital system in the state
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Packet Pg. 1210 Attachment: Written Comments (4853 : Providence Saint John's Development Agreement (180 min)) 4 Open Space Definition and Accessibility is NOT Clearly Defined In the staff report there is a reference to 35% open space on the south campus. In the community benefit section it refers to "publicly-accessible open space". What percentage of the 35% open space is public open space? How do these two converge?
Barriers with Mental Health and Homelessness Funds being Used for Most Important Services and Selecting Most Effective Providers
 The mental health dollars are not what the community needs nor what the Rand report suggested. The Rand report (2021) called for 50 beds for every 100,000 in population. Today we have zero psychiatric beds in Santa Monica, and none are planned. The closest psychiatric beds will be the 100+ bed that UCLA will build at the Olympia Hospital site at Olympic and Fairfax. This is too far and will be inadequate for the westside that it seeks to serve. Santa Monia needs psychiatric beds now, for Santa Monica's housed and unhoused population. These beds are needed not just for our unhoused population but for our residents as well. I understand that there is a current discussion with others in the mental health arena regarding a counseling center and an urgent behavioral health center on the expanded campus. These may be part of a system of service but they must be secondary to the bed need. The Audit Subcommittee is currently having a Homelessness report conducted and a key aspect is "identifying unmet needs and gaps" as requested by the Social Services Commission. WHAT could be more important in terms of "unmet needs and gaps" than having appropriate psychiatric beds for Santa Monica's housed and unhoused residents?  Currently the city has established a condition that the distribution of cash grants must be to organizations that have been city funded (via the Human Services Grant program) within the last three years. There should be an independent review and application process for these grants including an RFP process and an independent decision-making body to select and monitor these grants. The We are Santa Monica fund, a separate advisory board with grants finalized through the California Community Foundation, is an example of such a board.

Stewardship, Transparency and Effective Use of Development Agreement Funds The In Lieu Funds, part of the "Community Benefits" are placed in multiple funds including: housing trust fund, recreation and parks, child care and arts fund. There is NO accountability to the public or City officials as to how staff might budget, allocate or spend these funds. If a project, such as St John's-Providence DA expansion does not meet the water neutrality standard (and I still don't understand how this is calculated or decided) then in lieu funds are made. Who determines how much and where the funds go, much less how these funds are spent and then reported? This is the largest DA the city has seen and needs to be scrutinized to ensure the "community benefits" are received by the residents and the city to address our "unmet needs and gaps" and mitigate the 20 years of construction and the doubling of St. John's. St. John's never built their parking structure from the first phase of their rebuild.

Thank-you,
Elizabeth Van Denburgh
Wilshire Montana Neighborhood Coalition (Wilmont)
Chair
##
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Packet Pg. 1211 Attachment: Written Comments (4853 : Providence Saint John's Development Agreement (180 min)) 5 March 21, 2022
To: Mayor Himmelrich and City Council members
From: Zina Josephs
RE: 3/22/22 agenda item 9-A: Providence St. John's development agreement I urge the City Council to include the following in the St. John's DA:

1. Provide a minimum of 50 mental health beds for short-term inpatient care.

2. Provide a Mental Health Urgent Care Center (up to 24-hour care)

3. Provide a wellness program for SMMUSD students to combat obesity and diabetes and for targeted age groups, such as those who need health certificates to participate in youth sports programs.

4. Make the new conference center available at least four times a month for community groups to use for free.

5. Any funding for homeless services to community groups should be given through an independent "board" or group so that it is not simply targeted to those who already receive funding from the City grants programs. Any funding set aside for community benefits should have an outside group monitor how it is spent and report to Providence St. John's and the City Council on the expenditure of funds. This could be the "We Are Santa Monica Board" or another administrative group. Funds should not be put into the Santa Monica general fund pots, such as childcare, or the housing trust fund.

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Packet Pg. 1212 Attachment: Written Comments (4853 : Providence Saint John's Development Agreement (180 min)) 6 Vernice Hankins
From: Nanci Linke-Ellis <[email protected]>
Sent: Tuesday, March 22, 2022 11:55 AM
To: Sue Himmelrich; Kristin McCowan; Gleam Davis; Phil Brock; Christine Parra; Lana Negrete; Oscar de la Torre; councilmtgitems
Subject: City Council Meeting 3/22/2022 St. John's Redevelopment Phase II

EXTERNAL
March 22, 2022
Dear City Council members,
As a 27‐year resident of Mid City, and current Vice President of the Hearing Loss Association of America, California Association (HLAA‐CA), and serving on the Santa Monica Disabilities Commission. I am also a Deaf woman who has been blessed as a bi‐lateral cochlear implant recipient since 1994.  Since my first implant, I have spent my life working with companies, organizations and government agencies to help them understand the imperative need for clear communication and ease of accommodations.

I support the Phase Two Redevelopment of Providence St. John’s and encourage you to include as many accommodations as possible.  Many require little or no funding.  There are products and apps that have been created by Apple, Google, Microsoft and Zoom that are provided without cost. Low‐cost tablets\ smartphones apps can be utilized, as well.

We are very fortunate to live in a time of exceptional technology that has been created to be user friendly to both people with hearing loss and those they deal with that have normal hearing.

For the purposes of this council meeting, however, I would like to list some accessibility issues that should be included.  The American Disability Act was written as a minimum standard, not the maximum. At the time that the ADA was signed into law, most of the technology that Deaf and hard of hearing people currently use did not yet exist.

Conceptually, if you can hear it, they need to see it.

Some crucial areas to be addressed:

In general:

(1) wherever there is audio amplification, there should be some form of speech to text access.

(2) all videos, speeches, and other events should have captions. (3) televisions should have captions activated at all times.

(4) staff should be trained to use tablets with transcription speech to text apps (such as Google Live Transcribe for Android and Otter Voice, or Ava for iOS); these are all AI driven.

(5) there should be appropriate accessible\captions signage. (6) advertisements should list available accommodations.

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Packet Pg. 1213 Attachment: Written Comments (4853 : Providence Saint John's Development Agreement (180 min)) 7 (7) staff should receive sensitivity training on how to accommodate Deaf patrons.

(8) patient advocates need to be available to patients for appointments and prior to hospital admission. These are specifically trained people who can navigate the process and ensure that both medical staff and patients understand what is going on.

Lobbies: If there is an audio announcement system in a lobby, all public area television sets should have captions activated.

Public Event Spaces: All conference and meeting rooms with an audio system (including the proposed Education and Conference Center) include some form of speech to text capability. Communication access real‐time translation (CART), also called open captioning or real‐time stenography, or simply real‐time captioning, is the general name of the system that court reporters, closed captioners and voice writers, and others use to convert speech to text. This should be available for events open to the public and can be done on‐site or remotely.

Restaurants: Servers should have access to a tablet with transcription speech to text apps and all staff should be trained in its use. If the restaurant has an audio system or will be used for meetings or other events, it should have captioning capability. If the restaurant has a television, it should have captions activated at all times.

Medical Offices: tablets with transcription speech to text apps should be available.

All Telehealth applications must be required to include captioning capability.

PPE for staff that enables deaf and hard of hearing to understand caretakers and other staff.

There are many economical and effective tools already in existence for the use of Providence St. John's staff and patients.

I am more than happy to discuss this at further length and provide research and data for your perusal.

Thank you for your time and interest.

Nanci Linke Ellis
3207 Colorado Avenue
Santa Monica, CA 90404
310.829.3884 main
310.922.3884 mobile
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Packet Pg. 1214 Attachment: Written Comments (4853 : Providence Saint John's Development Agreement (180 min)) 1 Vernice Hankins
From: Andrew Hoyer <[email protected]>
Sent: Tuesday, March 22, 2022 11:43 AM
To: councilmtgitems; Clerk Mailbox; Clerk Mailbox
Subject: St John's DA 3-22-22 Item 9A

EXTERNAL
City Councilmembers,
Santa Monica Mid City Neighbors has a long history dealing with the impacts that Providence St John’s Medical Center has had upon our community. Every community needs hospitals, especially in these dire times. And our community does appreciate the services that are currently provided by our hospitals. But there are some services that are not being provided by either of them.

For the past ten years or more St John’s has come to us when they are petitioning the city for something. And every time they have heard that the community wants mental health services, including beds for 72-hour holds. Every Time.

Over a ten-year span, they did not even consider the idea that our city government might request this of them. And they stand before you now asking for permission to disrupt our community with construction for the next twentyfive years. Many of us work from home now and “Construction Noise in the Background” will be our new nemesis.

St. John’s came to our December meeting with this latest plan and our President, Jen Regan put together a document for our members to submit their thoughts on. We have more concerns than just mental health. Closing off 21st and moving a light closer to 20th sounds disastrous. We’d like a path through the North Campus to break up the super block they have created. And of course, there will be more traffic with no shuttle to the Metro station as requested numerous times. Does the city still intend to activate Colorado into a business district? You will find our community’s input below. We respectfully request that you include them in your negotiations with St John’s.

Andrew Hoyer
SMMCN Board Secretary & Govt Affairs Officer
Santa Monica Mid City Neighbors Board & Members
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Packet Pg. 1215 Attachment: Written Comments (4853 : Providence Saint John's Development Agreement (180 min)) 2 Mental Health & Other Services:
 Provide the in- and out-patient services our community needs, at a location to be proposed by the Hospital, somewhere on the campus.
o Mental Health Beds at a minimum of 50 beds.
o Mental Health Urgent Care Center (23 hr. 59 min open per day) similar to https://www.wellnesscenteroc.com
o Bi-Monthly Health Clinic for Santa Monica College students experiencing homelessness or who are nutritionally compromised.
o A Wellness Program for Santa Monica public school students to combat obesity and diabetes and to provide targeted age groups such as those who need health certificates in order to participate in youth sports programs.  Embrace the recommendations provided by the city’s own Social Services Commission
 Any funding for homeless services to community groups should be administered through an independent board so that it is not just targeted to those who already receive funding from the city grant programs.
 Any funding set aside for community benefits must have an outside group monitor how it is spent and report to the Medical Center and the City Council on the expenditure of funds. This could be the "We are Santa Monica Board" or another administrative group. Funds should not be put into the Santa Monica general fund pots such as childcare or housing trust fund.  The new conference center should be made available at least four times a month for community groups to use for free.

Vehicular Circulation & Traffic Concerns
 The existing vehicular function of 21st St. is benign: Maintain the existing 21st St. as a through street from Santa Monica Bl. to Broadway to avoid creating a super-block effect and worsening traffic on 20th St.
 Maintain the full-function traffic signal at the existing 21st St. alignment on Santa Monica Bl.: The proposed move to the west would make the signal too close to 20th St., creating stacking problems;
 Move, if necessary, the 22nd St. signal for best pedestrian convenience, and change its function from full function to pedestrian, with red light flashing, to reduce the traffic snarling created by excessive signals between 20th and Cloverfield. There would be no impact to the Hospital: the intersection is in-only, and right-turn-out function could be added, if desired, without need for a signal.

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Packet Pg. 1216 Attachment: Written Comments (4853 : Providence Saint John's Development Agreement (180 min)) 3 Healthy Transportation, Pedestrian Access, Safety:
 As a non-profit hospital you have an obligation to conduct Community Health Needs Assessments (CHNA) to retain your tax-exempt status. There is a clear community need for healthy transportation: Ways of getting around without a car, without poisoning the planet, without adding to the obesity and diabetes crisis. The current designs fail to make the connection between the health mission of St Johns and the continuing problems of car-based transport which affect personal and planetary health:
 The North Campus superblock creates a real obstacle to pedestrians and people on bikes. An attractively landscaped walkway and bikeway adjacent to the proposed fire lane at the 21st St. alignment could correct the problem of an arduous hike via 20th or 23rd Streets. Alternatively, the proposed fire lane could be upgraded to a street with public vehicular access and sidewalk.
 A range of programming should be implemented to bring healthy transportation to St Johns. You should implement real incentives for staff to use healthy modes, create safe and attractive bicycle parking and routes. The hospital leadership should publicly advocate for better infrastructure for healthy modes. The position of a commute coordinator (last held by Bonnie Halwey) must be filled again to facilitate less driving for staff and doctors. Patient appointments, scripts, and communications should include public transit options and bike routes, given your vicinity to bus stops and the Expo Bike Lane. Your chief executive (Marcel Loh) should be riding his bike to work from his home in Santa Monica for Bike to Work Day, and the Blessing of the Bicycles, last conducted in 2016, should become an annual event. Community health programming should offer safe cycling education for staff, patients and the local community, diabetes prevention programming (DPP) should also include hands-on access to active modes.  It is truly vexing that St John’s has so little capacity to consider the synergies between health and transportation. The benefits of connecting these silos have a rich evidence basis and have been proven in many places. Yet this hospital system is still stuck in the car and the unhealthy horizon of automobilitis.

Women’s Health Services:
 Some members in our community have serious concerns over Women’s Health Options and women represent half of the city’s citizenry. While they understand the principles of freedom of religion, they also believe that contraception is a legal right.

Some General Comments on Traffic and Expansion:

The proposed South Campus additions are about the same size as the proposed Hines Project at the former PaperMate Plant that was ultimately rejected by the Item 9.A
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Packet Pg. 1217 Attachment: Written Comments (4853 : Providence Saint John's Development Agreement (180 min)) 4 City of Santa Monica. The number of traffic trips generated per day by these additions would probably be about 13,000, the same amount as the proposed Hines Project, if not more. We cannot handle the existing traffic and congestion already let alone the additional traffic and congestion that these proposed additions would create. During rush hour, traffic is bumper to bumper on Santa Monica Blvd from before 20th Street to Cloverfield Blvd and also on Broadway from before 19th Street to Cloverfield Blvd as well as on Cloverfield Blvd from Santa Monica Blvd to the 10 Freeway. Both Santa Monica Blvd and Cloverfield Blvd plus Broadway and Cloverfield are choke points for traffic with no relief possible. The only freeway on and off ramp in the area is at Cloverfield that is already gridlocked and cannot handle existing traffic let alone the additional traffic the South Campus additions would create. The scope of the proposed South Campus additions is not sustainable in the area.

It is recommended that the South Campus additions be similar to those at Cottage Hospital in Santa Barbara-two- and three-story buildings. If additional space is needed, then St John’s could expand outward rather than upward. This would disperse the traffic and alleviate the traffic and congestion that the proposed South Campus additions would create around Santa Monica Blvd, Broadway, 20th Street and Cloverfield Blvd. It really is to the benefit of not only St John’s but also to its patients, staff and our community overall if St John’s is more like Cottage Hospital in Santa Barbara rather than the UCLA Medical Center in Westwood. Also patients prefer St John’s to the UCLA Medical Center in Westwood because St John’s is more human scale with better personal service.

There is only one moment in time when it is essential to awaken. That moment is now. - Buddha
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Packet Pg. 1218 Attachment: Written Comments (4853 : Providence Saint John's Development Agreement (180 min)) 1 Vernice Hankins
From: Council Mailbox
Sent: Tuesday, March 22, 2022 10:12 AM
To: councilmtgitems
Subject: FW: Item: 9a
‐‐‐‐‐Original Message‐‐‐‐‐
From: Louise Steiner <[email protected]>
Sent: Monday, March 21, 2022 3:59 PM
To: Council Mailbox <[email protected]>
Subject: Item: 9a

EXTERNAL
Dear Council Members,  I am voicing my support for the St John’s phase 2 expansion only if the large mental health facilities they propose are included and built.

Thank you.  Louise Steiner
Resident of Santa Monica
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Packet Pg. 1219 Attachment: Written Comments (4853 : Providence Saint John's Development Agreement (180 min)) 2 Vernice Hankins
From: Donna Schweers <[email protected]>
Sent: Tuesday, March 22, 2022 10:11 AM
To: councilmtgitems; Gleam Davis; Sue Himmelrich; Kristin McCowan; Phil Brock; Oscar de la Torre; Lana Negrete; Christine Parra
Cc: David White; David Martin; Roxanne Tanemori
Subject: Approve Saint John's Master Plan

EXTERNAL
My name is Donna Schweers and I am writing you today to encourage you to vote “YES” on the Providence Saint John’s Health Center Phase II Master Plan and to express to you my sincere enthusiasm for all that this plan represents for our entire community.

I am a retired healthcare consultant with thirty‐five plus years experience working with physicians, hospitals, insurance companies and investors in designing and implementing integrated health care programs and institutions.  When our family relocated from San Francisco to Santa Monica shortly after the 1994 earthquake, Saint John’s Health Center, the gem of a community hospital that I had heard about so often in my career, was closed for reconstruction and we had to seek and establish a hospital relationship outside of our community.  Realizing just how critical having a world class hospital and research institute within our community is,  I vowed to become more involved with the hospital upon its reopening.  I joined the Irene Dunne Guild, a women’s support group to help raise money and awareness of the wonderful, first class services provided by Saint John’s to our community.  Shortly after that time, I became a Trustee of the Saint John’s Health Center Foundation, serving as the Chair of the Trustee Board from 2015 ‐2017 and am currently serving my seventh year as a member of the Health Center’s Board of Directors.  I also volunteer at the hospital serving as a member of the “No One Dies Alone” program.

I see every day the importance of access to cutting edge, critical health care services and research to everyone in our community, including those who are poor and most vulnerable.  While serving as Treasurer of the hospital Board and as a member of the Foundation’s Community Inpact Fund Committee, I have witnessed first hand the investment of millions of dollars back into the community not only to provide comprehensive, vital services directly but also to invest in our community partners who work tirelessly to provide food, shelter, education and mental health services to our most vulnerable neighbors.  If approved, the Phase II Master Plan will allow Saint John's to expand upon our work and partnerships to provide $10 million to the city’s behavioral health initiatives, dramatically assisting organizations providing mental health, substance abuse and community programs to residents.  The Plan also helps to address affordable housing by providing much‐needed housing for low‐income residents as well as additional childcare and day care options for our local families.

Given my background in healthcare, I understand just how critical it is to have a cutting edge research facility within our local health center.  In order for Saint John's to compete in the Los Angeles healthcare market place and have the ability to recruit the world class physicians and providers that our community citizens deserve, it is critical that the hospital maintain and support a leading research facility that helps expedite the transformational care that everyone in our community deserves.  The expanded and updated research facility provided by the Phase II Master Plan, will provide the sorely needed space and upgrade necessary for our research to push the boundaries of medical treatments through countless clinical trials and original research.  Our entire community deserves and expects first rate medical care from Saint John's.

The overwhelming benefits to our community provided by the Phase II Master Plan are critical and obvious.   I strongly encourage you to support our entire community and vote “YES” on this transformative and comprehensive plan for the Item 9.A
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Packet Pg. 1220 Attachment: Written Comments (4853 : Providence Saint John's Development Agreement (180 min)) 3 Saint John's campus.  I am so excited to see what lies ahead for our neighbors and community as we see the “power of partnership” presented in this Plan unfold.

Thank you for your support!
Sincerely,
Donna Schweers
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Packet Pg. 1221 Attachment: Written Comments (4853 : Providence Saint John's Development Agreement (180 min)) 1 Vernice Hankins
From: Mina Kang <[email protected]>
Sent: Tuesday, March 22, 2022 9:28 AM
To: councilmtgitems; Gleam Davis; Sue Himmelrich; Kristin McCowan; Phil Brock; Oscar de la Torre; Lana Negrete; Christine Parra
Cc: David White; David Martin; Roxanne Tanemori
Subject: YES on Saint John’s Master Plan

EXTERNAL
Dear Esteemed Members of the Santa Monica City Council, My name is Mina Kang, MD and I have been a practicing physician at Saint John's Health Center for over 10 years. I have volunteered my clinical services at Venice Family Clinic and student‐run homeless clinics to help provide low‐cost health services to members of the Santa Monica and West LA community. These experiences have given me a unique perspective of the role that Providence Saint John's Health Center plays in our community. I have 2 children who have attended the Child and Family Development Center (CFDC) Day Care on the Saint John’s campus starting at 3 months of age and both have graduated to attend elementary school in Santa Monica. I am also a patient at Saint John’s along with my parents and children. Not too long ago a father of a close friend of ours had life‐saving emergency open‐heart surgery at Providence Saint John’s Health Center. These experiences have given me a unique perspective of the role that Providence Saint John's Health Center has in our community. As a physician, mother, patient, and community member, I have seen first‐hand how a state‐of‐the‐art research institute and community health center can work together to improve patient lives and offer innovative treatment options to save lives.

I am most proud to be able to practice with and refer my family and friends to some of the best physicians and surgeons in the world here in our own city. These new facilities would allow us to continue our mission of world class care in a friendly and personable community setting. Additionally, if it wasn’t for the CFDC, I would not have been able to practice medicine full‐time and provide care to all the patients I have had the privilege to care for over the past 10 years. I know that this is true for many of my colleagues as well. Therefore, I’m excited that this plan includes expansion of childcare facilities and subsidies to support future generations of physicians and nurses.

I urge you to vote in favor of this transformative Master Plan.

Sincerely,
Mina Kang, MD
Item 9.A
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Packet Pg. 1222 Attachment: Written Comments (4853 : Providence Saint John's Development Agreement (180 min)) 1 Vernice Hankins
From: Krasne, David MD <[email protected]>
Sent: Tuesday, March 22, 2022 9:00 AM
To: councilmtgitems; Gleam Davis; Sue Himmelrich; Kristin McCowan; Phil Brock; Oscar de la Torre; Lana Negrete; Christine Parra
Cc: David White; David Martin; Roxanne Tanemori
Subject: Support Saint John's Phase II Master Plan

EXTERNAL
March 22, 2022
Santa Monica City Counsel:

My name is Dr. David Krasne.  I’m a pathologist practicing at Saint John’s since 1990.  During that time I’ve lived in Santa Monica twice, I currently live in Venice and commute to the Hospital daily on bicycle.  On a general level, as a local resident and commuting cyclist, the image of Saint John’s completed campus as presented in the Phase II Master Plan, in my mind’s eye, is a welcome burst of open space and green landscape, life and activity, and wonderful modern architecture indicative of investment in this City, all things which add value for me as a resident.

I want to provide a brief inside look at the mission the Phase II Master Plan endeavors to perpetuate.  In the mid‐1990s, amazingly the largest physician NIH research grant in the United States was at held at Saint John’s, by a well‐known melanoma surgeon.  At the time one of his younger colleagues, a breast surgeon, and I adapted one of the senior surgeon’s experimental melanoma techniques to the treatment of breast cancer, and that procedure, originated at Saint John’s is now standard surgery throughout the world for both melanoma and breast cancer.

Today at Saint John’s I work alongside physicians in fields of brain tumors, joint replacements, heart diseases, prostate and colon cancers who are internationally recognized thought leaders in their fields.  They’re here because Saint John’s supports innovation and cutting‐edge health care so rarely possible outside of huge academic centers in the kind of small compassionate environment of Saint John's, not to mention in one of the loveliest cities anywhere.  Patients fly in from far away for what Saint John’s does, and Santa Monica residents have this as their norm.  The development plan at issue tonight is about keeping this going.

On mental health in Santa Monica, I cannot speak for Saint John’s, but I believe their $10 million commitment towards behavioral health initiatives is only the beginning.  Providence, the parent company, has a significant history of prioritizing mental health, so Providence Saint John’s stands to be a major partner with the City of Santa Monica in its efforts against mental illness, homelessness, and addiction.  And the more successful Saint John’s is, the stronger and more able partner they will be with the City in its work around mental illness.  Another reason why it is so important that Santa Monica enable Saint John’s to be the best they can be.

Please vote to support the Phase II Master Plan.

Thank you
Item 9.A
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Packet Pg. 1223 Attachment: Written Comments (4853 : Providence Saint John's Development Agreement (180 min)) 2 David L. Krasne, M.D.| Medical Director, Pathology Department and Clinical Laboratory Saint John’s Health Center
Providence Health and Services
Office: 310.829.8101 | Fax: 310.829.6509
2121 Santa Monica Blvd, Santa Monica, CA  90404
www.providence.org/saintjohns
Creating healthier communities, together
This message is intended for the sole use of the addressee, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you are not the addressee you are hereby notified that you may not use, copy, disclose, or distribute to anyone the message or any information contained in the message. If you have received this message in error, please immediately advise the sender by reply email and delete this message.

Item 9.A
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Packet Pg. 1224 Attachment: Written Comments (4853 : Providence Saint John's Development Agreement (180 min)) 3 Vernice Hankins
From: [email protected]
Sent: Tuesday, March 22, 2022 8:55 AM
To: councilmtgitems; Gleam Davis; Sue Himmelrich; Kristin McCowan; Phil Brock; Oscar de la Torre; Lana Negrete; Christine Parra; David White; David Martin; Roxanne Tanemori Subject: Saint Johns Phase II Master Plan

EXTERNAL
Hello,
My name is Robert Wollman, MD I am the Vice-President of the Medical Staff at St. John's, and I have been the Medical Director of the Radiation Oncology Department since 1998.

I am writing to whole-heartedly support approval of the Saint John's Phase II Master Plan.

Saint John's is a vital part of Santa Monica, providing incredible care to our patients and serving the community in a multitude of ways - research, health care, education, charity and emergency preparedness.

As part of the cancer program specifically the amount of outstanding clinical care and research that goes on here is truly breathtaking for a community hospital of this size, and can only get better with the proposed Master Plan. In order to further our mission(s) we are desperately in need of more space -- and more modern space -- as well as improved access to parking and mass transit. Our patients come from all over the city/region/country for specialized care, in an accessible humane environment that St. Johns provides better than our nearby rivals. These rivals are also growing and would like nothing better than to swallow us whole, which would be a huge loss for Santa Monica and beyond. Without the proposed upgrades of the Master Plan we would be at a severe -- and growing - - disadvantage with regards to competing for the best scientists, doctors, nurses, staff, clinical and research programs. We are breaking ground in so many ways in the realm of cancer. From much shorter and convenient courses of radiation therapy for breast cancer (often done at the same time as surgery - something no other hospital in the LA region is doing nearly as much as we are) to fantastically innovative programs for treating brain tumors of all kinds at Pacific Neurosciences Institute.

My family and patients always tell me what a breath of fresh air it is to come and get world class treatment at St John's. They are truly blown away by the way they are treated and cared for here. It is a very special place and it can only stay that way if we renovate, grow and innovate.

Our ability to maintain and deepen our personal goals and institutional mandate to be the leader in the future of health care for our patients and our community depends on approval of the Phase II Master Plan and I urge you to vote in favor of it.

Sincerely,
Robert Wollman, MD
Item 9.A
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Packet Pg. 1225 Attachment: Written Comments (4853 : Providence Saint John's Development Agreement (180 min)) 4 Vernice Hankins
From: Thomas Geiser <[email protected]>
Sent: Tuesday, March 22, 2022 9:01 AM
To: councilmtgitems; Gleam Davis; Sue Himmelrich; Kristin McCowan; Phil Brock; Oscar de la Torre; Lana Negrete; Christine Parra
Cc: David White; David Martin; Roxanne Tanemori
Subject: Approve Saint John's Health Center Master Plan

EXTERNAL
Dear City Council Members,
My name is Thomas Geiser and I am writing to you to express my unequivocal support for the approval of the Saint John’s Health Center Phase II Master Plan.  I urge you to vote in favor of the Plan, which has been developed after exhaustive efforts by representatives of Saint John’s and extensive review and input by City of Santa Monica staff and the Planning Commission.

I served on the Providence Saint John’s Health Center Board of Directors from 2014 through 2021 and served as the Chair of that Board from 2016 to 2018. I became a Board member because I believe in the power of local governance of a health care facility that is of such critical importance to our local community.  I have been consistently impressed by the passion and caring of the men and women who deliver the fabulous care that is available at Saint John’s.

The Master Plan reflects the legacy and unique place that Saint John’s occupies in Santa Monica.  Since opening in the 1930’s, Saint John’s has served as a lynchpin for the care of Santa Monica residents and it is beloved by our community.

This was never more firmly on display than after the 1994 Northridge earthquake, when Saint John’s was severely damaged and forced to close down.  The community rallied in support of the institution and raised the funding to re‐ build the hospital, which led to the Development Agreement with the City that in turn led to the Phase II Master Plan that is currently under consideration by the City Council.  That Master Plan is hugely thoughtful and the product of extensive interaction with and input from the many affected constituencies in the City.  As a Board member, I can tell you that this Master Plan is essential to Saint John’s fulfilling its mission going forward in ways that will help and support the City and its residents.

The Master Plan provides needed space for the hospital’s critical clinical and research programs, allowing it to further its unique place in the local healthcare ecosystem as a facility which offers university hospital quality of care but with the compassion and personal touch of a small, community hospital. I want to call out as well the Plan’s focus on behavioral health and providing resources to the community which has been a focus of the City in considering the Master Plan.  It goes without saying that added resources are required to address the behavioral health needs of so many in our community.  The Master Plan admirably devotes significant resources to that effort, as well as homelessness.  The Master Plan further makes available child care and urgently needed housing resources to our community, while also ensuring appropriate access to open space.

I urge you to approve the Phase II Master Plan and make its significant benefits to our community a reality.  Thank you, Thomas Geiser
Item 9.A
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Packet Pg. 1226 Attachment: Written Comments (4853 : Providence Saint John's Development Agreement (180 min)) 5 Vernice Hankins
From: Krasne, David MD <[email protected]>
Sent: Tuesday, March 22, 2022 9:05 AM
To: councilmtgitems; Gleam Davis; Sue Himmelrich; Kristin McCowan; Phil Brock; Oscar de la Torre; Lana Negrete; Christine Parra
Cc: David White; David Martin; Roxanne Tanemori
Subject: Support Saint John's Phase II Master Plan: CORRECTED LETTER

EXTERNAL
March 22, 2022
Santa Monica City Council:

My name is Dr. David Krasne.  I’m a pathologist practicing at Saint John’s since 1990.  During that time I’ve lived in Santa Monica twice, I currently live in Venice and commute to the Hospital daily on bicycle.  On a general level, as a local resident and commuting cyclist, the image of Saint John’s completed campus as presented in the Phase II Master Plan, in my mind’s eye, is a welcome burst of open space and green landscape, life and activity, and wonderful modern architecture indicative of investment in this City, all things which add value for me as a resident.

I want to provide a brief inside look at the mission the Phase II Master Plan endeavors to perpetuate.  In the mid‐1990s, amazingly the largest physician NIH research grant in the United States was at held at Saint John’s, by a well‐known melanoma surgeon.  At the time one of his younger colleagues, a breast surgeon, and I adapted one of the senior surgeon’s experimental melanoma techniques to the treatment of breast cancer, and that procedure, originated at Saint John’s is now standard surgery throughout the world for both melanoma and breast cancer.

Today at Saint John’s I work alongside physicians in fields of brain tumors, joint replacements, heart diseases, prostate and colon cancers who are internationally recognized thought leaders in their fields.  They’re here because Saint John’s supports innovation and cutting‐edge health care so rarely possible outside of huge academic centers in the kind of small compassionate environment of Saint John's, not to mention in one of the loveliest cities anywhere.  Patients fly in from far away for what Saint John’s does, and Santa Monica residents have this as their norm.  The development plan at issue tonight is about keeping this going.

On mental health in Santa Monica, I cannot speak for Saint John’s, but I believe their $10 million commitment towards behavioral health initiatives is only the beginning.  Providence, the parent company, has a significant history of prioritizing mental health, so Providence Saint John’s stands to be a major partner with the City of Santa Monica in its efforts against mental illness, homelessness, and addiction.  And the more successful Saint John’s is, the stronger and more able partner they will be with the City in its work around mental illness.  Another reason why it is so important that Santa Monica enable Saint John’s to be the best they can be.

Please vote to support the Phase II Master Plan.

Thank you
Item 9.A
03/22/22
114 of 115 Item 9.A
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9.A.q
Packet Pg. 1227 Attachment: Written Comments (4853 : Providence Saint John's Development Agreement (180 min)) 6 David L. Krasne, M.D.| Medical Director, Pathology Department and Clinical Laboratory Saint John’s Health Center
Providence Health and Services
Office: 310.829.8101 | Fax: 310.829.6509
2121 Santa Monica Blvd, Santa Monica, CA  90404
www.providence.org/saintjohns
Creating healthier communities, together
This message is intended for the sole use of the addressee, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you are not the addressee you are hereby notified that you may not use, copy, disclose, or distribute to anyone the message or any information contained in the message. If you have received this message in error, please immediately advise the sender by reply email and delete this message.

Item 9.A
03/22/22
115 of 115 Item 9.A
03/22/22

9.A.q
Packet Pg. 1228 Attachment: Written Comments (4853 : Providence Saint John's Development Agreement (180 min)) Providence
Saint John’s Health Center
Phase Two Master Plan &
Amended Development Agreement
City Council
March 22, 2022

9.A.r
Packet Pg. 1229 Attachment: PowerPoint Presentation (4853 : Providence Saint John's Development Introduction to Third Amendment & Phase Two Master Plan Staff Presentation
 High-level overview – key components, community issues, guiding principles  Providence Saint John’s Health Center Phase Two Master Plan  Third Amendment to Development Agreement, including Community benefits  Related applications to implement Master Plan
Staff Recommendation
 Adopt two resolutions for Final EIR and related CEQA documents  Adopt resolution for General Plan and Specific Plan amendments  Adopt resolution for Phase Two Master Plan
 Introduce Ordinance for first reading for Third Amendment to Development Agreement  Approve Tentative Map
 Adopt resolution of intention for partial vacation of 21st Street

9.A.r
Packet Pg. 1230 Attachment: PowerPoint Presentation (4853 : Providence Saint John's Development Providence Saint John’s Health Center Campus
North Campus –
Between
Santa Monica Blvd
& Arizona Ave
South Campus –
Between
Broadway &
Santa Monica Blvd

9.A.r
Packet Pg. 1231 Attachment: PowerPoint Presentation (4853 : Providence Saint John's Development Providence Saint John’s Health Center – North Campus
Bounded by Santa Monica Blvd, 23rd St, 20th St, and Arizona Ave

9.A.r
Packet Pg. 1232 Attachment: PowerPoint Presentation (4853 : Providence Saint John's Development Providence Saint John’s Health Center – South Campus
Bounded by Santa Monica Blvd, Parcels on both sides of 21st St, and Broadway

9.A.r
Packet Pg. 1233 Attachment: PowerPoint Presentation (4853 : Providence Saint John's Development Introduction to Third Amendment & Phase Two Master Plan Guiding Principles for City Review & Negotiations
Community Priorities
 Preserve/expand community access to high-quality healthcare provided by Saint John’s  Promote economic investment in Santa Monica
 Protect the surrounding community from impacts
 Negotiate enhanced community benefits that support City priorities to address critical community healthcare needs
Land Use Objectives
 Require orderly, phased, and cohesive buildout of health care and community-focused uses  Establish vested rights & development parameter maximums  Address open space, infrastructure, parking, safe and efficient mobility  Support innovations in medical research & patient care  Provide flexibility to respond to changing health care needs during 17-year period

9.A.r
Packet Pg. 1234 Attachment: PowerPoint Presentation (4853 : Providence Saint John's Development Phase Two Master Plan vs. Development Agreement – What’s the Difference? Phase Two Master Plan
• Long-range plan for second phase of
development:
• Goals, vision, policies
• Permitted uses (healthcare related, etc.)
• Building floor area (square footage)
• Building height
• Setbacks/stepbacks
• Open space
• Circulation and parking requirements
• Infrastructure needs
• Conceptual phasing for buildout
Third Amendment to Development
Agreement
• Contract between City and Providence
• Amends original Development Agreement
for second phase of development
• Both parties need to reach agreement on
terms in order to execute contract
• Sets standards, conditions, and obligations
for Phase Two, including:
• Process and timing for vested rights
• Community benefits
• Infrastructure/utilities/other
improvements

9.A.r
Packet Pg. 1235 Attachment: PowerPoint Presentation (4853 : Providence Saint John's Development Third Amendment to Original Development Agreement – Key Components DA Vested Rights
 Right to develop per Master Plan for
17 years: uses, floor area, height, etc.
 Review procedures for 17 years:
• Public Hearings (Development Review
Permit)
• No Public Hearings (Administrative
Approval) – two small cafés and MultiFamily Housing Building • Design Review by ARB
• Plan Check/building permit
DA Obligations
 Development per Master Plan
 Streets
 Utilities
 Publicly-Accessible Open Space & Ped Paths
 Parking
 Special Findings to issue DR Permits:
• Compliance with Phase Two Master Plan
• Requirement for final determination for
infrastructure per City Engineer & City Traffic
Engineer
 Community Benefits – long-term obligations +
monetary commitments early in implementation

9.A.r
Packet Pg. 1236 Attachment: PowerPoint Presentation (4853 : Providence Saint John's Development Background – Original 1998 Development Agreement
1994 hospital pre-earthquake: 662,000 SF and 501 licensed hospital beds 2013 hospital redeveloped after Phase One: 475,000 SF and 265 licensed hospital beds 1998 Development Agreement – Post-Northridge Earthquake Reconstruction • Authorized two phases of development
• Phase One (475,000 SF) and Phase Two (799,000 SF)
• 55-year DA Term with vesting deadlines for two phases Community Benefits
• Maintain community benefits for 55 years, even if sold to a for-profit entity • State requirements for non-profits + Santa Monica-specific benefits • Annual community benefit program, incl. Santa Monica Community Access Plan • Childcare program – 49 full-time spaces, tuition subsidies, operational requirements • Physical improvements on campus

9.A.r
Packet Pg. 1237 Attachment: PowerPoint Presentation (4853 : Providence Saint John's Development Background – Amendments and Project Timeline Summary
2011 First Amendment – Phase One parking + TDM Plan, neighborhood protection measures 2017 Second Amendment – approved with required future Council action:
• Phase Two Master Plan and Third Amendment
• Revised vested rights, vesting deadline & community benefits

9.A.r
Packet Pg. 1238 Attachment: PowerPoint Presentation (4853 : Providence Saint John's Development Phase Two Master Plan – Building Floor Area & Open Space Comparison Master Plan Compared to Original DA and Current Zoning Ordinance • Phase Two Master Plan: 660,150 SF of above-grade floor area proposed / 1.86 FAR • Vested rights for 17-year period
• 35% open space on south campus
• Current Zoning Code: allows 33% more floor area (+221,000 SF) • 881,850 SF allowed / 2.5 FAR
• Open space not required
• Original DA: authorized 13% more floor area (+83,850 SF) • 744,000 SF allowed / 2.15 FAR
• 35% open space on south campus
Master Plan manages growth for 17 years; requires substantial open space; requires coordinated infrastructure & utilities

9.A.r
Packet Pg. 1239 Attachment: PowerPoint Presentation (4853 : Providence Saint John's Development Phase Two Master Plan – Conceptual Plan for Phase Two Sites North Campus - 3 buildings + small plaza café
 Building 2I – 20th Street Medical Building
 Building 2C – West Ambulatory & Acute Care
 Building 2D/2E – East Ambulatory & Acute Care
 Mullin Plaza Café at entry plaza
South Campus - 5 buildings + Saint John’s café
 Building S1 – Child & Family Development Center
 Building S2 – Multi-Family Housing
 Building S3 – West Ambulatory Care & Research
 Building S4 – Education and Conference Center and
East Ambulatory Care & Research
 Building S5 – Visitor Accommodations
 Saint John’s Café at plaza
2I
2C
2D/E
S3
S2
S1
S4
S5

9.A.r
Packet Pg. 1240 Attachment: PowerPoint Presentation (4853 : Providence Saint John's Development Phase Two Master Plan – Publicly-Accessible Open Space + 24/7 Pedestrian Connections Open Space & 24/7 Pedestrian Connections
• Open space planning important element
with DA’s 35% requirement; Master Plan
and Third Amendment regulate minimum
areas, public access
• Open space will be tracked through buildout
• Create healthcare campus with opportunities
for outdoor exercise/activity, promote
wellness, informal gathering areas, and
pedestrian enhancements and connections
• Design and final approval of open space areas
tied to Phase Two Buildings
Table 4. Phase Two Master Plan
Standards for Significant PubliclyAccessible Open Space Development Site Minimum Size
Saint John’s Square
(Site S4)
16,500 SF
Sun Garden (Site S5) 12,000 SF
South Garden (Site
S5)
7,000 SF
Mullin Plaza
(extension of existing
feature onto Site
2D/E)
Existing 17,700
SF + New 5,300
SF

9.A.r
Packet Pg. 1241 Attachment: PowerPoint Presentation (4853 : Providence Saint John's Development Phase Two Master Plan – Publicly-Accessible Open Space + 24/7 Pedestrian Connections • Publicly-Accessible Open Space
• Min. open hours (6am-11pm) and
other regulations provided in DA
• Two 24/7 Ped Connections
negotiated to create connections
between Santa Monica Blvd and
Broadway:
• Center connection contingent
on partial street vacation
• would connect with southern
portion of 21st Street
• West connection required
with S1 & S3 Buildings
Open Space & 24/7 Pedestrian Connections

9.A.r
Packet Pg. 1242 Attachment: PowerPoint Presentation (4853 : Providence Saint John's Development Phase Two Master Plan
– Existing Circulation 9.A.r
Packet Pg. 1243 Attachment: PowerPoint Presentation (4853 : Providence Saint John's Development Phase Two Master Plan – Circulation, Access and Parking Circulation/Access/Parking - Guiding Principles
• Efficient & safe multi-modal circulation
• Avoid impacts to and queuing on the City streets
• Maintain Santa Monica Boulevard as the priority street for vehicular access • Protect existing east/west bicycle facility on Broadway • New public street access on Saint John’s property before vacating 250-foot section of 21 Street • Connectivity for pedestrians/bicycles
• Establish process for future review of circulation/access improvements • Require sufficient on-site parking for both phases
• Transportation Impact Fee (TIF) to address impacts on City’s transportation network – paid at time of each building permit
• Estimated at $10.7M for full Phase Two buildout

9.A.r
Packet Pg. 1244 Attachment: PowerPoint Presentation (4853 : Providence Saint John's Development Phase Two Master Plan – Proposed Street Network
Phase Two Circulation and Access
• Comprehensive City review:
• New & realigned driveways
• New streets
• Lane and signal modifications
• New pedestrian and bicycle facilities
• New loading areas, passenger/deliveries
• New on-site parking facilities
• Timing for vacation of north portion
of 21st Street (250 ft)
• Subject to conditions, including
two new south campus streets on
Providence property provided first
• Public hearing for street vacation required
Proposed Street Network

9.A.r
Packet Pg. 1245 Attachment: PowerPoint Presentation (4853 : Providence Saint John's Development Phase Two Master Plan – Conceptual Phasing Plans
Conceptual Phasing Plans
• Long-range development
• Requirements for infrastructure, streets, utilities,
circulation improvements, open space, by stage
• Provides framework to manage Phase Two
development and keep Health Center in
operation during construction
Phasing
Plan B • Phasing Plan A
• South Campus S2, S1 & S3 would be
constructed first
• Phasing Plan B
• North Campus 2C would be constructed first
Phasing
Plan A
Starts on
South
Campus
Phasing
Plan B
Starts on
North
Campus

9.A.r
Packet Pg. 1246 Attachment: PowerPoint Presentation (4853 : Providence Saint John's Development Third Amendment – Community Benefits
Overview of Community Benefits
Negotiation
 Critical community health needs
 Council & community priorities
 LUCE policies – placemaking, mobility,
trip reduction
 Build on Saint John’s substantial
Phase One/ongoing community
benefits and long-standing role in
community as healthcare provider
Key Community Benefits
Address Santa Monica’s Priorities
 Behavioral and mental health services
 Homelessness services and services for
other vulnerable populations
 Childcare
 Child and Youth Development programming
 Affordable housing
 Publicly-accessible open space
 Mobility and transportation
 Access to education & conference center
 Local hiring, internships, equal opportunity
subcontracting

9.A.r
Packet Pg. 1247 Attachment: PowerPoint Presentation (4853 : Providence Saint John's Development Planning Commission Review and Recommendation
Planning Commission Recommendation
Approve Master Plan and Third Amendment, with eight recommendations:
 Commission’s guidance language incorporated, or Commission’s intent addressed with new terms, when possible.
 Providence will consult with stakeholders and subject matter experts as part of its grant program.  Providence can request Council approval to fund new grantee per the DA, if not all criteria are met.  Providence will support City’s community engagement process; provide experts; leverage partnerships to advance City priorities.
 Ensure financial feasibility of affordable housing project by allowing higher rents and also encourage possibility of partnering with non-profit affordable housing provider to obtain public financing. • Commission’s recommendations on timing of contribution/adjustments for funding and impact fees not incorporated.

9.A.r
Packet Pg. 1248 Attachment: PowerPoint Presentation (4853 : Providence Saint John's Development Negotiated Community Benefits
(#1) Homelessness Services and Services to Other Vulnerable Populations Annual Program - Cash grants and in-kind services to other non-profit community partners  For homeless services and prevention, services to other vulnerable populations, and/or behavioral health programs in the community
 $29,000,000 minimum value over DA Term (2053)
 Annual requirement until end of DA Term and subject to 1.5% annual adjustment  Minimum annual value of $1,000,000 provided annually for 20 years  Minimum annual value of $500,000 provided annually through remainder of term (until 2053)  Cash Grant Requirement: minimum of 80% of annual value / in-kind services up to 20%  Provide cash grants to non-profits that serve populations consistent with requirements of the Human Services Grants Program and have received a City grant within 3-year period  For new/emerging non-profits, DA allows Saint John’s to request City Council approval for a cash grant that would count toward its annual requirement

9.A.r
Packet Pg. 1249 Attachment: PowerPoint Presentation (4853 : Providence Saint John's Development Negotiated Community Benefits
(#2) Monetary Contribution for Santa Monica Behavioral Health Initiatives Negotiated funds for Santa Monica behavioral health initiatives New and significant investment from Providence to help expand community access.  Funds could be used for capital needs, operational funding, and in-kind staffing for a potential behavioral health center or for other City-sponsored programs to address the community’s behavioral and mental health needs.
 Contribution would be made to the City.
 Use of funds would be at the City Council's discretion, and may be informed by:
 City-led community engagement process
 Results from the City’s RFP, feasibility study, and development of a comprehensive behavioral health strategy

9.A.r
Packet Pg. 1250 Attachment: PowerPoint Presentation (4853 : Providence Saint John's Development Negotiated Community Benefits
(#2 cont’d) Monetary Contribution for Santa Monica Behavioral Health Initiatives City and Providence agree on the contribution, with one difference:

Providence proposes the following:

Total of $10,000,000 to the City for Santa Monica Behavioral Health Initiatives:
• $5,000,000 within 180 days after Third Amendment/Phase Two Master Plan approval • $5,000,000 within 100 days after first DRP approval for a Phase Two Building City proposes the following:

Total of $10,000,000 to the City for Santa Monica Behavioral Health Initiatives:
• $5,000,000 within 180 days after Third Amendment/Phase Two Master Plan approval • $5,000,000 upon the earlier of 100 days after the first DRP approval for a Phase Two Building or within eight years after DA approval.
- This amount would escalate annually 1.5% after three years.

9.A.r
Packet Pg. 1251 Attachment: PowerPoint Presentation (4853 : Providence Saint John's Development Negotiated Community Benefits
(#3) On-Site Childcare Program
 Continue Phase One requirement for operational capacity of 49 childcare spaces  Provide operational capacity for 11 additional spaces to meet projected demand generated by Phase Two
 New CFDC would accommodate a minimum capacity of 71 childcare spaces  Continue providing required tuition subsidies based on need; enrollment priorities for Saint John’s employees and Santa Monica residents
 Requirement until end of DA Term (2053)

9.A.r
Packet Pg. 1252 Attachment: PowerPoint Presentation (4853 : Providence Saint John's Development Negotiated Community Benefits
(#4) South Campus Multi-Family Housing
 Construct no less than 10 new deed-restricted residential rental units  Replaces existing 10 vacant residential units located at 1417 21st Street  99-year deed restriction
 Units to be built before Cert. of Occupancy for a Phase Two South Campus building  Original DA required only two deed-restricted units; code requires 55-year deed restriction Affordable Housing Commercial Linkage Fee – required for all applicable Phase Two Buildings and paid at time of building permit. Estimated at $3.8M for full Phase Two buildout.

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Packet Pg. 1253 Attachment: PowerPoint Presentation (4853 : Providence Saint John's Development Negotiated Community Benefits
(#5 - #12) Community Benefits
 Programs: Child & Family Development Center Youth and Family Program  Circulation: Phase Two Vehicle, Bicycle & Pedestrian Infrastructure Improvements  Open Space: 35% open space on South Campus, publicly-accessible open space and 24/7 Pedestrian Connections
 Meeting Rooms: Community group/non-profit group access to meeting rooms at Education and Conference Center up to four times a year
 Local Discount: Discounted admission for Santa Monica residents to future events/conferences/meetings hosted by Saint John’s at Education and Conference Center  Local Hiring & Internships
 Internship/Nurse Residency Program
 Local hiring and equal opportunity subcontracting provisions  Continuation of neighborhood protection measures (2011)

9.A.r
Packet Pg. 1254 Attachment: PowerPoint Presentation (4853 : Providence Saint John's Development Community Feedback on Phase Two Master Plan & Community Benefits Concerns
• Overall size of plan & construction
• Current parking impacts
• Traffic impacts on surrounding streets
• Higher level of community benefits needed:
• 50+ in-patient psychiatric beds or other
direct mental health services on site
• More funding & programs to address
homelessness + youth/families/seniors
Support
• Saint John’s is a long-standing healthcare
provider, community partner
• Commitment to Santa Monica
• Substantial community benefits will create a
sustained positive impact on community
• New campus supports innovations in highquality patient care and medical research - Forums for Comments:
- Preliminary concept feedback during prior hearings in 2016 and 2017 - Community meetings held periodically since 2015
- Two meetings at Social Services Commission in 2020 and 2022 - ~150 comments submitted for Planning Commission and Council hearings

9.A.r
Packet Pg. 1255 Attachment: PowerPoint Presentation (4853 : Providence Saint John's Development California Environmental Quality Act (CEQA) – Final EIR Draft EIR Summary
 To promote informed decision making, an Environmental Impact Report (EIR) was prepared in accordance with CEQA Guidelines.
 Notice of Preparation (NOP) to prepare EIR was circulated from April 10, 2017 to May 11, 2017.
 A Scoping Meeting was held on April 24, 2017 at McKinley Elementary School.  The Draft EIR was published for a 90-day public review period between July 30, 2019 to September 13, 2019.

9.A.r
Packet Pg. 1256 Attachment: PowerPoint Presentation (4853 : Providence Saint John's Development California Environmental Quality Act (CEQA) – Final EIR Draft EIR Summary
 The Draft EIR identified significant and unavoidable impacts for: air quality, cultural/historical resources, construction effects (due to vibration), neighborhood effects (due to transportation).  Draft EIR analyzed five alternatives:
 Alternative 1: No Project
 Alternative 2: Tier 1 Only
 Alternative 3: Reduced Healthcare Uses with Tier 2 Housing on South Campus  Alternative 4: Reduced Master Plan (height)
 Alternative 5: Partial Master Plan (no S4, S5 or 2D/2E Buildings)  In addition to Alternative 1 (No Project), Alternative 5 is identified as the environmentally superior alternative. Reduced development under Alternative 5 would reduce but not eliminate all significant and unavoidable impacts compared to the Project.

9.A.r
Packet Pg. 1257 Attachment: PowerPoint Presentation (4853 : Providence Saint John's Development California Environmental Quality Act (CEQA) – Final EIR EIR Comment Letters
 10 comment letters received during Draft EIR comment period. Comments were focused on traffic analysis, general support for the project, and concerns about construction air quality.
 The Final EIR was published on January 18, 2022 and includes responses to comments, mitigation monitoring and reporting program, and minor corrections and text additions to Draft EIR.

Review of FEIR and all information in the record - Statement of Overriding Considerations & Mitigation Monitoring Program recommended

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Packet Pg. 1258 Attachment: PowerPoint Presentation (4853 : Providence Saint John's Development General Plan & Specific Plan
Repeal of 1988 Hospital Area Specific Plan (HASP) & LUCE Amendments  HASP reflects outdated 1984 General Plan policies and 1988 Zoning Ordinance designations.  Applies to the entire study area, including Saint John’s, UCLA-owned properties, commercialzoned parcels, and residential-zoned parcels.  HASP repeal and 2010 LUCE amendment does not affect the 2015 Zoning Ordinance development standards that apply to the study area. Goals and policies continue to apply in applicable LUCE land use designations.

Proposed amendments are provided with staff report.

General Plan consistency analysis and development agreement findings also provided.

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Packet Pg. 1259 Attachment: PowerPoint Presentation (4853 : Providence Saint John's Development Resolution Revisions
Redline Revisions for Two Council Resolutions

9.A.r
Packet Pg. 1260 Attachment: PowerPoint Presentation (4853 : Providence Saint John's Development Recommendation

1. Adopt a resolution certifying the Final EIR for the Third Amendment to the Development Agreement and Phase Two Master Plan in accordance with CEQA;

2. Adopt a resolution adopting a Statement of Overriding Considerations to support approval of the Third Amendment and Phase Two Master Plan based on the FEIR and other information provided in the record - and adopting a Mitigation Monitoring and Reporting Program;

3. Adopt a resolution repealing the 1988 Hospital Area Specific Plan and amending the 2010 Land Use and Circulation Element of the General Plan;

4. Adopt a resolution approving the Phase Two Master Plan;

5. Introduce an ordinance for first reading to adopt the Third Amendment to the Development Agreement for the Phase Two Master Plan;

6. Adopt a Statement of Official Action approving Tentative Tract Map 82302; and

7. Adopt a ROI declaring Council’s intent to vacate a portion of 21st Street between Santa Monica Blvd and Broadway upon dedication of new public streets to be located on Saint John’s South Campus.

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Packet Pg. 1261 Attachment: PowerPoint Presentation (4853 : Providence Saint John's Development Providence
Saint John’s Health Center
Phase Two Master Plan &
Amended Development Agreement
City Council
March 22, 2022

9.A.r
Packet Pg. 1262 Attachment: PowerPoint Presentation (4853 : Providence Saint John's Development Phase II Master Plan
Overview
City of Santa Monica | City Council Hearing
March 22, 2022

9.A.s
Packet Pg. 1263 Attachment: Applicant Presentation (4853 : Providence Saint John's Development Mission | Values | Vision
2 9.A.s
Packet Pg. 1264 Attachment: Applicant Presentation (4853 : Providence Saint John's Development Saint John’s Phase II Background
3 Saint John’s Core Hospital
Facilities Pre-1994 Earthquake
• 501 Licensed Beds • 662,000 sf
Saint John’s Current Core
Hospital Facilities (Phase I) • 266 Licensed Beds • 475,000 sf Saint John’s Master Plan
(Phase II) • 660,150 sf
1998 Development Agreement

9.A.s
Packet Pg. 1265 Attachment: Applicant Presentation (4853 : Providence Saint John's Development The Master Plan is a requirement of the DA.

It lays out comprehensive campus development.

Specifically, the Master Plan establishes basic
development parameters including:
o Building placement
o Building heights
o Building square footage/floor area
o Setbacks
o Stepbacks
o Parking
o Permitted Uses
o Vehicular and pedestrian circulation
o Open space
4 What is the Phase
II Master Plan?
Exhibit depicts ground-level conceptual building footprints demonstrating implementation of the Master Plan, building design is subject to change.

9.A.s
Packet Pg. 1266 Attachment: Applicant Presentation (4853 : Providence Saint John's Development 5 Master Plan v. Zoning and 1998 DA
Zoning (Tier 2) 1998 Development Agreement Master Plan
Above-Grade Floor Area
(sq ft) ~881,850 ~744,000 ~660,150
Floor Area Ratio (FAR) 2.5
(1.75 on MUBL lot) 2.09 ~ 1.86 across all Phase II sites(varies by site depending on use) Open Space 0%
35% Required on South Campus
No requirement for North Campus
and no requirement for public
access
35% Required on South Campus
Publicly-accessible open space required on
both North and South Campus
Max. Height 70 feet
North Campus 70-95 feet
South Campus TBD in South
Campus Master Plan
36-105 feet
(Taller adjacent to Santa Monica Boulevard/medical
buildings, lower heights along Broadway)

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Packet Pg. 1267 Attachment: Applicant Presentation (4853 : Providence Saint John's Development • Mental and Behavioral Health
• Homelessness
• Child and Youth Development Project
• Childcare (spaces and subsidy)
• Affordable Housing
• Substantial Publicly-Accessible Open Space
• Mobility
• Community access to Education & Conference Center
• Internships, Local Hiring & Equal Opportunity Subcontracting • Long-range Campus Plan with Healthcare Programming serving Santa Monica Area
6 Unprecedented Community Benefits Package
Total Community Benefit
~$100,000,000

9.A.s
Packet Pg. 1268 Attachment: Applicant Presentation (4853 : Providence Saint John's Development Master Plan v. Zoning and 1998 DA
7 Zoning 1998 Development
Agreement Master Plan
Mental/Behavioral Health - -
$10,000,000 to City for Santa Monica behavioral health
initiatives
Child Youth and Development Program for DA term
without City subsidy
Homeless Services and
Prevention - - $1,000,000/first 20 years + $500,000/next 10 years Affordable Housing
Commercial Linkage
Fee +
2 deed-restricted
affordable units
2 deed-restricted
affordable units
Commercial Linkage Fee +
10 on-site deed-restricted affordable units
Transportation Impact
Fee Yes - Fee + necessary infrastructure
Transportation Demand
Management Yes for Phase II only 2011 DA Amendment
TDM Plan
For both Phase I and Phase II and with more measures
and greater incentives than Code or 2011 DA amendment
Local Hiring - - Local hiring for construction and neighborhood-serving commercial uses
Community Access to
Community-Oriented
Facilities
- -
Public use of conference center once built and discounted admission for Santa Monica residents for any public
events

9.A.s
Packet Pg. 1269 Attachment: Applicant Presentation (4853 : Providence Saint John's Development • Master Plan is a campus
-wide vision for future of Saint
John’s as a health and wellness center for the community. • Vested developable square feet is less than Zoning and the 1998 Development Agreement.
• Unprecedented Community Benefit Package.

Phase II Master
Plan Overview

9.A.s
Packet Pg. 1270 Attachment: Applicant Presentation (4853 : Providence Saint John's Development Thank you!
www.psjplan.com
[email protected]
Phase II Master Plan Questions? ?

9.A.s
Packet Pg. 1271 Attachment: Applicant Presentation (4853 : Providence Saint John's Development

13.A
March 22, 2022
Council Meeting: March 22, 2022 Santa Monica, California 1 of 1
CITY CLERK’S OFFICE - MEMORANDUM
To: Mayor and City Council
From: Denise Anderson Warren, City Clerk, Records & Elections Services Department
Date: March 22, 2022

13.A Request of Mayor Himmelrich, Mayor Pro Tem McCowan and Councilmember de la Torre that the City Council oppose the “Taxpayer Protection and Government Accountability Act,” a proposed ballot initiative co-sponsored by the California Business Roundtable. The measure would make it harder for governments and municipalities to administer local taxes and fees and limit the ability to bring forward citizen initiatives. Should the initiative garner enough signatures to be placed on the November 2022 ballot, a letter of opposition from the City would be sent to the California Attorney General registering the Council’s Official opposition.

13.A
Packet Pg. 1272
BELL, McANDREWS & HILTACHK, LLP
Anabel Renteria
Initiative Coordinator
ATTORNEYS AND COUNSEL-ORS AT I.AW
455 C APITO L MALL, S UITE 600
SACRAMENTO, CALIFOE=INIA 95014
(916) 44;a-7757
FAX [916) 44-;a-77 59
www.bmhlaw.com
January 4, 2022
2 1 - 0 0 4 2

RECEIVED
JAN O 4 2022
Office of the Attorney General
State of California

INITIATIVE COORDINATOR

ATTORNEY GENERAL'S OFFICE
PO Box 994255
Sacramento, CA 94244-25550
Re: Initiative 21-0042 - Amendment Number One
Dear Initiative Coordinator:

Pursuant to subdivision (b) of Section 9002 of the Elections Code, enclosed please find Amendment #1 to Initiative No. 21-0042 "The Taxpayer Protection and Government Accountability Act." The amendments are reasonably germane to the theme, purpose or subject of the initiative measure as originally proposed.

I am the proponent of the measure and request that the Attorney General prepare a circulating title and summary of the measure as provided by law, using the amended language.

Thank you for your time and attention processing my request.

Sincerely,
Thomas W.
~ Hiltachk

13.A.a
Packet Pg. 1273 Attachment: 21-0042A1 (Taxes) (5022 : Oppose Taxpayer Protection state ballot measure) 2 1 - 0 0 4 2 Arndt. # /
The Taxpayer Protection and Government Accountability Act [Deleted codified text is denoted in strikeout. Added codified text is denoted by italics and underline.] Section 1. Title
This Act shall be known, and may be cited as, the Taxpayer Protection and Government Accountability Act.

Section 2. Findings and Declarations
(a) Californians are overtaxed. We pay the nation's highest state income tax, sales tax, and gasoline tax. According to the U.S. Census Bureau, California's combined state and local tax burden is the highest in the nation. Despite this, and despite two consecutive years of obscene revenue surpluses, state politicians in 2021 alone introduced legislation to raise more than $234 billion in new and higher taxes and fees.
(b) Taxes are only part of the reason for California's rising cost-of-living crisis. Californians pay billions more in hidden "fees" passed through to consumers in the price they pay for products, services, food, fuel, utilities and housing. Since 2010, government revenue from state and local "fees" has more than doubled.
(c) California's high cost of living not only contributes to the state's skyrocketing rates of poverty and homelessness, they are the pushing working families and job-providing businesses out of the state. The most recent Census showed that California's population dropped for the first time in history, costing us a seat in Congress. In the past four years, nearly 300 major corporations relocated to other states, not counting thousands more small businesses that were forced to move, sell or close. (d) California voters have tried repeatedly, at great expense, to assert control over whether and how taxes and fees are raised. We have enacted a series of measures to make taxes more predictable, to limit what passes as a "fee," to require voter approval, and to guarantee transparency and accountability. These measures include Proposition 13 (1978), Proposition 62 (1986), Proposition 218 (1996), and Proposition 26 (2010).
(e) Contrary to the voters' intent, these measures that were designed to control taxes, spending and accountability, have been weakened and hamstrung by the Legislature, government lawyers, and the courts, making it necessary to pass yet another initiative to close loopholes and reverse hostile court decisions.

Section 3. Statement of Purpose
(a) In enacting this measure, the voters reassert their right to a voice and a vote on new and higher taxes by requiring any new or higher tax to be put before voters for approval. Voters also intend that all fees and other charges are passed or rejected by the voters themselves or a governing body elected by voters and not unelected and unaccountable bureaucrats.
(b) Furthermore, the purpose and intent of the voters in enacting this measure is to increase transparency and accountability over higher taxes and charges by requiring any tax measure placed on the ballot1

13.A.a
Packet Pg. 1274 Attachment: 21-0042A1 (Taxes) (5022 : Oppose Taxpayer Protection state ballot measure) either at the state or local level-to clearly state the type and rate of any tax, how long it will be in effect, and the use of the revenue generated by the tax.
(c) Furthermore, the purpose and intent of the voters in enacting this measure is to clarify that any new or increased form of state government revenue, by any name or manner of extraction paid directly or indirectly by Californians, shall be authorized only by a vote of the Legislature and signature of the Governor to ensure that the purposes for such charges are broadly supported and transparently debated. (d) Furthermore, the purpose and intent of the voters in enacting this measure is also to ensure that taxpayers have the right and ability to effectively balance new or increased taxes and other charges with the rapidly increasing costs Californians are already paying for housing, food, childcare, gasoline, energy, healthcare, education, and other basic costs of living, and to further protect the existing constitutional limit on property taxes and ensure that the revenue from such taxes remains local, without changing or superseding existing constitutional provisions contained in Section 1{c) of Article XIII A. (e) In enacting this measure, the voters also additionally intend to reverse loopholes in the legislative twothirds vote and voter approval requirements for government revenue increases created by the courts including, but not limited to, Cannabis Coalition v. City of Upland, Chamber of Commerce v. Air Resources Board, Schmeer v. Los Angeles County, Johnson v. County of Mendocino, Citizens Assn. of Sunset Beach v.

Orange County Local Agency Formation Commission, and Wilde v. City of Dunsmuir.

Section 4. Section 3 of Article XIII A of the California Constitution is amended to read:

Sec. 3(a} Every levy, charge. or exaction of any kind imposed by state law is either a tax or an exempt charge.
illlJ1l ~ Any change in state statute Jaw which results in any taxpayer paying a new or higher tax must be imposed by an act passed by not less than two-thirds of all members elected to each of the two houses of the Legislature, and submitted to the electorate and approved by a maiority vote, except that no new ad valorem taxes on real property, or sales or transaction taxes on the sales of real property, may be imposed. Each Act shall include:
(A) A specific duration of time that the tax will be imposed and an estimate of the annual amount expected to be derived from the tax.
(BJ A specific and legally binding and enforceable limitation on how the revenue from the tax can be spent.

If the revenue from the tax can be spent for unrestricted general revenue purposes. then a statement that the tax revenue can be spent for "unrestricted general revenue purposes" shall be included in a separate, stand-alone section. Any proposed change to the use of the revenue from the tax shall be adopted by a separate act that is passed by not less than two-thirds of all members elected to each of the two houses of the Legislature and submitted to the electorate and approved by a maiority vote. (2) The title and summary and ballot label or question required for a measure pursuant to the Elections Code shall. for each measure providing for the imposition of a tax, including a measure proposed by an elector pursuant to Article II, include:
{A) The type and amount or rate of the tax;
(BJ The duration of the tax: and
2 13.A.a
Packet Pg. 1275 Attachment: 21-0042A1 (Taxes) (5022 : Oppose Taxpayer Protection state ballot measure) (CJ The use of the revenue derived from the tax.
(c} Any change in state law which results in any taxpayer paying a new or higher exempt charge must be imposed by an act passed by each of the two houses of the Legislature. Each act shall specify the type of exempt charge as provided in subdivision (e ), and the amount or rate of the exempt charge to be imposed.

Ml._fbt As used in this section and in Section 9 of Article II, "tax" means every aA1f levy, charge, or exaction of any kind imposed by the State state law that is not an exempt charge. e1<eept the follo•Ning:
(e) As used in this section. "exempt charge" means only the following:
(1) a el:iarge imposes fer a s1=1eeifie eenefit eonferreEl or pri'+'ilege granteEl aireetly to tl:ie 13ayor tl:iat is not 1=1ro>viaeEl to tl:iose not et:iargeEI, anEI whiel:i aoes not e1<ceeEl tl:ie reasonal3Ie costs to tl:ie State of eonferring the benefit or granting the pri¥ilege to the 1=1a¥OF.
ill {-2+ A reasonable charge irnposeEl for a specific government service or product provided directly to the payor that is not provided to those not charged, and which does not exceed the rnasonable actual costs to the State of providing the service or product to the payor. f.11 ~ A charge in,poseEl for the reasonable regulatory costs to the State incident to issuing licenses and permits, performing investigations, inspections, and audits, enforcing agricultural marketing orders, and the administrative enforcement and adjudication thereof. (3) A levy, charge. or exaction collected from local units of government. health care providers or health care service plans that is primarily used by the State of California for the purposes of increasing reimbursement rates or payments under the Medi-Cal program, and the revenues of which are primarily used to finance the non-federal portion of Medi-Cal medical assistance expenditures. (4) A reasonable charge iR'l13oseEl for entrance to or use of state property, or the purchase. rental, or lease of state property, except charges governed by Section 15 of Article XI. (5} A fine, or penalty, or other monetary el:large including any applicable interest for nonpayment thereot imposed by the judicial branch of government or the State, as a result of a state administrative enforcement agency pursuant to adiudicatorv due process, to punish a violation of law. (6} A levy, charge, assessment, or exaction collected for the promotion of California tourism pursuant to Chapter 1 (commencing with Section 13995) of Part 4.7 of Division 3 of Title 2 of the Government Code. flL~Any tax or exempt charge adopted after January 1, 2022 ~, but prior to the effective date of this act, that was not adopted in compliance with the requirements of this section is void 12 months after the effective date of this act unless the tax or exempt charge is reenacted B'l the begislatuFe anel signea into law ey tl:ie <iio¥ernoF in compliance with the requirements of this section. [gl[.JlJG:} The State bears the burden of proving by a preponEleranee oftl:le clear and convincing evidence that a levy, charge, or other exaction is an exempt charge and not a tax. The State bears the burden of proving by clear and convincing evidence that the amount of the exempt charge is reasonable and that the amount charged does not exceed the actual cost of providing the service or product to the payor. ,tR-a-t tl:ie amouRt is RO n,ore tl:ian neeessary to cover the reasonable costs of the go•.•emn,ental actii,•i:t>,• ane 3 13.A.a
Packet Pg. 1276 Attachment: 21-0042A1 (Taxes) (5022 : Oppose Taxpayer Protection state ballot measure) that the manner in •Nhiel.:i these cests are allecated ts a pa·1er bear a fair er reasenable relatienshi13 ts the 13a·1or's b1:1relens on, or benefits reeei11eel from, the go•.ieFRmental actit.iit'( (2) The retention ofrevenue by, or the payment to. a non-governmental entity ofa levv. charge, or exaction of any kind imposed by state law, shall not be a factor in determining whether the levy. charge, or exaction is a tax or exempt charge.
(3) The characterization of a levy, charge, or exaction of any kind as being voluntary, or paid in exchange for a benefit, privilege, allowance, authorization, or asset, shall not be a factor in determining whether the levy, charge, or exaction is a tax or an exempt charge. /4} The use of revenue derived from the levy, charge or exaction shall be a factor in determining whether the levy, charge, or exaction is a tax or exempt charge. (h) As used in this section:
(1) "Actual cost" of providing a service or product means: (i) the minimum amount necessary to reimburse the government for the cost of providing the service or product to the payor, and {ii) where the amount charged is not used by the government for any purpose other than reimbursing that cost. In computing "actual cost" the maximum amount that may be imposed is the actual cost less all other sources of revenue including, but not limited to taxes, other exempt charges, grants, and state or federal funds received to provide such service or product.
(2) "Extend" includes, but is not limited to, doing any of the following with respect to a tax or exempt charge: lengthening its duration. delaying or eliminating its expiration, expanding its application to a new territory or class ofpayor, or expanding the base to which its rate is applied. (3) "Impose" means adopt, enact, reenact, create, establish, collect, increase or extend. (4) "State law" includes, but is not limited to. any state statute, state regulation, state executive order. state resolution, state ruling, state opinion Jetter, or other legal authority or interpretation adopted, enacted. enforced, issued, or implemented by the legislative or executive branches of state government. "State law" does not include actions taken by the Regents of the University of California, Trustees of the California State University, or the Board of Governors of the California Community Colleges.

Section 5. Section 1 of Article XIII C of the California Constitution is amended, to read:

Sec. 1. Definitions. As used in this article:
{a) "Actual cost" of providing a service or product means: (i) the minimum amount necessary to reimburse the government for the cost of providing the service or product to the payor. and {ii) where the amount charged is not used by the government for any purpose other than reimbursing that cost. In computing "actual cost" the maximum amount that may be imposed is the actual cost less all other sources of revenue including, but not limited to taxes. other exempt charges, grants, and state or federal funds received to provide such service or product.
(b) "Extend" includes, but is not limited to. doing any of the following with respect to a tax. exempt charge, or Article XIII D assessment. fee, or charge: lengthening its duration, delaying or eliminating its expiration. expanding its application to a new territory or class of payor, or expanding the base to which its rate is applied.
4 13.A.a
Packet Pg. 1277 Attachment: 21-0042A1 (Taxes) (5022 : Oppose Taxpayer Protection state ballot measure) .lfl..W 11General tax" means any tax imposed for general governmental purposes. (d} "Impose" means adopt, enact, reenact, create, establish, collect, increase, or extend. {clJb} "Local government" means any county, city, city and county, including a charter city or county, any special district, or any other local or regional governmental entity, or an elector pursuant to Article fl or the initiative power provided by a charter or statute.
(f) "Local law" includes. but is not limited to, any ordinance, resolution, regulation. ruling, opinion letter, or other legal authority or interpretation adopted, enacted, enforced, issued, or implemented by a local government.
{gl_{t} "Special district" means an agency of the State, formed pursuant to general law or a special act, for the local performance of governmental or proprietary functions with limited geographic boundaries including, but not limited to, school districts and redevelopment agencies. f11L{d} "Special tax" means any tax imposed for specific purposes, including a tax imposed for specific purposes, which is placed into a general fund.
111 i@} As used in this article, and in Section 9 of Article II, "tax" means every aRV-levy, charge, or exaction of any kind, imposed by a local go,;ernmeRt law that is not an exempt charge., exeept tl=le fellowiRg:
(i) As used in this section, "exempt charge" means only the following:
(1) A cl=large imposeel fer a speeifie beAefit eoAferreel or pri,;ilege graAteel eliFeetl')' to tl=le pa1,ior tl=lat is Rot pre1,•ieleel to these Rot ehargea, aA£l which £lees Rot exeeeel tl=le reaseAable costs to tl=le loeal gm,·ernFAeAt of conferriAg the beAefit or graAting tl:1e pri¥ilege.
ill R} A reasonable charge imposes for a specific local government service or product provided directly to the payor that is not provided to those not charged, and which does not exceed the reasoAable actual costs to the local government of providing the service or product. fl1 WA charge im13ose£l for the reasonable regulatory costs to a local government for issuing licenses and permits, performing investigations, inspections, and audits, enforcing agricultural marketing orders, and the administrative enforcement and adjudication thereof.

W {4t A reasonable charge imposeel for entrance to or use of local government property, or the purchase, rental, or lease of local government property.

Ml. fSt A fine, or penalty, or other FAOA@tar,· eharge including any applicable interest for nonpayment thereat imposed by the judicial branch of government or a local government administrative enforcement agency pursuant to adiudicatorv due process, as a res1,1lt of to punish a violation of law. ill -f6t A charge imposed as a condition of property development. No levv, charge, or exaction regulating or related to vehicle miles traveled may be imposed as a condition of property development or occupancy. f.i1 f7t An AssessFAeRts a Rel property relate el fees assessment. fee. or charge imJ;1oseel iA aeeoraanee witl=l the pro¥isio A5 of subject to Article XI 11 D, or an assessment imposed upon a business in a tourism marketing district, a parking and business improvement area, or a property and business improvement district. 5 13.A.a
Packet Pg. 1278 Attachment: 21-0042A1 (Taxes) (5022 : Oppose Taxpayer Protection state ballot measure) (7) A charge imposed for a specific health care service provided directly to the payor and that is not provided to those not charged. and which does not exceed the reasonable costs to the local government of providing the health care service. As used in this paragraph, a "health care service" means a service licensed or exempt from licensure by the state pursuant to Chapters 1. 1.3, or 2 of Division 2 of the Health and Safety Code.

The local government bears the b1:1rden of proving by a preponderance of the e .. ·ielence that a lew, charge, or other exaction is not a ta1<, that the amo1:1nt is no more than necessaPJ' to cover the reasonable costs of the go•,ernfflental acti•.«ity anel that tJ:ie manner in which those costs are allocateel to a pa•ror bear a fair or reasonable relationship to the pa•ror's blslrdens on, or bene:fits receiveel from, the go1a1ernmental acfa•ity.

Section 6. Section 2 of Article XIII C of the California Constitution is amended to read:

Sec. 2. Local Government Tax Limitation. Notwithstanding any other provision of this Constitution:
(a) Every levy. charge. or exaction of any kind imposed by local law is either a tax or an exempt charge. All taxes imposed by any local government shall be deemed to be either general taxes or special taxes. Special purpose districts or agencies, including school districts, shall have no power to levy general taxes. (b) No local Jaw go,.·ernment whether proposed by the governing body or by an elector, may impose, extend, or increase any general tax unless and until that tax is submitted to the electorate and approved by a majority vote. A general tax shall not be deemed to have been increased if it is imposed at a rate not higher than the maximum rate so approved. The election required by this subdivision shall be consolidated with a regularly scheduled general election for members of the governing body of the local government, except in cases of emergency declared by a unanimous vote of the governing body. (c) An•r general tax imposed, el<tended, or increaseel, •.-.iitho1:1t •.·oter approval, lay any local go,.·ernment on or after Janlslary 1, 1995, ana prior ta the effecti,.·e date of this article, shall contin1:1e to be imposed only if appro,.·ea b1• a majority vote of the voters voting in an election OR the issye of the in:iposition, whicl::i election sl::iall be l::ield witl::iin t•Ne 1•ears ef the effectii.ie date of this article and in com13liance with slslbdi\·isien (b}. {El) No local law government. whether proposed by the governing body or by an elector. may impose, eMteRd, er increase any special tax unless and until that tax is submitted to the electorate and approved by a two-thirds vote. A special tax shall not be deemed to have been increased if it is imposed at a rate not higher than the maximum rate so approved. {d) The title and summary and ballot label or question required for a measure pursuant to the Elections Code shall. for each measure providing for the imposition of a tax, include:
(1) The type and amount or rate of the tax;
(2) the duration of the tax; and
(3) The use of the revenue derived from the tax. If the proposed tax is a general tax. the phrase "for general government use" shall be required, and no advisory measure may appear on the same ballot that would indicate that the revenue from the general tax will. could. or should be used for a specific purpose. (e) Only the governing body of a local government. other than an elector pursuant to Article II or the initiative power provided by a charter or statute. shall have the authority to impose any exempt charge.

The governing body shall impose an exempt charge by an ordinance specifying the type of exempt charge 6 13.A.a
Packet Pg. 1279 Attachment: 21-0042A1 (Taxes) (5022 : Oppose Taxpayer Protection state ballot measure) as provided in Section l(i) and the amount or rate of the exempt charge to be imposed. and passed by the governing body. This subdivision shall not apply to charges specified in paragraph (7) of subdivision (i) of Section 1.
ff) No amendment to a Charter which provides for the imposition, extension, or increase of a tax or exempt charge shall be submitted to or approved by the electors. nor shall any such amendment to a Charter hereafter submitted to or approved by the electors become effective for any purpose. (q) Any tax or exempt charge adopted after January 1, 2022, but prior to the effective date of this act, that was not adopted in compliance with the requirements of this section is void 12 months after the effective date of this act unless the tax or exempt charge is reenacted in compliance with the requirements of this section.
{h)(1) The focal government bears the burden of proving by clear and convincing evidence that a levy, charge or exaction is an exempt charge and not a tax. The local government bears the burden of proving by clear and convincing evidence that the amount of the exempt charge is reasonable and that the amount charged does not exceed the actual cost of providing the service or product to the payor. (2} The retention of revenue by, or the payment to, a non-governmental entity of a levy. charge, or exaction of any kind imposed by a local law, shall not be a factor in determining whether the levy, charge, or exaction is a tax or exempt charge.
(3) The characterization of a levy. charge. or exaction of any kind imposed by a local law as being paid in exchange for a benefit. privilege, allowance, authorization, or asset, shall not be factors in determining whether the levy, charge, or exaction is a tax or an exempt charge. (4) The use of revenue derived from the levy, charge or exaction shall be a factor in determining whether the levy, charge, or exaction is a tax or exempt charge.

Section 7. Section 3 of Article XIII D of the California Constitution is amended, to read:

Sec. 3. Property Taxes, Assessments, Fees and Charges Limited (a) No tax, assessment, fee, 6f charge, or surcharge, including a surcharge based on the value ofpropertv, shall be assessed 13y a Ry ageRC'f upon any parcel of property or upon any person as an incident of property ownership except:
(1) The ad valorem property tax impeseEI p1::1rsYaRt te described in Section 1(a) of Article XIII and Section 1/a) of Article XIII A, and described and enacted pursuant to the voter approval requirement in Section 1/b) Q[Article XII I A.
(2) Any special non-ad valorem tax receiving a two-thirds vote of qualified electors pursuant to Section 4 of Article XIII A, or after receiving a two-thirds vote of those authorized to vote in a community facilities district by the Legislature pursuant to statute as it existed on December 31, 2021. (3) Assessments as provided by this article.
(4) Fees or charges for property related services as provided by this article. 7 13.A.a
Packet Pg. 1280 Attachment: 21-0042A1 (Taxes) (5022 : Oppose Taxpayer Protection state ballot measure) (b) For purposes of this article, fees for the provision of electrical or gas service shall not be deemed charges or fees imposed as an incident of property ownership.

Section 8. Sections 1 and 14 of Article XIII are amended to read:

Sec. 1 Unless otherwise provided by this Constitution or the laws of the United States:
(a) All property is taxable and shall be assessed at the same percentage of fair market value. When a value standard other than fair market value is prescribed by this Constitution or by statute authorized by this Constitution, the same percentage shall be applied to determine the assessed value. The value to which the percentage is applied, whether it be the fair market value or not, shall be known for property tax purposes as the full value.
(b) All property so assessed shall be taxed in proportion to its full value. (c) All proceeds from the taxation of property shall be apportioned according to law to the districts within the counties.

Sec. 14. All property taxed by state or local government shall be assessed in the county, city, and district in which it is situated. Notwithstanding any other provision of/aw, such state or local property taxes shall be apportioned according to law to the districts within the counties.

Section 9. General Provisions
A. This Act shall be liberally construed in order to effectuate its purposes.

B. (1) In the event that this initiative measure and another initiative measure or measures relating to state or local requirements for the imposition, adoption, creation, or establishment of taxes, charges, and other revenue measures shall appear on the same statewide election ballot, the other initiative measure or measures shall be deemed to be in conflict with this measure. In the event that this initiative measure receives a greater number of affirmative votes, the provisions of this measure shall prevail in their entirety, and the provisions ofthe other initiative measure or measures shall be null and void. (2) In furtherance of this provision, the voters hereby declare that this measure conflicts with the provisions of the "Housing Affordability and Tax Cut Act of 2022" and "The Tax Cut and Housing Affordability Act," both of which would impose a new state property tax (called a "surcharge") on certain real property, and where the revenue derived from the tax is provided to the State, rather than retained in the county in which the property is situated and for the use of the county and cities and districts within the county, in direct violation of the provisions of this initiative. (3) If this initiative measure is approved by the voters, but superseded in whole or in part by any other conflicting initiative measure approved by the voters at the same election, and such conflicting initiative is later held invalid, this measure shall be self-executing and given full force and effect.

C. The provisions of this Act are severable. If any portion, section, subdivision, paragraph, clause, sentence, phrase, word, or application of this Act is for any reason held to be invalid by a decision of any court of competent jurisdiction, that decision shall not affect the validity of the remaining portions of this Act. The People of the State of California hereby declare that they would have adopted this Act and each and every portion, section, subdivision, paragraph, clause, sentence, phrase, word, and application not 8 13.A.a
Packet Pg. 1281 Attachment: 21-0042A1 (Taxes) (5022 : Oppose Taxpayer Protection state ballot measure) declared invalid or unconstitutional without regard to whether any portion of this Act or application thereof would be subsequently declared invalid.

D. If this Act is approved by the voters of the State of California and thereafter subjected to a legal challenge alleging a violation of state or federal law, and both the Governor and Attorney General refuse to defend this Act, then the following actions shall be taken:
(1) Notwithstanding anything to the contrary contained in Chapter 6 of Part 2 of Division 3 ofTitle 2 of the Government Code or any other law, the Attorney General shall appoint independent counsel to faithfully and vigorously defend this Act on behalf of the State of California. (2) Before appointing or thereafter substituting independent counsel, the Attorney General shall exercise due diligence in determining the qualifications of independent counsel and shall obtain written affirmation from independent counsel that independent counsel will faithfully and vigorously defend this Act. The written affirmation shall be made publicly available upon request. (3) A continuous appropriation is hereby made from the General Fund to the Controller, without regard to fiscal years, in an amount necessary to cover the costs of retaining independent counsel to faithfully and vigorously defend this Act on behalf of the State of California. (4) Nothing in this section shall prohibit the proponents of this Act, or a bona fide taxpayers association, from intervening to defend this Act.
9 13.A.a
Packet Pg. 1282 Attachment: 21-0042A1 (Taxes) (5022 : Oppose Taxpayer Protection state ballot measure)

13.B
March 22, 2022
Council Meeting: March 22, 2022 Santa Monica, California 1 of 1
CITY CLERK’S OFFICE - MEMORANDUM
To: Mayor and City Council
From: Denise Anderson Warren, City Clerk, Records & Elections Services Department
Date: March 22, 2022

13.B Request of Councilmember Negrete, Mayor Pro Tem McCowan, and Councilmember Brock that the City Council support the “The Arts and Music In Schools – Funding guarantee Accountability Act,” a proposed ballot initiative co-sponsored by the Californians for Arts and Music Education in Public School that will increase funding for arts and music education programs in California public schools without raising taxes. The City Council also requests the City Manager issue a press release as soon as possible indicating the City Council’s support for the proposed ballot initiative and should the initiative garner enough signatures to be placed on the November 2022 ballot, a letter of support from the City would be sent to the California Attorney General registering the City Council’s Official support.

13.B
Packet Pg. 1283

13.B.a
Packet Pg. 1284 Attachment: 21-0036A1 (Music and Art Education) (5050 : Support The Arts and Music in Schools)

13.B.a
Packet Pg. 1285 Attachment: 21-0036A1 (Music and Art Education) (5050 : Support The Arts and Music in Schools)

13.B.a
Packet Pg. 1286 Attachment: 21-0036A1 (Music and Art Education) (5050 : Support The Arts and Music in Schools)

13.B.a
Packet Pg. 1287 Attachment: 21-0036A1 (Music and Art Education) (5050 : Support The Arts and Music in Schools)

13.B.a
Packet Pg. 1288 Attachment: 21-0036A1 (Music and Art Education) (5050 : Support The Arts and Music in Schools)

13.B.a
Packet Pg. 1289 Attachment: 21-0036A1 (Music and Art Education) (5050 : Support The Arts and Music in Schools) 1 Vernice Hankins
From: [email protected]
Sent: Thursday, March 17, 2022 9:33 PM
To: councilmtgitems
Cc: [email protected]
Subject: City Council 3/22/22 agenda item 13-B -- SUPPORT!

EXTERNAL
13B. Request of Councilmember Negrete, Mayor Pro Tem McCowan, and Councilmember Brock that the City Council support the “The Arts and Music In Schools – Funding guarantee Accountability Act,” a proposed ballot initiative co-sponsored by the Californians for Arts and Music Education in Public School that will increase funding for arts and music education programs in California public schools without raising taxes. The City Council also requests the City Manager issue a press release as soon as possible indicating the City Council’s support for the proposed ballot initiative and should the initiative garner enough signatures to be placed on the November 2022 ballot, a letter of support from the City would be sent to the California Attorney General registering the City Council’s Official support.

Item 13.B
03/22/22
1 of 1 Item 13.B
03/22/22

13.B.b
Packet Pg. 1290 Attachment: Written Comments (5050 : Support The Arts and Music in Schools)