Cal. Welf. & Inst. Code § 14085.53

(a) The Alameda Health System may revise plans submitted in accordance with subparagraph (C) of paragraph (1) of subdivision (b) of Section 14085.5 for the Alameda Health System capital project and submit those revised plans pursuant to this section. The revised capital project plans shall qualify for supplemental reimbursement under Section 14085.5 for the revised capital project as described in the revised plans, notwithstanding the assignment of a different permit number, if all of the following conditions are met:
1. (1) The revised capital project continues to meet all other requirements for eligibility as specified in Section 14085.5.
2. (2) The revised plans are submitted to the Office of Statewide Health Planning and Development prior to June 30, 1997.
3. (3) The modifications do not involve a deviation from the original capital project plan’s stated architectural building footprint.
(b) The revised capital project plan for the Alameda Health System may provide for any or all or any combination of the following:
1. (1) A reduction in size and scope of the original project plan.
2. (2) Tenant interior improvements for the entire building not specified in the original project plan.
3. (3) Modifications to the foundation, structural frame, and building exterior shell, commonly known as the shell and core.
4. (4) Modifications necessary to comply with current seismic safety standards.
(c) The revised capital project plans for the Alameda Health System, as described in this section, shall qualify for supplemental reimbursement as calculated pursuant to subdivision (c) of Section 14085.5, as limited by this section. The initial Medi-Cal inpatient utilization rate for the Alameda Health System, for purposes of calculating the supplemental reimbursement, shall be that which was established at the point of the original project plan submission. The supplemental reimbursement shall be based on actual costs of the revised capital project eligible for reimbursement under Section 14085.5. However, in no event shall the supplemental reimbursement for the revised capital project exceed 85 percent of the supplemental reimbursement for that portion of the original Alameda Health System capital project that qualified for the supplemental reimbursement, the original qualifying amount that was sixty-two million six hundred ninety-six thousand three hundred forty dollars ($62,696,340), as indicated by the budgetary estimate as prepared and submitted by Alameda County to the department July 11, 1994.