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alternative health system Assistance to promulgate Beilenson hearings held Beilenson provisions Board of Supervisors closure of county concerning closures COUNTIES OPERATING county health services COUNTY HOSPITAL COUNTY county medical facilities county patients county's indigent population Department of Health describing existing services detrimental impact facilities at Tulare February 11 Fiscal Five Points Clinic funding held a hearing held hearings hospital closure hours of operation Howell Initiative Humboldt County Humboldt Medical Center inpatient facilities leased Legislature major county non-detrimental finding non-profit hospital outpatient clinic petitioned by California proposed alternative health proposed changes proposed closure Proposition 13 provide services public hearings held public hearings prior public testimony reduction in hours reductions in health reductions or eliminations Sacramento Safety Code San Diego San Joaquin San Luis Obispo Santa Barbara Santa Cruz Section service reductions services to indigents staffed supervisors to hold Three counties held Tulare County Tulare General Hospital United Health Centers