Updating the Costs of Compliance for California’s Hospital Seismic Safety Standards

California Senate Bill 1953 requires structural and nonstructural upgrades to hospital buildings to enhance resilience to seismic events. This report estimates the costs to hospitals of compliance, focusing on the 2030 deadline. The potential costs have raised significant concerns regarding the financial burden on hospital systems and the opportunity costs associated with hospitals investing large pools of capital to implement seismic upgrades.