Counties, Health Districts, and Public Agencies


For counties, county health systems, county health departments, health care districts, and similar public agencies throughout California, Hooper, Lundy & Bookman matches our broad health care expertise with extensive experience addressing the specific issues and concerns of public entities charged with serving their residents’ physical and behavioral health care needs.

From sprawling counties with populations in the millions to some of the smallest public agencies in the state, our representation focuses on ensuring our clients can access the financial resources to which they are entitled, advising them on compliance concerns, helping them meet governance and operational challenges, and defending their interests in conflicts. We have specialized knowledge and experience to address the issues public entities regularly confront, including industry-leading Medicaid, reimbursement, compliance, behavioral health, and hospital and health systems counsel.

Our services for California counties and other public agencies include advice and counseling in the following areas:

  • Full-service representation of counties and Local Emergency Medical Services Agencies, including defending their EMS networks from challenges to their exclusivity under the Emergency Medical Services Act, litigation with providers, and regulatory advice and counsel
  • Full-service representation of health care districts, including governance matters, regulatory compliance, commercial contracting, operational advice, and development of new projects, programs, and services
  • Audits and investigations in a variety of contexts
  • The Stark Law, federal and state anti-kickback statutes, False Claims Act, and other fraud and abuse matters
  • Patient privacy, confidentiality, and HIPAA and Part 2 issues
  • Involuntary civil commitment under the Lanterman-Petris-Short Act (LPS Act)
  • Medicaid and Medi-Cal financing and reimbursement
  • Medicare and Medicaid overpayments, and report and return obligations
  • Mental Health Services Act reporting and compliance obligations
  • County Mental Health Plan (MHP) administration and reimbursement
  • Consent and standard of care issues
  • Telehealth and remote behavioral health services
  • Licensure, certification, and other regulatory approvals
  • Olmstead compliance and defense
  • California Public Records Act
  • Brown Act and related public meeting obligations
  • Strategic planning and facility and program development
  • Provider and supplier contracting