Creates a special commission to study reducing or eliminating the payor assessment paid by insurers and self-insured employers for the Health Safety Net.

Changes references from “Uncompensated Care Pool” to “Health Safety Net Trust Fund” and permits sharing of information about Health Safety Net enrollees.

Establishes the Health Safety Net Office which administers the Health Safety Net program and the Health Safety Net Trust Fund.

Establishes the Health Safety Net Trust Fund.

Sets out provisions to determine an acute hospital's payments to the Health Safety Net Trust Fund and mechanisms to enforce the liability.

Sets out provisions to determine acute hospital and ambulatory surgical center surcharge payments to the Health Safety Net Trust Fund.

Establishes provisions governing payments from the Health Safety Net Trust Fund to acute hospitals and community health centers.

Transfers the balance in the Uncompensated Care Trust Fund, which is to be abolished, to the Health Safety Net Trust Fund.

Establishes hospital and surcharge payer liability and hospital payments for the Uncompensated Care pool for fiscal year 2007.