The board of California Office of Health Care Affordability (OHCA) took a major step last April in approving a p3-percent spending increase cap for the state’s hospitals and medical facilities to be phased in over five years, in an effort to reign in spiraling health care costs. Now the board is taking steps toward limiting spending by hospitals deemed to be high-cost outliers in the state, a move that could directly impact Monterey County’s three largest hospitals…