BILL ANALYSIS                                                                                                                                                                                                    Ó




                    Senate Appropriations Committee Fiscal Summary
                           Senator Christine Kehoe, Chair

                                          AB 1394 (Committee on Health)
          
          Hearing Date: 6/27/2011         Amended: 6/14/2011
          Consultant: Katie Johnson       Policy Vote: Health 9-0
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          ____
          BILL SUMMARY: AB 1394 would make a variety of clarifying changes 
          to the California Health Facilities Financing Authority (CHFFA) 
          Act, including expanding the definition of health facilities, 
          projects, and not-for-profit entities that are eligible for 
          financing and expanding CHFFA's authority to participate in bond 
          exchange agreements.
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          ____
                            Fiscal Impact (in thousands)

           Major Provisions         2011-12      2012-13       2013-14     Fund
           
          Potential increased    likely minor, but potentially 
          significant,           Special*
          number of projects     fully covered by fees charged to entities

          *California Health Facilities Financing Authority Fund
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          ____

          STAFF COMMENTS: 
          
          The California Health Facilities Financing Authority (CHFFA) was 
          established in 1979; it provides financial assistance to public 
          and non-profit health care providers in California through loans 
          funded by the issuance of tax-exempt bonds. Its administrative 
          activities are funded by fees paid by participating health 
          institutions. CHFFA anticipates that this bill would streamline 
          its business practices and result in some efficiencies. It does 
          not anticipate any increased workload associated with this bill. 
          However, if this bill were to make participating health 
          institutions more likely to seek financing through CHFFA and 
          increase workload, costs would be fee-supported. CHFFA statute 
          permits it to charge participating health institutions the costs 
          of administering the authority. the California Health Facilities 
          Authority Fund is continuously appropriated.









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          To the extent this bill would increase the potential for new fee 
          revenue, there would be more funds available for CHFFA projects, 
          such as the HELP II Program.

          This bill would, specifically,

             1)   Add entities that provide private educational services 
               to the definition of health facilities. CHFFA would then be 
               able to finance these types of facilities. CHFFA indicates 
               that this would clarify that those facilities are included 
               in their statute and would expedite the processing of 
               future applications.
             2)   Clarify that information system facilities or equipment 
               are included under the definition of health facilities; 
               information systems would join a list of facilities that 
               are operated in conjunction with a health facility, such as 
               a laboratory, laundry facility, and housing for staff.
             3)   Permit a health facility to undertake financing with 
               CHFFA through a "related nonprofit corporation" in addition 
               to its ability to seek financing as a sole facility. Many 
               major hospital systems operate as parent organizations and 
               run several campuses. This provision would permit a parent 
               organization to apply for financing on behalf of its 
               affiliates.
             4)   Allow CHFFA to enter into bond exchange agreements 
               (BEAs), in addition to the other types of agreements they 
               currently make. BEAs allow borrowers to alter various terms 
               and rates of their bonds in order to make conditions more 
               favorable to borrowers or acceptable to investors without 
               having to issue new bonds.
             5)   Permit CHFFA to pledge or grant security interests to 
               letters of credit providers and providers of liquidity 
               support. CHFFA must routinely do this in order to act as 
               the passive payment conduit.
             6)   Allow CHFFA to purchase its bonds with any moneys 
               available to the authority and to exchange bonds with its 
               bonds. 
             7)   Clarify CHFFA's authority to refund bonds issued by 
               another conduit authority such as a joint powers authority, 
               a redevelopment agency, or a county. This provision would 
               enable CHFFA to refinance an applicant's debt from another 
               conduit authority.
             8)   Delete the term "borrower" and replace it with 
               "participating health institution."








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