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 _________________________________________________________________ ____ 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. _________________________________________________________________ ____ 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 _________________________________________________________________ ____ 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. AB 1394 (Committee on Health) Page 1 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." AB 1394 (Committee on Health) Page 2