California Code of Regulations
Title 4 - Business Regulations
Division 10 - California Health Facilities Financing Authority
Chapter 1 - The Children's Hospital Program of 2018
Section 7000 - Definitions

(a) "Act" means the Children's Hospital Bond Act of 2018 (Part 6.3 (commencing with Section 1179.81), Division 1, Health and Safety Code).

(b) "Administrative Costs" means actual costs incurred by the Authority and other state agencies as permitted by law for administering the Children's Hospital Program of 2018.

(c) "Applicant" means an entity that meets the eligibility requirements as further described in Section 7001 for submission of an Application and submits an Application.

(d) "Application" means for Children's Hospitals, the written request for a Grant under the Children's Hospital Program of 2018 in the form and format of the "Grant Application for Children's Hospitals," Form No. CHFFA 10 CHP18-CH (10/2019), hereby incorporated by reference, including all supporting information and documents, as further described in Section 7005. "Application" means for Eligible Hospitals, the written request for a Grant under the Children's Hospital Program of 2018, in the form and format of the "Grant Application for Eligible Hospitals," Form No. CHFFA 10 CHP18-EH (10/2019), hereby incorporated by reference, including all supporting information and documents, as further described in Section 7005.

(e) "Audited Financial Statements" means an examination and report of the financial activities of the Applicant or the California nonprofit corporation of which the Applicant is an operating entity, for its fiscal year, performed by an independent accounting firm under generally accepted accounting principles.

In the case of the University of California Children's Hospitals, "Audited Financial Statements" means an examination and report of the financial activities of each individual University of California medical center that includes a University of California Children's Hospital, for its fiscal year, performed by an independent accounting firm under generally accepted accounting principles.

(f) "Authority" means the California Health Facilities Financing Authority.

(g) "California Children's Services" or "CCS" means California Children's Services as defined in the California Code of Regulations, title 22, Section 41410.

(h) "Children's Hospital" means either:

(i) "Children's Hospital Program of 2018" means the program resulting from the Act.

(j) "Children's Hospitals Applying Jointly" means two or more Children's Hospitals that submit a single Application for a Project.

(k) "Costs of Issuance" mean the expenses incurred in connection with the sale and issuance of bonds, other short-term debt instruments, or loans approved by the Pooled Money Investment Board, established pursuant to Government Code Section 16480.1, that are used to finance or refinance Grants and accrued interest on any short-term debt instruments or loans which are not paid from another source.

(l) "Eligible Hospital" means a hospital that provides pediatric services to children eligible for the California Children's Services program that is either (1) a public hospital as defined in Welfare and Institutions Code Section 14105.98(a)(25), or (2) a general acute care hospital licensed pursuant to Health and Safety Code Section 1250 that is, or is an operating entity of, a California nonprofit corporation.

(m) "Executive Director" means the Executive Director of the Authority.

(n) "Expansion of Health Care Access" means providing the same services to additional pediatric patients or net additional or new Pediatric Services to existing or new pediatric patients.

(o) "Final Allocation" means a Grant allocation approved by the Authority.

(p) "Funding Round" means the period of time during which an Application may be submitted for consideration of funding by the Authority.

(q) "Going Concern Qualification" means a modification by an independent auditor of the audit opinion on an entity's financial statements prepared under going concern basis of accounting when it has been determined that the liquidation of the entity's assets and liabilities is imminent.

(r) "Government Health Insurance Programs" mean governmental assistance programs that include, but are not limited to, Medicaid (Medi-Cal), Optional Targeted Low Income Children (OTLIC), California Children's Services (CCS), Child Health and Disability Prevention (CHDP) and county indigent programs.

(s) "Grant" means an award of funds to an Applicant for a Project pursuant to the Children's Hospital Program of 2018.

(t) "Grant Agreement" means a written agreement for a Grant entered into between a Grantee and the Authority.

(u) "Grant Period" means the time period from the date of Final Allocation to the date set by the Authority for the implementation of the Project and the Grant to end.

(v) "Grantee" means an Applicant that has received Grant approval by the Authority.

(w) "Improvement of Child Health Care" means an improvement in the timeliness, effectiveness, or quality of care provided to the pediatric population.

(x) "Improvement of Health Care Access" means an increase in the quantity and scope of Pediatric Services provided.

(y) "Improvement of Pediatric Patient Outcomes" means an improvement in the overall health of the pediatric patients receiving treatment or care.

(z) "Indigent" means those children who do not have health insurance that covers their healthcare needs and who are not eligible for other health insurance coverage such as Governmental Health Insurance Programs.

(aa) "Initial Allocation" means the Grant amount the Authority staff recommends the Authority approve for Final Allocation as further described in Sections 7008 and 7008.1.

(bb) "Lead Grantee" means the Children's Hospital designated on the Application to have the primary responsibility for the fiscal management of Grant funds, implementation of Project, records retention, reporting and all of the other aspects of compliance with this Chapter and the Grant Agreement.

(cc) "Most Recent Audited Financial Statements" means the Audited Financial Statements for the most recent fiscal year for which such financial statements are available.

(dd) "Non University of California Children's Hospital" means a Children's Hospital described in paragraph (2) of subdivision (h).

(ee) "OSHPD" means the Office of Statewide Health Planning and Development.

(ff) "Pediatric Research Program" means scientific research focused on the pediatric population to improve and/or better understand this population's health.

(gg) "Pediatric Services" means services provided for children from birth to age 18. Exceptions to the age limit are allowed up to age 21 for children receiving treatment for a CCS eligible condition as described in the California Code of Regulations, title 22, Sections 41515.2 through 41518.9.

(hh) "Pediatric Teaching Program" means a program that annually trains at least eight (rounded to the nearest integer) full-time equivalent pediatric or pediatric subspecialty residents.

(ii) "Project" means the activities for which an Application has been submitted and Grant funds have been allocated.

(jj) "Special Care Center(s)" means a center that is approved by the California Department of Health Care Services, CCS program to provide comprehensive, multi-disciplinary, and multi-specialty care, including surgical procedures, to children, adolescents, and young adults with CCS eligible conditions.

(kk) "Subsequent Funding Round" means any specified time period after the first Funding Round during which an Application may be submitted to be considered for funding by the Authority, subject to the availability of funds.

(ll) "Uncompensated Care" means care provided without a patient-specific source of funding available to pay for the Pediatric Services rendered.

(mm) "Undercompensated Care" means care provided where a financial shortfall exists between gross expenses and the revenues (or payment) in treating a pediatric patient.

(nn) "Underserved" means those children who are Indigent, or if insured, their insurance coverage is not sufficient to cover their healthcare needs.

(oo) "Uninsured" means those children who do not have health insurance.

(pp) "University of California Children's Hospital" means a Children's Hospital described in paragraph (1) of subdivision (h).

(qq) "Vulnerable Pediatric Populations" means pediatric patients served by Government Health Insurance Programs and pediatric patients with special health care needs, irrespective of insurance or housing status.