Current through Register 2024 Notice Reg. No. 38, September 20, 2024
The following evaluation criteria applies to Children's
Hospitals. Authority staff shall evaluate each Application based on the
following criteria:
(a) How well the
Project contributes to both of the following:
(1) Expansion of Health Care Access or
Improvement of Health Care Access by children eligible for Governmental Health
Insurance Programs and Indigent, Underserved, and Uninsured children.
(2) Improvement of Child Health Care or
Improvement of Pediatric Patient Outcomes.
(b) How well the Applicant does any or all of
the following:
(1) Provides Uncompensated Care
or Undercompensated Care to Indigent or public pediatric patients.
(2) Provides services to Vulnerable Pediatric
Populations.
(3) Promotes Pediatric
Teaching Programs or Pediatric Research Programs.
(c) How well the Applicant demonstrates
Project readiness and feasibility based upon the following:
(1) A Project timeline that includes the
following:
(A) An expected start date (e.g.
construction start date(s) and/or equipment purchase date(s)).
(B) An expected completion date (e.g.
construction completion date(s), acquisition completion dates, and/or equipment
installation date(s)).
(C)
Potential challenges anticipated in implementing the Project and how these
challenges will be managed to ensure timely completion.
(2) Whether the Project is ready and feasible
after review of all of the following:
(A) For
all Projects with the exception of equipment acquisition Projects, the
Applicant shall submit estimates of Project costs and evidence of property
ownership or, if the property is leased to a Children's Hospital, or a
California nonprofit corporation of which the Children's Hospital is an
operating entity, a copy of a lease agreement that satisfies the requirements
of Section 7014. The Applicant shall also
provide building permits and/or executed architect, design, engineering, and
construction contracts, if available. When applicable, the Applicant shall
submit evidence that it is in compliance with the California Environmental
Quality Act (CEQA). The Applicant shall also be in compliance with all other
applicable laws.
(i) An Applicant with a
Project that does not yet have building permits and/or executed architect,
design, engineering and construction contracts, but is actively in the process
of obtaining these items, shall provide a detailed statement that explains the
status of obtaining the missing items.
(B) For Projects that include the acquisition
of real property, the Children's Hospital shall submit a copy of an executed
purchase and sale agreement or status of obtaining one or other evidence of
site control.
(i) If the Grant will be used
to pay for real property acquisition costs as part of a larger project, the
Children's Hospital shall provide a timeline that specifies when the entire
project will be complete.
(C) For equipment acquisition Projects, the
Applicant shall submit a specific list of items and cost estimates of equipment
(or copies of purchase orders and invoices), and if applicable, cost estimates
of installation of such equipment.
(D) If funding sources other than the Grant
are required to complete the Project, the Applicant shall provide proof of the
funding sources, including but not limited to, commitment letters and board
approved capital campaign plans. Such documentation shall be in accordance with
the Project timeline and budget.
(3) The sources and uses of funds:
(A) The Applicant shall detail all sources of
funds required to complete the proposed Project. Sources may include, but are
not limited to, the total Grant request, borrowed funds, internal assets, and
other sources. If the Project, or a portion of the Project, has been or will be
submitted to other lenders or grantors for funding, the Applicant shall list
them and the status of their consideration.
(B) The Applicant shall detail the uses of
all funds required to complete the proposed Project. The total uses shall not
exceed the total of all available fund sources. In some instances, funds from
sources other than the Grant may be used for portions of a proposed Project
that would otherwise be ineligible for this Grant. In those instances, the
Applicant shall describe specifically how the Grant funds, as well as other
grants, loans, or internal funds, will be used to ensure Grant funds will not
subsidize Project elements not eligible for such funds.
(C) If a proposed Project will benefit both
pediatric and non-pediatric patients, the total Grant for that Project cannot
exceed the proportionate share use of the pediatric population.
(i) The Authority staff shall evaluate the
methodology used to determine the proportionate share use of the pediatric
population and may alter the amount of Grant funds to be awarded based on this
or an alternate methodology and any other factors related to improvement of
pediatric population care.
(4) Whether implementation of the Project is
feasible:
(A) The Applicant shall demonstrate
the feasibility of the Project to generate sufficient revenues to support
on-going operation of new or expanded services and/or research programs through
one of the following:
(i) A third-party
feasibility study (including but not limited to the scope of the services to be
provided with the new Project, financing plan of the Project, forecasted
revenues and expenses of the Project operations, market share/service area
demand analysis and observations on market positioning).
(ii) Funding letters or other
documentation.
(B) If
revenues generated by the Project will be insufficent to support the on-going
operation of new or expanded services and/or research programs the Applicant's
revenues shall be sufficient to support the on-going
operation.
(5) The
financial capacity of the Children's Hospital based upon a review of the Most
Recent Audited Financial Statements provided pursuant to Section
7001, subdivision
(b)(2).
1. New section
filed 4-12-2019 as an emergency; operative 4-12-2019 (Register 2019, No. 15). A
Certificate of Compliance must be transmitted to OAL by 10-9-2019 or emergency
language will be repealed by operation of law on the following
day.
2. New section, including amendment of subsections (c)(2)(A)(i)
and (c)(4) and new subsections (c)(4)(A)-(B), refiled 10-7-2019 as an
emergency; operative 10-10-2019 (Register 2019, No. 41). A Certificate of
Compliance must be transmitted to OAL by 1-8-2020 or emergency language will be
repealed by operation of law on the following day.
3. New section,
including 10-7-2019 amendments, refiled 1-8-2020 as an emergency; operative
1-9-2020 (Register 2020, No. 2). A Certificate of Compliance must be
transmitted to OAL by 4-8-2020 or emergency language will be repealed by
operation of law on the following day.
4. Certificate of Compliance
as to 1-8-2020 order transmitted to OAL 12-3-2019 and filed 1-16-2020 (Register
2020, No. 3).
Note: Authority cited: Sections
1179.82,
1179.85
and
1179.87,
Health and Safety Code. Reference: Sections
1179.85,
1179.87
and
1179.88,
Health and Safety Code.