Health care.

(1) Existing law establishes the Office of Statewide Health Planning and Development and sets forth its powers and duties, including, but not limited to, administration of the California Health Facility Construction Loan Insurance Law for the purposes of insuring health facility construction loans. Existing law establishes the Health Facility Construction Loan Insurance Fund and continuously appropriates the fund to the office for these purposes. Existing law authorizes the office to charge a premium charge for the insurance of these loans, with the premiums to be deposited in the fund. This bill would authorize the office to annually charge a portion of the premium in advance not to exceed $6 per year for each $1,000 of principal of the proposed loan. The bill would make the total dollar amount of the premium advanced nonrefundable and would require that it be credited against the amount of the premium charged or, if the commitment expires and the loan is not insured, the bill would require that the advance be retained by the office to offset costs and expenses of the office, as prescribed. By increasing the amounts to be deposited into a continuously appropriated fund, this bill would make an appropriation. Existing law sets forth the conditions for loans to be eligible for loan insurance under these provisions, including, but not limited to, the requirement that the proceeds of the loan be guaranteed to be used exclusively for the construction, improvement, or expansion of the health facility, as approved by the office. Existing law also authorizes insurance of loans to refinance another prior loan if the prior loan would have been eligible at the time it was made. This bill would, instead, permit the refinancing of up to 90% of a prior loan if the loan would otherwise be eligible, without regard to whether the prior loan would have been eligible at the time it was made. By expanding the purposes for which a continuously appropriated fund may be expended, this bill would make an appropriation. (2) Existing law creates the Access for Infants and Mothers Program, which is administered by the Managed Risk Medical Insurance Board, to provide coverage for perinatal and infant care to residents of this state meeting certain income and other eligibility requirements and paying certain subscriber contributions. Existing law creates the California Major Risk Medical Insurance Program, which is also administered by the board, to provide major risk health coverage to residents of this state who are unable to secure adequate private health coverage because of preexisting medical conditions and who meet other eligibility requirements and pay certain subscriber contributions. This bill would delete obsolete references within these provisions.