Resolving the Ruckus

Proposition 4

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Authorizes Bonds Funding Construction at Hospitals Providing Children’s Health Care

initiative statute

Official Summary

Authorizes $1.5 billion in bonds, to be repaid from state's General Fund, to fund grants for construction, expansion, renovation, and equipping of qualifying children's hospitals.

Designates 72 percent of funds to qualifying private nonprofit hospitals providing comprehensive services to high volumes of children eligible for governmental programs and children with special health needs eligible for the California Children's Services program, 18 percent of funds to University of California general acute care children's hospitals, and 10 percent of funds to public and private nonprofit hospitals providing services to children eligible for the California Children's Services program.

Fiscal Impact: Increased state costs to repay bonds averaging about $80 million annually over the next 35 years.


Fund allocation (in millions):

  • $1,080 Private Nonprofit Hospitals, each $135: Oakland, Los Angeles, Orange County, Long Beach, Loma Linda, Stanford, San Diego, Madera

  • $ 270 UC Children’s Hospitals, each $54: UC Los Angeles, UC Irvine, UC Davis, UC San Diego, UC San Francisco

  • $ 150 Other private nonprofit hospitals

Moneys could be used for just about anything except personnel: construction, remodeling, furniture, equipment, financing, etc.