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line 1 (d)  “Financially qualified patient” means a patient who is both <br /> line 2 of the following: <br /> line 3 (1)  A patient who is a self-pay patient, as defined in subdivision <br /> line 4 (g) or a patient with high medical costs, as defined in subdivision <br /> line 5 (h). <br /> line 6 (2)  A patient who has a family income that does not exceed 350 <br /> line 7 percent of the federal poverty level. <br /> line 8 (e)  “Hospital” means a facility that is required to be licensed <br /> line 9 under subdivision (a), (b), or (f) of Section 1250, except a facility <br /> line 10 operated by the State Department of State Hospitals or the <br /> line 11 Department of Corrections and Rehabilitation. <br /> line 12 (f)  “Office” means the Office of Statewide Health Planning and <br /> line 13 Development. <br /> line 14 (g)  “Self-pay patient” means a patient who does not have <br /> line 15 third-party coverage from a health insurer, health care service plan, <br /> line 16 Medicare, or Medicaid, and whose injury is not a compensable <br /> line 17 injury for purposes of workers’ compensation, automobile <br /> line 18 insurance, or other insurance as determined and documented by <br /> line 19 the hospital. Self-pay patients may include charity care patients. <br /> line 20 (h)  “A patient with high medical costs” means a person whose <br /> line 21 family income does not exceed 350 percent of the federal poverty <br /> line 22 level, as defined in subdivision (c), if that individual does not <br /> line 23 receive a discounted rate from the hospital as a result of his or her <br /> line 24 third-party coverage. For these purposes, “high medical costs” <br /> line 25 means any of the following: <br /> line 26 (1)  Annual out-of-pocket costs incurred by the individual at the <br /> line 27 hospital that exceed 10 percent of the patient’s family income in <br /> line 28 the prior 12 months. <br /> line 29 (2)  Annual out-of-pocket expenses that exceed 10 percent of <br /> line 30 the patient’s family income, if the patient provides documentation <br /> line 31 of the patient’s medical expenses paid by the patient or the patient’s <br /> line 32 family in the prior 12 months. <br /> line 33 (3)  A lower level determined by the hospital in accordance with <br /> line 34 the hospital’s charity care policy. <br /> line 35 (i)  “Patient’s family” means the following: <br /> line 36 (1)  For persons 18 years of age and older, spouse, domestic <br /> line 37 partner, as defined in Section 297 of the Family Code, and <br /> line 38 dependent children under 21 years of age, whether living at home <br /> line 39 or not. <br />96 <br />AB 975— 7 — <br />