The rating on Maryland Health and Higher Educational Facilities Authority's CP notes series A, issued for Johns Hopkins Hospital, has been affirmed due to the bank facility being extended to Oct. 31, 2011. The rating is based on Bank of America N.A. The rating on the authority's series B CP notes has been affirmed due the bank facility being extended to Oct. 31, 2011. This rating is based on Wachovia Bank N.A.