The ratings on Michigan State Hospital Finance Authority's health variable rate bonds, series 2005E and series 2005H, issued for Trinity Health, have been affirmed due to the bank facility being extended to Jan. 16, 2008. The long-term component of the rating is based on Trinity Health (2005E) and CIFG Assurance North America Inc. (2005H). The short-term component of the rating is based on Bank of Nova Scotia.