HB 879 — Certificate of public need; revises the Medical Care Facilities Certificate of Public Need Program.
Last action — Failed to pass in House
No card. One bill, free forever — alerts when it moves.
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✓Introduced
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✓In Committee
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3Passed House of Delegates
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4Passed Senate
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5To Executive
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6Enacted
This bill died with 2020 Regular Session. It reached “Passed House of Delegates” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
This bill is no longer active — its legislative session has ended, so there is no live prognosis. It would have to be reintroduced in the current session to move again.
Summary
Certificate of public need. Revises the Medical Care Facilities Certificate of Public Need Program. The bill (i) removes from the list of reviewable medical care facilities specialized centers or clinics or that portion of a physician's office developed for the provision of lithotripsy, magnetic source imaging, or nuclear medicine imaging; (ii) removes from the definition of project introduction into an existing medical care facility of any new lithotripsy, magnetic source imaging, or obstetrical service that the facility has never provided or has not provided in the previous 12 months and addition by an existing medical care facility of any medical equipment for the provision of lithotripsy and magnetic source imaging; (iii) creates a new process for registration of projects exempted from the definition of project by the bill; (iv) renames the State Medical Facilities Plan as the State Health Services Plan and establishes a State Health Services Plan task force to provide recommendations related to the content of the State Health Services Plan; (v) clarifies the content of the application for a certificate; (vi) reduces the timeline for a person to be made party to the case for good cause from 80 calendar days to four days following completion of the review and submission of recommendations related to an application; (vii) requires the Commissioner of Health to condition issuance of a certificate upon the agreement of the applicant to provide care to individuals who are eligible for benefits under Title XVIII of the Social Security Act (42 U.S.C. § 1395 et seq.), Title XIX of the Social Security Act (42 U.S.C. § 1396 et seq.), and 10 U.S.C. § 1071 et seq. and permits the Commissioner to condition the issuance of a certificate on the agreement of the applicant to provide specialty medical services in addition to existing options for conditioning certificates; (viii) requires every certificate holder to develop a financial assistance policy that includes specific eligibility criteria and procedures for applying for charity care, which shall be provided to a patient at the time of admission or discharge or at the time services are provided, included with any billing statements sent to uninsured patients, posted conspicuously in public areas of the medical care facility for which the certificate was issued and posted on a website maintained by the certificate holder; (ix) eliminates the requirement that a person willfully fail, refuse, or neglect to comply with a plan of correction to be subject to a civil penalty so that any failure, refusal, or neglecting to comply with a plan of correction may subject the person to a civil penalty; and (x) provides that the Commissioner may consider any changes in the circumstances of the certificate holder resulting from changes in the financing or delivery of health care services, including changes to the Commonwealth's program of medical assistance services, and any other specific circumstances of the certificate holder when determining whether conditions imposed on a certificate continue to be appropriate. The bill also (a) directs the Department of Health to develop recommendations to reduce the duration of the average review cycle for applications for certificates of public need to not more than 120 days and to report on its recommendations to the Governor and the General Assembly no later than December 1, 2020, and (b) directs the Secretary of Health and Human Resources to implement a system to ensure that data needed to evaluate whether an application for a certificate is consistent with the State Health Services Plan is timely and reliable; to make an inventory of capacity authorized by certificates of public need, both operational and not yet operational, available in a digital format online; and to establish a public education and outreach program designed to improve public awareness of the certificate of public need process and the public's role in such process by January 1, 2021.
Bill Text
What changed in the latest version
241 added · 239 removedPlain-language change summary
The amendment to Bill HB 879 includes the addition of certain sections to the Code of Virginia related to the "certificate of public need." It clarifies regulatory procedures for agencies, particularly requiring them to provide public notice and opportunities for comments before implementing new regulations. This change is important as it aims to enhance transparency and public involvement in the regulatory process, ensuring that community voices are heard regarding healthcare and building regulations.
SESSION history | hilite | pdf | print version 20101264D20108642D HOUSE BILL NO.
879 HouseAMENDMENT AmendmentsIN inTHE [NATURE ]OF A SUBSTITUTE (Proposed by the Senate Committee on Education and Health on February 7,20, 20202020) (Patron Prior to Substitute--Delegate Sickles) A BILL to amend and reenact §§ 2.2-4006, 32.1-3, 32.1-102.1, 32.1-102.2, 32.1-102.2:1, 32.1-102.3, 32.1-102.4, 32.1-102.6, 32.1-102.8, 32.1-102.10, 32.1-102.11, 32.1-239, [ and ] 32.1-276.5 [ , and 56-484.91 ] of the Code of Virginia and to amend the Code of Virginia by adding sections numbered 32.1-102.1:2, 32.1-102.1:3, and 32.1-102.6:1, relating to certificate of public need.
---------- Patron Prior to Engrossment--Delegate Sickles ---------- Referred to Committee on Health, Welfare and Institutions ---------- Be it enacted by the General Assembly of Virginia:
That §§ 2.2-4006, 32.1-3, 32.1-102.1, 32.1-102.2, [32.1-102.2.1, 32.1-102.2.1 32.1-102.2:1 ] , 32.1-102.3, 32.1-102.4, 32.1-102.6, 32.1-102.8, 32.1-102.10, 32.1-102.11, 32.1-239, [ and ] 32.1-276.5 [ , and 56-484.91 ] of the Code of Virginia are amended and reenacted and that the Code of Virginia is amended by adding sections numbered 32.1-102.1:2, 32.1-102.1:3, and 32.1-102.6:1 as follows:
The Task Force shall consist of no fewer than [19 15 ] individuals appointed by the Commissioner who are broadly representative of the interests of all residents of the Commonwealth and of the various geographic regions, including two representatives of the Virginia Hospital and Healthcare Association, the Medical Society of Virginia, the Virginia Health Care Association, and physicians or administrators representing teaching hospitals affiliated with a public institution of higher education;
one representative each of the Virginia Association of Health Plans, [ the Virginia Association of Free and Charitable Clinics, Leadingthe AgeVirginia Virginia,Community ]Healthcare Association, LeadingAge Virginia, a company that is self-insured or full-insured for health coverage, a nonprofit organization located in the Commonwealth that engages in addressing access to health coverage for low-income individuals, and a rural locality recognized as a medically underserved area;
In addition, the Commissioner shall condition the approval of a certificate upon the agreement of the applicant to (i) provide a specified level of charity care to indigent persons or accept patients requiring specialized care or, (ii) upon the agreement of the applicant to facilitate the development and operation of primary and specialty medical care services in designated medically underserved areas of the applicant's service area, [ or ] (iii) [ pay assessments or make contributions into the Health Care Coverage Assessment Fund established pursuant to § 32.1-331.01, or (iv) ] all of the above.
In order to verify the date of the Department's and the appropriate regional health planning agency's receipt of the application, the applicant shall transmit the document electronically, by certified mail or a delivery service, return receipt requested, or shall deliver the document by hand, with signed receipt to be provided Such application shall be filed [ electronically, ] in accordance with procedures established by the Department.
"Person" includes, in addition to the entities enumerated in subdivision 4 [ of ] § 32.1-3, the Commonwealth and any of its political subdivisions.
[ That the Secretary of Health and Human Resources implement a system by January 1, 2021, or as soon thereafter as practicable, to make all public records pertaining to certificate of public need applications and the certificate of public need review process, including letters of intent and decision letters, available online in real time in a searchable, digital format.
] That the Secretary of Health and Human Resources implement a system by January 1, 2021, or as soon thereafter as practicable, to make an inventory of capacity authorized by certificates of public need, both operational and not yet operational, available in a digital format online, with such funds as are available.
[ 6.
5.That the Secretary of Health and Human Resources establish, by January 1, 2021, a public education and outreach program designed to improve public awareness of the certificate of public need process and the public's role in such process, including the opportunity to provide written comments on applications and the process by which a member of the public may request a public hearing on an application.
]7. That the Secretary of Health and Human Resources establish, by January 1, 2021, a public education and outreach program designed to improve public awareness of the certificate of public need process and the public's role in such process, including the opportunity to provide written comments on applications and the process by which a member of the public may request a public hearing on an application.
That notwithstanding any other provision of law or regulation, an application for a certificate of public need for the introduction of a specialty-level neonatal special care service in Planning District 5 that (i) contains in the record testimony of a neonatologist, employed or contracted by an incumbent provider of neonatal special care services in the same planning district, that the proposed number of bassinets in the application is clinically appropriate for the neonatal special care service proposed and would be beneficial to health outcomes of infants born at the applicant's facility and (ii) includes the agreement of the applicant to accept standard charity care conditions on the proposed neonatal special care services shall be deemed to (a) demonstrate a public need for such proposed specialty-level neonatal special care service and (b) be consistent with the State Medical Facilities Plan.
View plain text versions (3)
- Impact statement from DPB (HB879S1) View text Current html February 20, 2020
- Amended Engrossed by House as amended HB879E html February 07, 2020
- Impact statement from DPB (HB879) View text html January 07, 2020
Action History
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Failed to pass in House
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No further action taken
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Conferees appointed by Senate
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Conferees appointed by House
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House acceded to request
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Senate requested conference committee
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Senate insisted on amendments (40-Y 0-N)
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VOTE: REJECTED (0-Y 94-N)
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Senate substitute with amendments rejected by House 20108642D-S1 (0-Y 94-N)
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Passed Senate with substitute with amendments (37-Y 3-N)
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Engrossed by Senate - committee substitute HB879S1
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Committee amendments agreed to
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Reading of amendments waived
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Committee substitute agreed to 20108642D-S1
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Reading of substitute waived
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Read third time
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Constitutional reading dispensed (38-Y 0-N)
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Reported from Finance and Appropriations with amendments (12-Y 4-N)
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Impact statement from DPB (HB879S1)
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Rereferred to Finance and Appropriations
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Committee substitute printed 20108642D-S1
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Reported from Education and Health with substitute (9-Y 5-N 1-A)
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Referred to Committee on Education and Health
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Constitutional reading dispensed
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Impact statement from DPB (HB879E)
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VOTE: Passage (97-Y 1-N)
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Read third time and passed House (97-Y 1-N)
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Engrossed bill reprinted 20101264D-E
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Printed as engrossed 20101264D-E
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Engrossed by House as amended HB879E
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Committee on Appropriations amendments agreed to
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Committee on Health, Welfare and Institutions amendments agreed to
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Read second time
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Read first time
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Reported from Appropriations with amendments (20-Y 1-N)
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Subcommittee recommends reporting with amendments (8-Y 0-N)
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House subcommittee amendments and substitutes offered
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Referred to Committee on Appropriations
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Reported from Health, Welfare and Institutions with amendments (22-Y 0-N)
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Assigned App. sub: Health & Human Resources
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Subcommittee recommends referring to Committee on Appropriations
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Subcommittee recommends reporting with amendments (8-Y 0-N)
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House subcommittee amendments and substitutes offered
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Impact statement from DPB (HB879)
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Assigned HWI sub: Health
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Referred to Committee on Health, Welfare and Institutions
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Prefiled and ordered printed; offered 01/08/20 20101264D
Sponsors
- Mark D. Sickles · Primary
- Wampler, William C., III · Cosponsor
Sponsorship breakdown
Export CSV (upgrade) →1 sponsors · 1 co-sponsors · 146 not signed on · 98 voted No
Sponsors (1)
Co-sponsors (1)
- Wampler, William C., III Voted No
Not signed on (146)
146 members have not signed on to this bill.
Show all 146 →"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.
Votes
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 38 | 0 | 0 | 2 |
| Total | 38 | 0 | 0 | 2 |
| % of votes cast | 95% | 0% | 0% | 5% |
How each member voted (40)
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 37 | 3 | 0 | 0 |
| Total | 37 | 3 | 0 | 0 |
| % of votes cast | 93% | 8% | 0% | 0% |
How each member voted (40)
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 40 | 0 | 0 | 0 |
| Total | 40 | 0 | 0 | 0 |
| % of votes cast | 100% | 0% | 0% | 0% |
How each member voted (40)
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 0 | 93 | 0 | 6 |
| Total | 0 | 93 | 0 | 6 |
| % of votes cast | 0% | 94% | 0% | 6% |
How each member voted (99)
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 12 | 4 | 0 | 0 |
| Total | 12 | 4 | 0 | 0 |
| % of votes cast | 75% | 25% | 0% | 0% |
How each member voted (16)
| Member | Party | Vote |
|---|---|---|
| McClellan, Jennifer L. | — | Yea |
| Barker, George L. | — | Yea |
| David W. Marsden | — | Yea |
| Ebbin, Adam P. | — | Yea |
| Edwards, John S. | — | Yea |
| Hanger, Emmett W., Jr. | — | Yea |
| Howell, Janet D. | — | Nay |
| L. Louise Lucas | — | Yea |
| Mamie E. Locke | — | Yea |
| Newman, Stephen D. | — | Yea |
| Norment, Thomas K., Jr. | — | Yea |
| Petersen, J. Chapman | — | Nay |
| R. Creigh Deeds | — | Yea |
| Ruff, Frank M., Jr. | — | Nay |
| Saslaw, Richard L. | — | Yea |
| Vogel, Jill Holtzman | — | Nay |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 9 | 5 | 0 | 1 |
| Total | 9 | 5 | 0 | 1 |
| % of votes cast | 60% | 33% | 0% | 7% |
How each member voted (15)
| Member | Party | Vote |
|---|---|---|
| Chafin, A. Benton "Ben" | — | Nay |
| Barker, George L. | — | Yea |
| Cosgrove, John A., Jr. | — | Nay |
| David R. Suetterlein | — | Yea |
| Dunnavant, Siobhan S. | — | Yea |
| Edwards, John S. | — | Yea |
| Hashmi, Ghazala F. | — | Yea |
| Howell, Janet D. | — | Nay |
| L. Louise Lucas | — | Yea |
| Lewis, Lynwood W., Jr. | — | Yea |
| Mamie E. Locke | — | Yea |
| Mark J. Peake | — | Nay |
| Newman, Stephen D. | — | Yea |
| Petersen, J. Chapman | — | Not Voting |
| Saslaw, Richard L. | — | Nay |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 96 | 1 | 0 | 2 |
| Total | 96 | 1 | 0 | 2 |
| % of votes cast | 97% | 1% | 0% | 2% |
How each member voted (99)
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 20 | 1 | 0 | 1 |
| Total | 20 | 1 | 0 | 1 |
| % of votes cast | 91% | 5% | 0% | 5% |
How each member voted (22)
| Member | Party | Vote |
|---|---|---|
| Brewer, Emily M. | — | Yea |
| Aird, Lashrecse D. | — | Yea |
| Betsy B. Carr | — | Yea |
| Bulova, David L. | — | Yea |
| C.E. Cliff Hayes, Jr. | — | Yea |
| Cox, M. Kirkland | — | Yea |
| David A. Reid | — | Yea |
| Davis, Glenn R. | — | Not Voting |
| Delores L. McQuinn | — | Yea |
| Fariss, C. Matthew | — | Yea |
| Hurst, Chris L. | — | Nay |
| James W. Morefield | — | Yea |
| Jones, Jerrauld C. "Jay" | — | Yea |
| Knight, Barry D. | — | Yea |
| Luke E. Torian | — | Yea |
| Paul E. Krizek | — | Yea |
| Plum, Kenneth R. | — | Yea |
| Robert S. Bloxom, Jr. | — | Yea |
| Rush, Nick | — | Yea |
| Sickles, Mark D. | — | Yea |
| Terry L. Austin | — | Yea |
| Tyler, Roslyn C. | — | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 8 | 0 | 0 | 1 |
| Total | 8 | 0 | 0 | 1 |
| % of votes cast | 89% | 0% | 0% | 11% |
How each member voted (9)
| Member | Party | Vote |
|---|---|---|
| Brewer, Emily M. | — | Yea |
| Betsy B. Carr | — | Yea |
| C.E. Cliff Hayes, Jr. | — | Yea |
| Cox, M. Kirkland | — | Yea |
| Fariss, C. Matthew | — | Yea |
| Jones, Jerrauld C. "Jay" | — | Yea |
| Luke E. Torian | — | Not Voting |
| Paul E. Krizek | — | Yea |
| Sickles, Mark D. | — | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 22 | 0 | 0 | 0 |
| Total | 22 | 0 | 0 | 0 |
| % of votes cast | 100% | 0% | 0% | 0% |
How each member voted (22)
| Member | Party | Vote |
|---|---|---|
| Adams, Dawn M. | — | Yea |
| Aird, Lashrecse D. | — | Yea |
| Avoli, G. "John" | — | Yea |
| Bell, Robert B. | — | Yea |
| C.E. Cliff Hayes, Jr. | — | Yea |
| Christopher T. Head | — | Yea |
| Edmunds, James E., II | — | Yea |
| Fowler, Hyland F."Buddy," Jr. | — | Yea |
| Guzman, Elizabeth R. | — | Yea |
| Karrie K. Delaney | — | Yea |
| Kathy K.L. Tran | — | Yea |
| Levine, Mark H. | — | Yea |
| M. Keith Hodges | — | Yea |
| Marcia S. "Cia" Price | — | Yea |
| Orrock, Robert D., Sr. | — | Yea |
| Patrick A. Hope | — | Yea |
| Robinson, Roxann L. | — | Yea |
| Rodney T. Willett | — | Yea |
| Sam Rasoul | — | Yea |
| Samirah, Ibraheem S. | — | Yea |
| Sickles, Mark D. | — | Yea |
| Wendell S. Walker | — | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 8 | 0 | 0 | 1 |
| Total | 8 | 0 | 0 | 1 |
| % of votes cast | 89% | 0% | 0% | 11% |
How each member voted (9)
| Member | Party | Vote |
|---|---|---|
| Adams, Dawn M. | — | Yea |
| C.E. Cliff Hayes, Jr. | — | Yea |
| Edmunds, James E., II | — | Yea |
| Fowler, Hyland F."Buddy," Jr. | — | Yea |
| Kathy K.L. Tran | — | Yea |
| Orrock, Robert D., Sr. | — | Yea |
| Patrick A. Hope | — | Yea |
| Sam Rasoul | — | Yea |
| Sickles, Mark D. | — | Not Voting |
Subjects
Frequently asked questions
- What does HB 879 do?
- Certificate of public need. Revises the Medical Care Facilities Certificate of Public Need Program. The bill (i) removes from the list of reviewable medical care facilities specialized centers or clinics or that portion of a physician's office developed for the provision of lithotripsy, magnetic source imaging, or nuclear medicine imaging; (ii) removes from the definition of project introduction into an existing medical care facility of any new lithotripsy, magnetic source imaging, or obstetrical service that the facility has never provided or has not provided in the previous 12 months and addition by an existing medical care facility of any medical equipment for the provision of lithotripsy and magnetic source imaging; (iii) creates a new process for registration of projects exempted from the definition of project by the bill; (iv) renames the State Medical Facilities Plan as the State Health Services Plan and establishes a State Health Services Plan task force to provide recommendations related to the content of the State Health Services Plan; (v) clarifies the content of the application for a certificate; (vi) reduces the timeline for a person to be made party to the case for good cause from 80 calendar days to four days following completion of the review and submission of recommendations related to an application; (vii) requires the Commissioner of Health to condition issuance of a certificate upon the agreement of the applicant to provide care to individuals who are eligible for benefits under Title XVIII of the Social Security Act (42 U.S.C. § 1395 et seq.), Title XIX of the Social Security Act (42 U.S.C. § 1396 et seq.), and 10 U.S.C. § 1071 et seq. and permits the Commissioner to condition the issuance of a certificate on the agreement of the applicant to provide specialty medical services in addition to existing options for conditioning certificates; (viii) requires every certificate holder to develop a financial assistance policy that includes specific eligibility criteria and procedures for applying for charity care, which shall be provided to a patient at the time of admission or discharge or at the time services are provided, included with any billing statements sent to uninsured patients, posted conspicuously in public areas of the medical care facility for which the certificate was issued and posted on a website maintained by the certificate holder; (ix) eliminates the requirement that a person willfully fail, refuse, or neglect to comply with a plan of correction to be subject to a civil penalty so that any failure, refusal, or neglecting to comply with a plan of correction may subject the person to a civil penalty; and (x) provides that the Commissioner may consider any changes in the circumstances of the certificate holder resulting from changes in the financing or delivery of health care services, including changes to the Commonwealth's program of medical assistance services, and any other specific circumstances of the certificate holder when determining whether conditions imposed on a certificate continue to be appropriate. The bill also (a) directs the Department of Health to develop recommendations to reduce the duration of the average review cycle for applications for certificates of public need to not more than 120 days and to report on its recommendations to the Governor and the General Assembly no later than December 1, 2020, and (b) directs the Secretary of Health and Human Resources to implement a system to ensure that data needed to evaluate whether an application for a certificate is consistent with the State Health Services Plan is timely and reliable; to make an inventory of capacity authorized by certificates of public need, both operational and not yet operational, available in a digital format online; and to establish a public education and outreach program designed to improve public awareness of the certificate of public need process and the public's role in such process by January 1, 2021.
- Who sponsors HB 879?
- HB 879 is sponsored by Mark D. Sickles and Wampler, William C., III.
- What is the current status of HB 879?
- This bill died with 2020 Regular Session. It reached “Passed House of Delegates” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
- Where can I track HB 879?
- Track HB 879 free on One Click Politics — get push/email alerts when it moves.
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