House File 667 - Introduced



                                       HOUSE FILE       
                                       BY  MASCHER


    Passed House,  Date               Passed Senate, Date             
    Vote:  Ayes        Nays           Vote:  Ayes        Nays         
                 Approved                            

                                      A BILL FOR

  1 An Act exempting certain birth centers from the certificate of
  2    need requirements.
  3 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
  4 TLSB 2663HH 82
  5 nh/es/88

PAG LIN



  1  1    Section 1.  Section 135.61, subsection 14, paragraph f,
  1  2 Code 2007, is amended by striking the paragraph.
  1  3    Sec. 2.  Section 135.61, subsection 20, Code 2007, is
  1  4 amended to read as follows:
  1  5    20.  "Organized outpatient health facility" means a
  1  6 facility, not part of a hospital, organized and operated to
  1  7 provide health care to noninstitutionalized and nonhomebound
  1  8 persons on an outpatient basis; it does not include birth
  1  9 centers, private offices or clinics of individual physicians,
  1 10 dentists or other practitioners, or groups of practitioners,
  1 11 who are health care providers.
  1 12    Sec. 3.  Section 135.63, Code 2007, is amended by adding
  1 13 the following new subsection:
  1 14    NEW SUBSECTION.  1A.  a.  A birth center shall not be
  1 15 offered or developed in this state without prior application
  1 16 to the department for and receipt of a certificate of need
  1 17 pursuant to this division.  A birth center making application
  1 18 for a certificate of need pursuant to this division shall
  1 19 demonstrate compliance with the national standards for birth
  1 20 centers of the American association of birth centers and the
  1 21 commission for the accreditation of birth centers.
  1 22    b.  This subsection applies to a proposed new birth center
  1 23 or a proposed change in an established birth center that meets
  1 24 any of the following conditions:
  1 25    (1)  The proposed birth center or change in a birth center
  1 26 will provide the birth center with a bed capacity of more than
  1 27 three beds.
  1 28    (2)  The proposed birth center or change in a birth center
  1 29 includes plans to perform cesarean sections or operative
  1 30 deliveries, or to administer regional anesthesia.
  1 31    (3)  The proposed birth center or change in a birth center
  1 32 involves a capital expenditure of more than five hundred
  1 33 thousand dollars.
  1 34                           EXPLANATION
  1 35    This bill exempts certain birth centers from the
  2  1 certificate of need process.  The bill provides that proposed
  2  2 new birth centers or a proposed change in an established birth
  2  3 center shall be subject to the certificate of need process
  2  4 only if one of the following conditions is met:
  2  5    1.  The proposed birth center or change in a birth center
  2  6 will provide the birth center with a bed capacity of more than
  2  7 three beds.
  2  8    2.  The proposed birth center or change in a birth center
  2  9 includes plans to perform cesarean sections or operative
  2 10 deliveries, or to administer regional anesthesia.
  2 11    3.  The proposed birth center or change in a birth center
  2 12 involves a capital expenditure of more than $500,000.
  2 13    A birth center making application for a certificate of need
  2 14 shall demonstrate compliance with the national standards for
  2 15 birth centers of the American association of birth centers and
  2 16 the commission for the accreditation of birth centers.
  2 17 LSB 2663HH 82
  2 18 nh:rj/es/88