House Study Bill 191 



                                       HOUSE FILE       
                                       BY  (PROPOSED COMMITTEE ON
                                            STATE GOVERNMENT BILL BY
                                            CHAIRPERSON MASCHER)


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

                                      A BILL FOR

  1 An Act eliminating certain exemptions from the certificate of
  2    need process.
  3 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
  4 TLSB 2318YC 83
  5 pf/nh/5

PAG LIN



  1  1    Section 1.  Section 135.63, subsection 2, paragraphs j, k,
  1  2 and l, Code 2009, are amended by striking the paragraphs.
  1  3    Sec. 2.  Section 135.67, subsection 3, Code 2009, is
  1  4 amended by striking the subsection.
  1  5                           EXPLANATION
  1  6    This bill eliminates exemptions for certain activities from
  1  7 the certificate of need process.  The bill eliminates the
  1  8 exemptions for:  the construction, modification, or
  1  9 replacement of nonpatient care services, including parking
  1 10 facilities, heating, ventilation, and air conditioning
  1 11 systems, computers, telephone systems, medical office
  1 12 buildings, and other projects of a similar nature; the
  1 13 redistribution of beds by a hospital within the acute care
  1 14 category of bed usage subject to specified reporting
  1 15 requirements; and the replacement or modernization of any
  1 16 institutional health facility if the replacement or
  1 17 modernization does not add new health services or additional
  1 18 bed capacity for existing health services subject to specified
  1 19 criteria.
  1 20    The bill also amends the provision relating to the
  1 21 department of public health waiving the letter of intent
  1 22 procedures and substituting a summary review procedure under
  1 23 certain circumstances by eliminating this waiver for an
  1 24 application for a certificate of need for a project which will
  1 25 not change the existing bed capacity of the applicant's
  1 26 facility or service, as determined by the department, by more
  1 27 than 10 percent or 10 beds, whichever is less, over a two=year
  1 28 period.
  1 29 LSB 2318YC 83
  1 30 pf/nh/5