House
File
2263
-
Introduced
HOUSE
FILE
2263
BY
R.
TAYLOR
A
BILL
FOR
An
Act
relating
to
the
certificate
of
need
process
applicable
1
to
the
planning
and
delivery
of
health
services.
2
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
3
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pf/rh
H.F.
2263
Section
1.
Section
135.61,
subsection
18,
paragraphs
c,
g,
1
h,
i,
j,
and
l,
Code
2018,
are
amended
to
read
as
follows:
2
c.
Any
capital
expenditure,
lease,
or
donation
by
or
3
on
behalf
of
an
institutional
health
facility
in
excess
4
of
one
five
million
five
hundred
thousand
dollars
within
a
5
twelve-month
period.
6
g.
Any
acquisition
by
or
on
behalf
of
a
health
care
provider
7
or
a
group
of
health
care
providers
of
any
piece
of
replacement
8
equipment
with
a
value
in
excess
of
one
five
million
five
9
hundred
thousand
dollars,
whether
acquired
by
purchase,
lease,
10
or
donation.
11
h.
Any
acquisition
by
or
on
behalf
of
a
health
care
12
provider
or
group
of
health
care
providers
of
any
piece
of
13
equipment
with
a
value
in
excess
of
one
five
million
five
14
hundred
thousand
dollars,
whether
acquired
by
purchase,
lease,
15
or
donation,
which
results
in
the
offering
or
development
of
16
a
health
service
not
previously
provided.
A
mobile
service
17
provided
on
a
contract
basis
is
not
considered
to
have
been
18
previously
provided
by
a
health
care
provider
or
group
of
19
health
care
providers.
20
i.
Any
acquisition
by
or
on
behalf
of
an
institutional
21
health
facility
or
a
health
maintenance
organization
of
any
22
piece
of
replacement
equipment
with
a
value
in
excess
of
one
23
five
million
five
hundred
thousand
dollars,
whether
acquired
by
24
purchase,
lease,
or
donation.
25
j.
Any
acquisition
by
or
on
behalf
of
an
institutional
26
health
facility
or
health
maintenance
organization
of
any
piece
27
of
equipment
with
a
value
in
excess
of
one
five
million
five
28
hundred
thousand
dollars,
whether
acquired
by
purchase,
lease,
29
or
donation,
which
results
in
the
offering
or
development
of
30
a
health
service
not
previously
provided.
A
mobile
service
31
provided
on
a
contract
basis
is
not
considered
to
have
been
32
previously
provided
by
an
institutional
health
facility.
33
l.
Any
mobile
health
service
with
a
value
in
excess
of
one
34
million
five
hundred
thousand
million
dollars.
35
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2263
Sec.
2.
Section
135.61,
subsection
21,
Code
2018,
is
amended
1
to
read
as
follows:
2
21.
“Outpatient
surgical
facility”
means
a
facility
which
3
as
its
primary
function
provides,
through
an
organized
medical
4
staff
and
on
an
outpatient
basis
to
patients
who
are
generally
5
ambulatory,
surgical
procedures
not
ordinarily
performed
in
6
a
private
physician’s
office,
but
not
requiring
twenty-four
7
hour
hospitalization,
and
which
is
neither
a
part
of
a
hospital
8
nor
the
private
office
of
a
health
care
provider
who
there
9
engages
in
the
lawful
practice
of
surgery.
“Outpatient
surgical
10
facility”
includes
a
facility
certified
or
seeking
certification
11
as
an
ambulatory
surgical
center,
under
the
federal
Medicare
12
program
or
under
the
medical
assistance
program
established
13
pursuant
to
chapter
249A
.
“Outpatient
surgical
facility”
does
14
not
include
an
outpatient
surgical
facility,
located
in
a
15
county
with
a
population
over
thirty
thousand,
that
is
offered
16
or
developed,
and
owned
by,
a
group
of
health
care
providers.
17
EXPLANATION
18
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
19
the
explanation’s
substance
by
the
members
of
the
general
assembly.
20
This
bill
relates
to
the
certificate
of
need
process
under
21
Code
chapter
135
relative
to
the
planning
and
delivery
of
22
health
services.
The
bill
increases
the
threshold
amount
23
applicable
to
new
institutional
health
services
or
changed
24
institutional
health
services
that
must
be
met
to
be
subject
to
25
the
certificate
of
need
process
from
$1.5
million
to
$5
million
26
for
all
of
the
following:
27
1.
Any
capital
expenditure,
lease,
or
donation
by
or
on
28
behalf
of
an
institutional
health
facility
in
excess
of
such
29
amount
within
a
12-month
period.
30
2.
Any
acquisition
by
or
on
behalf
of
a
health
care
provider
31
or
a
group
of
health
care
providers
of
any
piece
of
replacement
32
equipment
with
a
value
in
excess
of
such
amount
whether
33
acquired
by
purchase,
lease,
or
donation.
34
3.
Any
acquisition
by
or
on
behalf
of
a
health
care
provider
35
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2263
or
group
of
health
care
providers
of
any
piece
of
equipment
1
with
a
value
in
excess
of
such
amount,
whether
acquired
by
2
purchase,
lease,
or
donation,
which
results
in
the
offering
or
3
development
of
a
health
service
not
previously
provided.
A
4
mobile
service
provided
on
a
contract
basis
is
not
considered
5
to
have
been
previously
provided
by
a
health
care
provider
or
6
group
of
health
care
providers.
7
4.
Any
acquisition
by
or
on
behalf
of
an
institutional
health
8
facility
or
a
health
maintenance
organization
of
any
piece
of
9
replacement
equipment
with
a
value
in
excess
of
such
amount,
10
whether
acquired
by
purchase,
lease,
or
donation.
11
5.
Any
acquisition
by
or
on
behalf
of
an
institutional
12
health
facility
or
health
maintenance
organization
of
any
piece
13
of
equipment
with
a
value
in
excess
of
such
amount,
whether
14
acquired
by
purchase,
lease,
or
donation,
which
results
in
the
15
offering
or
development
of
a
health
service
not
previously
16
provided.
A
mobile
service
provided
on
a
contract
basis
is
not
17
considered
to
have
been
previously
provided
by
an
institutional
18
health
facility.
19
6.
Any
mobile
health
service
with
a
value
in
excess
of
such
20
amount.
21
The
bill
also
amends
the
definition
of
outpatient
surgical
22
facility
by
excluding
from
the
definition
an
outpatient
23
surgical
facility,
located
in
a
county
with
a
population
over
24
30,000,
that
is
offered
or
developed,
and
owned
by,
a
group
25
of
health
care
providers,
thereby
exempting
these
specific
26
outpatient
surgical
facilities
from
the
certificate
of
need
27
process.
28
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