Certificates of public need; creates three-phase process to sunset requirements for medical care. (HB193)

Introduced By

Del. John O'Bannon (R-Richmond) with support from co-patrons Del. Dickie Bell (R-Staunton), Del. Kathy Byron (R-Lynchburg), Del. Chris Peace (R-Mechanicsville), and Sen. Glen Sturtevant (R-Midlothian)


Passed Committee
Passed House
Passed Senate
Signed by Governor
Became Law


Certificates of public need. Creates a two-phase process to sunset certificate of public need requirements for many categories of medical care facilities and projects, with the requirement for a certificate of public need (i) for ambulatory and outpatient surgery centers other than rural ambulatory and outpatient surgery centers and for capital expenditures at medical care facilities other than rural medical care facilities repealed in effective July 1, 2016, and (ii) for all medical care facilities other than nursing homes, rehabilitation hospitals and beds, organ or tissue transplant services, certain open heart surgery services, and rural medical care facilities repealed effective January 1, 2017. The bill also creates a new permitting process for categories of facilities and projects exempted from the certificate of public need process that requires the Commissioner of Health to issue a permit but requires the Commissioner to condition a permit (a)on the agreement of the applicant to provide a specified level of care at a reduced rate to indigents, accept patients requiring specialized care, or facilitate the development and operation of primary medical care services in designated medically underserved areas of the applicant's service area and (b) on compliance of the applicant with quality of care standards. The bill also eliminates regional health planning agencies and makes numerous changes to the COPN process for facilities and projects that will still be subject to the requirement of a certificate. Read the Bill »


Bill Has Failed


12/27/2015Prefiled and ordered printed; offered 01/13/16 16100398D
12/27/2015Referred to Committee on Health, Welfare and Institutions
01/14/2016Assigned HWI sub: Subcommittee #3
01/27/2016Subcommittee recommends reporting with amendment(s) (4-Y 1-N)
02/04/2016Reported from Health, Welfare and Institutions with substitute (12-Y 10-N) (see vote tally)
02/04/2016Committee substitute printed 16105052D-H1
02/05/2016Read first time
02/08/2016Passed by until Thursday, February 11, 2016
02/11/2016Passed by for the day
02/12/2016Read second time
02/12/2016Committee substitute agreed to 16105052D-H1
02/12/2016Engrossed by House - committee substitute (50-Y 47-N 1-A) HB193H1
02/12/2016VOTE: ENGROSSMENT (50-Y 47-N 1-A) (see vote tally)
02/15/2016Passed by temporarily
02/15/2016Read third time and passed House (52-Y 46-N 1-A)
02/15/2016VOTE: PASSAGE (52-Y 46-N 1-A) (see vote tally)
02/16/2016Constitutional reading dispensed
02/16/2016Referred to Committee on Education and Health
02/17/2016Impact statement from VDH (HB193H1)
03/03/2016Continued to 2017 in Education and Health (15-Y 0-N) (see vote tally)
12/02/2016Left in Education and Health