Bill Text: IA HF2263 | 2017-2018 | 87th General Assembly | Introduced
Bill Title: A bill for an act relating to the certificate of need process applicable to the planning and delivery of health services.
Spectrum: Partisan Bill (Republican 1-0)
Status: (Introduced - Dead) 2018-02-14 - Subcommittee recommends passage. [HF2263 Detail]
Download: Iowa-2017-HF2263-Introduced.html
House File 2263 - Introduced HOUSE FILE BY R. TAYLOR A BILL FOR 1 An Act relating to the certificate of need process applicable 2 to the planning and delivery of health services. 3 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: TLSB 5434YH (9) 87 pf/rh PAG LIN 1 1 Section 1. Section 135.61, subsection 18, paragraphs c, g, 1 2 h, i, j, and l, Code 2018, are amended to read as follows: 1 3 c. Any capital expenditure, lease, or donation by or 1 4 on behalf of an institutional health facility in excess 1 5 ofonefive millionfive hundred thousanddollars within a 1 6 twelve=month period. 1 7 g. Any acquisition by or on behalf of a health care provider 1 8 or a group of health care providers of any piece of replacement 1 9 equipment with a value in excess ofonefive millionfive 1 10 hundred thousanddollars, whether acquired by purchase, lease, 1 11 or donation. 1 12 h. Any acquisition by or on behalf of a health care 1 13 provider or group of health care providers of any piece of 1 14 equipment with a value in excess ofonefive millionfive 1 15 hundred thousanddollars, whether acquired by purchase, lease, 1 16 or donation, which results in the offering or development of 1 17 a health service not previously provided. A mobile service 1 18 provided on a contract basis is not considered to have been 1 19 previously provided by a health care provider or group of 1 20 health care providers. 1 21 i. Any acquisition by or on behalf of an institutional 1 22 health facility or a health maintenance organization of any 1 23 piece of replacement equipment with a value in excess ofone 1 24five millionfive hundred thousanddollars, whether acquired by 1 25 purchase, lease, or donation. 1 26 j. Any acquisition by or on behalf of an institutional 1 27 health facility or health maintenance organization of any piece 1 28 of equipment with a value in excess ofonefive millionfive 1 29 hundred thousanddollars, whether acquired by purchase, lease, 1 30 or donation, which results in the offering or development of 1 31 a health service not previously provided. A mobile service 1 32 provided on a contract basis is not considered to have been 1 33 previously provided by an institutional health facility. 1 34 l. Any mobile health service with a value in excess ofone 1 35 millionfivehundred thousandmillion dollars. 2 1 Sec. 2. Section 135.61, subsection 21, Code 2018, is amended 2 2 to read as follows: 2 3 21. "Outpatient surgical facility" means a facility which 2 4 as its primary function provides, through an organized medical 2 5 staff and on an outpatient basis to patients who are generally 2 6 ambulatory, surgical procedures not ordinarily performed in 2 7 a private physician's office, but not requiring twenty=four 2 8 hour hospitalization, and which is neither a part of a hospital 2 9 nor the private office of a health care provider who there 2 10 engages in the lawful practice of surgery. "Outpatient surgical 2 11 facility" includes a facility certified or seeking certification 2 12 as an ambulatory surgical center, under the federal Medicare 2 13 program or under the medical assistance program established 2 14 pursuant to chapter 249A. "Outpatient surgical facility" does 2 15 not include an outpatient surgical facility, located in a 2 16 county with a population over thirty thousand, that is offered 2 17 or developed, and owned by, a group of health care providers. 2 18 EXPLANATION 2 19 The inclusion of this explanation does not constitute agreement with 2 20 the explanation's substance by the members of the general assembly. 2 21 This bill relates to the certificate of need process under 2 22 Code chapter 135 relative to the planning and delivery of 2 23 health services. The bill increases the threshold amount 2 24 applicable to new institutional health services or changed 2 25 institutional health services that must be met to be subject to 2 26 the certificate of need process from $1.5 million to $5 million 2 27 for all of the following: 2 28 1. Any capital expenditure, lease, or donation by or on 2 29 behalf of an institutional health facility in excess of such 2 30 amount within a 12=month period. 2 31 2. Any acquisition by or on behalf of a health care provider 2 32 or a group of health care providers of any piece of replacement 2 33 equipment with a value in excess of such amount whether 2 34 acquired by purchase, lease, or donation. 2 35 3. Any acquisition by or on behalf of a health care provider 3 1 or group of health care providers of any piece of equipment 3 2 with a value in excess of such amount, whether acquired by 3 3 purchase, lease, or donation, which results in the offering or 3 4 development of a health service not previously provided. A 3 5 mobile service provided on a contract basis is not considered 3 6 to have been previously provided by a health care provider or 3 7 group of health care providers. 3 8 4. Any acquisition by or on behalf of an institutional health 3 9 facility or a health maintenance organization of any piece of 3 10 replacement equipment with a value in excess of such amount, 3 11 whether acquired by purchase, lease, or donation. 3 12 5. Any acquisition by or on behalf of an institutional 3 13 health facility or health maintenance organization of any piece 3 14 of equipment with a value in excess of such amount, whether 3 15 acquired by purchase, lease, or donation, which results in the 3 16 offering or development of a health service not previously 3 17 provided. A mobile service provided on a contract basis is not 3 18 considered to have been previously provided by an institutional 3 19 health facility. 3 20 6. Any mobile health service with a value in excess of such 3 21 amount. 3 22 The bill also amends the definition of outpatient surgical 3 23 facility by excluding from the definition an outpatient 3 24 surgical facility, located in a county with a population over 3 25 30,000, that is offered or developed, and owned by, a group 3 26 of health care providers, thereby exempting these specific 3 27 outpatient surgical facilities from the certificate of need 3 28 process. LSB 5434YH (9) 87 pf/rh
