Amendments › SF 506

Amendment S-3092 to SF 506

Relating to health facilities and health services including licensing and the certificate of need process, and including effective date provisions

Adopted · March 22, 2023

Filed March 21, 2023 in the Senate by Sen. Jeff Edler (R)

What it changes

  1. Page 2, by striking lines 18 through 28 and inserting: “
  2. “Institutional health facility” means any of the following, without regard to whether the facilities referred to are publicly or privately owned or are organized for profit or not or whether the facilities are part of or sponsored by a health maintenance organization: a. A hospital. b. A health care facility. c. An organized outpatient health facility. d. c. An outpatient surgical facility. e. A community mental health facility. f. A birth center.”
  3. By striking page 2, line 35, through page 3, line 1, and inserting: “a. The construction, development , or other establishment of a new institutional health facility regardless of ownership , in excess of the following amounts, as applicable: (1) Beginning January 1, 2023, three million five hundred thousand dollars. (2) Beginning January 1, 2028, four million dollars. (3) Beginning January 1, 2033, four million five hundred thousand dollars. (4) Beginning January 1, 2038, five million dollars .”
  4. Page 3, lines 3 and 4, by striking “expenditure, lease, or donation by or on behalf of” and inserting “expenditure, lease, or donation by or on behalf of expenditure or lease by”
  5. Page 4, line 35, by striking “and 16,” and inserting “5, 7, 16, and 20,”
  6. Page 10, by striking lines 13 through 20 and inserting: “
  7. When a hearing is to be held pursuant to subsection 3, paragraph “b” , the department shall give at least ten days’ notice of the time and place of the hearing. At Any affected person or that person’s designated representative may submit written testimony in a manner prescribed by the department beginning on the day the notice of the hearing is given until the day prior to the date fixed for the hearing, or at the hearing , any affected person or that person’s designated representative shall may have the opportunity to present testimony.”
  8. Page 11, by striking lines 9 through 25 and inserting: “Sec. ___. Section 135.69, Code 2023, is amended to read as follows: 135.69 Council Department to make final decision.
  9. The department shall complete its formal review of the application within ninety days after acceptance of the application, except as otherwise provided by section 135.72, subsection 4 . Upon completion of the formal review, the council department shall approve or deny the application. The council department shall issue written findings stating the basis for its the department’s decision on the application, and the department shall send copies of the council’s department’s decision and the written findings supporting the decision to the applicant and to any other person who so requests.
  10. Failure by the council to issue a written decision on an application for a certificate of need within the time required by this section shall constitute denial of and final administrative action on the application.”
  11. Page 14, by striking lines 5 through
  12. Page 16, after line 5 by inserting: “Sec. ___. 2023 Iowa Acts, Senate File 514, section 1443, subsection 1, if enacted, is amended by striking the subsection. “Sec. ___. 2023 Iowa Acts, Senate File 514, section 1443, subsection 5, if enacted, is amended by striking the subsection. Sec. ___. 2023 Iowa Acts, Senate File 514, sections 1584 through 1609, if enacted, are amended by striking the sections.”
  13. Page 16, line 10, by striking “and appeals” and inserting “, appeals, and licensing”
  14. Page 16, by striking line 18 and inserting “expire at the end of the license term and is not renewable. During the term of a provisional license, a health care provider accepting the transfer of a patient from a provisionally licensed birth center shall not be subject to civil or criminal liability for outcomes arising from actions of the provisionally licensed birth center or any of the employees, agents, or contractors of such birth center.”
  15. Page 16, line 20, by striking “and appeals” and inserting “, appeals, and licensing”
  16. Page 16, line 33, by striking “and appeals” and inserting “, appeals, and licensing”
  17. Page 17, by striking lines 3 through 7 and inserting: “Sec. ___. DEFINITIONS. For the purposes of this division of this Act:
  18. “Birth center” means a facility or institution, which is not an ambulatory surgical center or a hospital or in a hospital, in which births are planned to occur following a normal, uncomplicated, low-risk pregnancy.
  19. “Health care provider” means the same as defined in section 147.136A.”
  20. By renumbering, redesignating, and correcting internal references as necessary.

Official amendment (PDF) · In the Bill Book