Bills › 88th General Assembly
Relating to the elimination of the certificate of need process relating to the development of a new or changed institutional health service
Topics:Health care
Same legislation: SF 18
Where it is now
- Done: IntroducedJanuary 15, 2019
- Stopped: SubcommitteeDied when the General Assembly ended
- Next: House committee
- Next: Passes the House
- Next: Senate committee
- Next: Passes the Senate
- Next: To the Governor
- Next: Signed into law
Died when the session ended The 2020 session adjourned on June 14, 2020, the General Assembly’s last regular session. Bills that didn’t pass both chambers died. What’s a funnel?
What’s in it
This bill eliminates the certificate of need (CON) process required prior to the offering or development of a new or changed institutional health service and makes conforming changes throughout the Code.
Fiscal note
AI summary Senate File 18 eliminates the requirement for certain health facilities to obtain approval before offering or developing new medical services. This change is estimated to decrease General Fund fee revenue by $123,000 in fiscal year 2020 and each year thereafter. Additionally, it would decrease Public Protection General Fund expenditures by $132,000 beginning in fiscal year 2020 and each year thereafter by reducing one full-time staff position.2
Read the fiscal note
Description
Senate File 18 eliminates the certificate of need (CON) process required prior to the offering or development of a new or changed institutional health service and makes conforming changes throughout the Iowa Code.
Background
Certificate of Need is a regulatory review process that requires application to the Department of Public Health (DPH) for, and receipt of, an approval prior to the offering or development of a new or changed institutional health service. Potential applicants include hospitals, nursing homes, outpatient surgery centers, or anyone purchasing medical equipment valued above $1.5 million. Projects proposed by providers are reviewed by DPH staff and the five-member State Health Facilities Council against the criteria specified in Iowa Code section 135.64. The fees required to be paid with an application are equivalent to 0.3% of the anticipated project cost, with a minimum of $600 and a maximum of $21,000 (641 IAC 202.4). These fees are deposited in the General Fund. An application for a new or changed institutional health service offered or developed by an intermediate care facility for persons with an intellectual disability or mental illness is exempt from the fee.
Assumptions
- For FY 2017 and FY 2018, fee revenue deposited in the General Fund averaged $123,000.
- The DPH staff, council expenditures, and program costs necessary to operate the process are funded through the Public Protection General Fund appropriation. The estimated FY 2019 budget is $132,000.
Fiscal Impact
Senate File 18 would decrease General Fund fee revenue by an estimated $123,000 in FY 2020 and each year thereafter.
Senate File 18 would decrease the DPH staff by 1.0 full-time equivalent (FTE) position and would decrease expenditures of the Public Protection General Fund appropriation by $132,000 beginning in FY 2020 and each year thereafter.
Source
- Department of Public Health
- Certificate of Need Elimination, Health Facilities · February 6, 2019 · $132,000
Iowa Code it changes
Amends§135.131§135C.2§135H.6§135P.1§231C.3§249K.2§505.27§68B.35§708.3A§97B.1A
Repeals§135B.5A
Lobbying
5 for · 9 against · 23 undecided · Who →
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88th General Assembly
Picked up later
Earlier and later bills are matched by wording or an identical title.
Similar bills
- SF 4 Relating to the elimination of the certificate of need process relating to the development…89th General Assembly · In committeeNearly identical
- SF 1 Relating to the elimination of the certificate of need process relating to the offering or…90th General Assembly · In committeeNearly identical
Matched by wording or an identical title.