House Select Committee on Certificate of Need Process Takes Action

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The House Select Committee on the Certificate of Need (CON) Process and Related Hospital Issues recently began deliberating the wide-ranging issues raised by interested parties – primarily hospitals and hospital-based health care systems - in public hearings that took place across the state this past Fall.  The committee’s January 19 meeting was the first of several scheduled meetings aimed at considering suggestions for potential modifications to North Carolina’s CON Law.  Proposed changes under consideration include increases to many of the monetary thresholds in the law which some have contended are outdated and too low.

The committee voted to recommend the following changes to existing CON law:

  • Increase the general monetary threshold for projects requiring a CON from $2 Million to $4 Million
  • Increase the monetary threshold for major medical equipment requiring a CON from $750,000 to $1.5 Million
  • Remove the $5 Million ceiling on non-competitive projects eligible for expedited review
  • Remove solid organ transplant services from CON regulation
  • Remove air ambulance services from CON regulation (bringing NC law in line with federal case law).

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