Alabama 2024 Regular Session

Alabama House Bill HB247

Introduced
2/27/24  
Introduced
2/27/24  

Caption

Health care facilities and services, abolishing the certificate of need program

Impact

The repeal of the CON program could significantly reshape the landscape of healthcare provision in the state. Without the requirement for regulatory approval, healthcare facilities would have greater flexibility to establish new services or expand existing ones based on consumer demand. This influence is expected to enhance service availability, particularly in underserved areas, and may incite existing facilities to improve their offerings in response to increased competition. However, concerns have been raised about the implications for healthcare quality and cost control, as the current system is perceived to help maintain standards and manage systemic growth in facilities based on community needs.

Summary

House Bill 247 (HB247) proposes the elimination of the certificate of need (CON) program, which is a regulatory framework that requires healthcare providers to obtain authorization before establishing or expanding healthcare facilities and services. Proponents of the bill argue that the CON program hinders competition and limits the availability of healthcare services by creating barriers to entry for new providers. By abolishing this program, they aim to increase access to care and promote a more competitive healthcare environment that could lead to better quality and lower costs for consumers.

Conclusion

Overall, HB247 represents a pivotal change in the approach to healthcare regulation within the state. Whether this legislative shift results in improved access to healthcare and maintained service quality remains to be seen, as the implications of repealing the certificate of need program will unfold in the context of broader healthcare operations and market dynamics.

Contention

Debates surrounding HB247 encompass substantial contention among stakeholders. Advocates for the abolition of the CON program express their belief that it is an antiquated regulation that no longer serves its purpose of protecting community health. Conversely, opponents, including healthcare professionals and regulatory advocates, caution that eliminating the CON could lead to an oversupply of certain healthcare services, potentially compromising quality and necessitating further oversight. There are fears that some regions may experience a reduction in care quality as competition drives providers to focus solely on profitability rather than patient care.

Companion Bills

No companion bills found.

Previously Filed As

AL HB130

Certificate of Need program for health care facilities, eliminated, to abolish the Certificate of Need Board, and to update related code sections to remove references both to the program and to the powers and responsibilities at the Certificate of Need Review Board, Secs. 22-12A-3, 22-21-336, 22-21-341, 31-5A-11 am'd; Secs. 22-4-1 to 22-4-17, inclusive, 22-4-30 to 22-4-42, inclusive, 22-21-260 to 22-21-278, inclusive repealed

AL SB236

Certificate of Need, exempt health care institutions and services in rural areas from requirement

AL SB162

Health; certificate of need requirements for all health care facilities except certain long-term care facilities and services; eliminate

AL SB285

Certificate of need; exclude new or expanded obstretric and psychiatric facilities from requirement

AL SB00290

An Act Concerning Certificates Of Need For Long-term Care Facilities.

AL SF506

A bill for an act relating to health facilities and health services including licensing and the certificate of need process, and including effective date provisions. (Formerly SSB 1117.)

AL SB00795

An Act Establishing The Office Of Health Strategy And Improving The Certificate Of Need Program.

AL HB804

Certificate of Need - Psychiatric Health Care Facilities and Psychiatric and Mental Health Services - Exemption

AL HB735

Certificate of Need - Psychiatric Health Care Facilities and Psychiatric and Mental Health Services - Exemption

AL HB810

Hospice Care Programs - Certificate of Need - Repeal

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