A bill for an act relating to the elimination of the certificate of need process relating to the offering or development of a new or changed institutional health service.
Impact
If enacted, SF1 would result in significant changes to state laws regarding health facility licensing, particularly in how providers can establish and modify services without prior government oversight. The elimination of the CON process is anticipated to lead to an increase in competition among health care providers, which could potentially lower costs and improve service quality for consumers. However, there are concerns that removing these regulatory checks could lead to an oversaturation of certain health services in areas where needs are not well-defined or substantiated, thus impacting the overall quality of health care delivery in Iowa.
Summary
Senate File 1 (SF1) is a legislative proposal that seeks to eliminate the certificate of need (CON) process currently required for the offering or development of new or modified institutional health services in Iowa. The bill aims to streamline the regulatory framework surrounding health care facilities, thereby facilitating faster access and improved feasibility for health service providers to operate or expand in the state. The CON process is traditionally seen as a barrier to entry and an impediment to health care growth, as it requires health care providers to obtain state approval based on perceived community needs prior to making major operational changes or expansions.
Contention
Notably, the bill may face opposition from groups that advocate for increased oversight in health service provision, such as existing health care institutions that perceive the CON process as a safeguard against undue competition. Critics argue that without the CON process, there is a risk of neglecting the health care needs of underserved populations or creating inequities in health service accessibility. Proponents of the bill, however, argue that the current regulatory framework is outdated and overly bureaucratic, advocating for a model that prioritizes innovation and responsiveness to community health demands.
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.)
Repeals the certificate of need process statutes which are used by the department of health to determine the need for new health care equipment and new institutional health services.
Repeals the certificate of need process statutes which are used by the department of health to determine the need for new health care equipment and new institutional health services.
A bill for an act relating to mental health and disability services provided by the state and judicial procedures relating to child in need of assistance proceedings, adoptions, and the confinement of persons found incompetent to stand trial.(See HF 471.)
A bill for an act relating to mental health and disability services provided by the state and judicial procedures relating to child in need of assistance proceedings, adoptions, and the confinement of persons found incompetent to stand trial.(See SF 471.)
A bill for an act relating to mental health and disability services provided by the state and judicial procedures relating to child in need of assistance proceedings, adoptions, and the confinement of persons found incompetent to stand trial.(Formerly SSB 1166.)
A bill for an act relating to bodies of the state governmental structure under the purview of the department of health and human services. (Formerly HF 386.)
A bill for an act relating to services and support for youth, including treatment, physical assessments, and behavioral health evaluations for youth involved in juvenile delinquency and child in need of assistance proceedings; the licensing and certification of certain residential facilities; the provision of home and community-based services and habilitation services to certain youth by residential programs; administration and supervision of juvenile court services; and the suspension of Hawki eligibility for inmates of public institutions. (Formerly SSB 1120.) Effective date: 07/01/2025.