Michigan 2023-2024 Regular Session

Michigan House Bill HB4834

Introduced
6/22/23  

Caption

Health facilities: certificate of need; cone-beam tomography equipment; eliminate from definition of a covered clinical service under certain circumstances. Amends sec. 22203 of 1978 PA 368 (MCL 333.22203).

Impact

If passed, HB 4834 will have significant implications for health facility operations in Michigan. The amended provisions will streamline the process for health facilities looking to expand or alter services that have had considerable financial implications previously. By raising the capital expenditure threshold, smaller health facilities may find it easier to implement new services without undergoing extensive bureaucratic hurdles. This legislation is expected to potentially speed up the availability of advanced medical services while ensuring facilities still comply with state health regulations.

Summary

House Bill 4834 aims to amend the Public Health Code by modifying the definition and scope of the 'certificate of need' for health facilities in Michigan. The proposed changes specifically address the inclusion and definition of certain medical services and expenditures that require state approval before being implemented. This includes cases where health facilities seek to expand their capacity, including the addition of patient rooms and specialized services. One of the notable changes involves the introduction of a threshold for what constitutes a covered capital expenditure, set at $2.5 million, along with the procedures for obtaining a certificate of need for specific high-cost medical services.

Contention

However, like many healthcare-related bills, HB 4834 has sparked discussions among various stakeholders, including health facility operators, policymakers, and community health advocates. Concerns have been raised about the implications for patient care if certain services can be expanded without comprehensive reviews of their necessity or impact on community health. Critics argue that an unchecked expansion of services might lead to overcapacity in certain areas, affecting the quality of care and resource allocation. The tension between ease of service expansion and maintaining a standard for health care quality is a key point of contention surrounding this bill.

Companion Bills

No companion bills found.

Previously Filed As

MI HB5080

Health facilities: certificate of need; requirement to obtain a certificate of need for air ambulance; eliminate. Amends sec. 22203 of 1978 PA 368 (MCL 333.22203).

MI HB5487

Health facilities: certificate of need; requirement to obtain a certificate of need for air ambulance; eliminate. Amends sec. 22203 of 1978 PA 368 (MCL 333.22203).

MI SB162

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

MI HB5477

Health facilities: certificate of need; requirement to obtain a certificate of need; eliminate. Amends secs. 2612, 20101, 20145, 20155, 20161, 20164, 20165, 20166, 21551, 21562 & 21563 of 1978 PA 368 (MCL 333.2612 et seq.) & repeals (See bill).

MI SB612

Eliminating certain centers from certificate of need review

MI HB4643

Exempting certain health services from certificate of need

MI HB4909

Relating to eliminating the certificate of need program for health services

MI SB2744

Certificate of need; remove certain facilities from list that require such certificate from the Department of Health.

MI HB5286

Eliminating the ability to sub-contract under Certificate of Need

MI HB1339

Health; certificate of need; revise

Similar Bills

CA SB321

Late signature curing expenditure reports.

CA AB2447

California State University: fiscal transparency: internet website.

AZ HB2364

Lobbyists; gift ban exemption

AZ HB2089

Community colleges; expenditure limitation

CA AB1052

The Financial Information System for California (FISCal).

CA AB62

State government: FI$Cal: transparency.

CA SB468

Taxation: tax expenditures: California Tax Expenditure Review Board.

CA SB768

Transportation projects: comprehensive development lease agreements.