Health facilities: certificate of need; extended care services program; expand, and make other revisions. Amends sec. 22210 of 1978 PA 368 (MCL 333.22210).
Impact
The proposed changes in SB 0811 are expected to have significant implications on healthcare delivery in Michigan. By simplifying the application process and facilitating more hospitals to offer extended care services, the bill aims to increase access for patients needing long-term care. The removal of fees for processing applications for a certificate of need signifies a shift towards supporting hospitals in providing necessary services without unnecessary financial barriers. However, this could also raise concerns regarding the quality of care if an influx of providers does not align with appropriate patient safety and care standards.
Summary
Senate Bill 0811 aims to amend the Public Health Code, particularly section 22210, to expand the provisions regarding the application and criteria for a hospital's certificate of need to operate an extended care services program. The bill stipulates that hospitals meeting specific criteria, such as having fewer than 100 licensed beds, shall be granted a certificate of need for offering up to 25 licensed hospital beds. This expansion is intended to enhance the availability of extended care services within Michigan’s healthcare system, especially for facilities that utilize swing beds as defined under federal law.
Contention
Notably, the bill may encounter contention over the adequacy of regulations ensuring patient safety and care standards when expanding the number of facilities authorized for extended care services. Critics might argue that without stringent oversight, the quality of care may suffer, especially as hospitals are incentivized to increase their capacity. Additionally, the framework laid out for patient discharge, transfers, and admissions under the new program emphasizes the need for medical appropriateness, but critics may seek more robust protections for patient rights to prevent any imbalance in care management.
Health facilities: licensing; licensing of prescribed pediatric extended care facilities; provide for. Amends secs. 20106, 20109, 20115 & 20161 of 1978 PA 368 (MCL 333.20106 et seq.) & adds pt. 219A.
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).
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).
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).
Health facilities: hospitals; use of restraint or seclusion; modify for hospitals. Amends secs. 20201 & 21734 of 1978 PA 368 (MCL 333.20201 & 333.21734) .
Health facilities: other; licensure of supplemental nursing services agencies; provide for. Amends secs. 20106, 20109, 20155 & 20161 of 1978 PA 368 (MCL 333.20106 et seq.) & adds pt. 219A.
Health facilities: county medical care facilities; the social welfare act; amend to reflect amendments to the public health code. Amends secs. 55, 66a, 109 & 109e of 1939 PA 280 (MCL 400.55 et seq.). TIE BAR WITH: HB 5477'24
Health: other; certain fees and assessments; modify, and make general revisions to the public health code. Amends secs. 5801, 6237, 13522 & 20161 of 1978 PA 368 (MCL 333.5801 et seq.).
Health facilities: hospitals; certain policies on patients who are giving birth; require a hospital to adopt. Amends secs. 20201 & 21513 of 1978 PA 368 (MCL 333.20201 & 333.21513) & adds sec. 21537.
Health facilities: hospitals; use of restraint or seclusion; modify for hospitals. Amends secs. 20201 & 21734 of 1978 PA 368 (MCL 333.20201 & 333.21734) .
Health facilities: hospitals; certain policies on patients who are giving birth; require a hospital to adopt. Amends secs. 20201 & 21513 of 1978 PA 368 (MCL 333.20201 & 333.21513) & adds sec. 21537.
Health facilities: hospitals; certain policies on patients who are giving birth; require a hospital to adopt. Amends secs. 20201 & 21513 of 1978 PA 368 (MCL 333.20201 & 333.21513) & adds sec. 21537.