House committee substitute makes the following changes to the 1st edition.
Changes the long title.
Deletes the provisions of the previous edition in its entirety and makes the following proposed changes.
Authorizes the Legislative Research Commission (LRC) to conduct a study of the state's health care delivery system and certificate of need law. Provides that the study must include the following five items:
(1) A study of barriers to a market-based health care delivery system from the federal level.
(2) A study of barriers to a market based health care delivery system at the state level.
(3) A comparison of same day surgery offered by hospital-based or hospital-owned operating rooms and non-hospital-based ambulatory surgical centers.
(4) A study of the NC certificate of need law in comparison to other states both with and without certificate of need programs.
(5) Any other issues pertinent to this study.
Provides that the LRC can make an interim report to the 2014 General Assembly and will make a final report to the 2015 General Assembly.
Bill H 177 (2013-2014)Summary date: May 14 2013 - More information
Bill H 177 (2013-2014)Summary date: Feb 27 2013 - More information
Amends GS 131E-176 to delete the definition for diagnostic center. Makes a conforming change. Adds a definition for single-specialty ambulatory operating room, which is also designated as a new institutional health service. Amends GS 131E-178 to clarify the law requiring ambulatory surgical facilities providing gastrointestinal endoscopy procedures to obtain a certificate of need (CON), unless exempted from the requirement. Directs any person proposing to create single-specialty ambulatory operating rooms in an ambulatory surgery facility to obtain a CON, unless exempted. Amends GS 131E-182 to update the application procedures for establishing such single-specialty ambulatory operating rooms; makes these revisions expire when conforming administrative rules are adopted. Adds in GS 131E-184(a), as a reason for exempting a new institutional health service from CON review, the development or replacement of an institutional health service that received CON approval as a diagnostic center before the act's effective date. Adds General Assembly findings concerning CONs to GS 131E-175.
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