A BILL TO BE ENTITLED AN ACT TO EXEMPT DIAGNOSTIC CENTERS FROM CERTIFICATE OF NEED REVIEW AND TO AMEND CERTIFICATE OF NEED LAWS PERTAINING TO SINGLE-SPECIALTY AMBULATORY SURGERY OPERATING ROOMS.
Amends GS 131E-184(a) to add specified diagnostic centers to thoseinstitutional health servicesexemptfrom the North Carolina Department of Health and Human Services (DHHS)certificate of need review. Makes conforming changes repealing GS 131E-176(7a) and amending GS 131E-176(9b).
Amends the definition for "kidney disease treatment center" to mean a facility certified as an end-stage renal disease facility by the Centers for Medicare and Medicaid Services, DHHS, under 42 CFR Section 494 (was, 42 CFR Section 405).
Expands the definition for "new institutional health services" in GS 131E-176(16)u. to include a single-specialty ambulatory surgery operating room.
Amends GS 131E-176(24c) todefine a"single-specialty ambulatory surgery operating room," as a designated operating room located in a licensed ambulatory surgical facility used to perform same-day surgical procedures in one of the specialty areas identified by the American College of Surgeons. Specifies that same-day surgical procedures includes pain injections by orthopedists, physiatrists, and anesthesiologists.
Amends GS 131E-178 toexempta person establishing an ambulatory surgical facility to provide gastrointestinal endoscopy procedures from requirements to obtain a certificate of need to license the facility if the gastrointestinal endoscopy procedures are provided in one or more rooms in a non-licensedsetting that meets all of the specified criteria. Adds new subdivision (a2) to extend the exemption to single-specialty ambulatory operating rooms in an ambulatory surgery facility providing that all of the specified criteria is met.
Section 9 of this act amends GS 131E-182 to prohibit DHHS from scheduling a review for a certificate of need applications proposing to establish a licensed single-specialty ambulatory operatingroom within a surgery facility before February 1, 2013.Specifies therequired content for an application to establish a single- specialty ambulatory surgery operating room.Provides that Section 9 expires on the effective date that administrative rules are adopted consistent with the provisions of this act regarding the number of single-specialty surgery procedures performed or projected to be performed by applicants seeking to establish a licensed single specialty ambulatory surgery operating room.
Provides findings to support the purposes of this act and provides that nothing in the act is to be construed to reflect any legislative intent regarding the circumstances under which Medicare or Medicaid certification may be obtained for a provider of ambulatory services.
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