HOUSE BILL REPORT

ESB 5423

This analysis was prepared by non-partisan legislative staff for the use of legislative members in their deliberations. This analysis is not a part of the legislation nor does it constitute a statement of legislative intent.

As Passed House:

April 1, 2009

Title: An act relating to critical access hospitals not subject to certificate of need reviews.

Brief Description: Regarding critical access hospitals not subject to certificate of need review.

Sponsors: Senators Pflug and Oemig.

Brief History:

Committee Activity:

Health Care & Wellness: 3/17/09 [DP].

Floor Activity

Passed House: 4/1/09, 94-3.

Brief Summary of Engrossed Bill

  • Exempts from the certificate of need process up to 25 swing beds in a critical access hospital that is located in a city or town without a nursing home in the city or town limits.

HOUSE COMMITTEE ON HEALTH CARE & WELLNESS

Majority Report: Do pass. Signed by 12 members: Representatives Cody, Chair; Driscoll, Vice Chair; Ericksen, Ranking Minority Member; Bailey, Campbell, Clibborn, Green, Herrera, Hinkle, Kelley, Moeller and Pedersen.

Staff: Jim Morishima (786-7191)

Background:

A certificate of need is required before:

When determining whether to issue a certificate of need, the Department of Health must consider:

A critical access hospital (a hospital in a rural area serving medically an under-served area) may increase its total number of beds to the total permitted by federal law or redistribute its beds among acute and nursing care without obtaining a certificate of need. If, however, there is a licensed nursing home within 27 miles of the critical access hospital, the hospital is subject to certificate of need except for:

Summary of Bill:

A critical access hospital within 27 miles of a licensed nursing home is not subject to certificate of need review for up to 25 swing beds if there is no licensed nursing home within the same city or town limits as the hospital. No more than one-half of the swing beds authorized by this exemption may be designated prior to July 1, 2009. The balance may be designated no sooner than July 1, 2010.

Appropriation: None.

Fiscal Note: Not requested.

Effective Date: The bill takes effect 90 days after adjournment of the session in which the bill is passed.

Staff Summary of Public Testimony:

(In support) This is a fair and reasonable way in which to give hospitals the beds they need and address the concerns of the nursing homes at the same time.

(Opposed) None.

Persons Testifying: Gary Weeks, Washington Health Care Authority; and Lisa Thatcher, Washington State Hospital Association.

Persons Signed In To Testify But Not Testifying: None.