HOUSE BILL No. 4717

 

June 9, 2011, Introduced by Reps. Liss, Lipton, Hobbs, Bledsoe and McMillin and referred to the Committee on Health Policy.

 

     A bill to amend 1978 PA 368, entitled

 

"Public health code,"

 

(MCL 333.1101 to 333.25211) by adding section 22216.

 

THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

 

     Sec. 22216. (1) If a certificate of need review standard for

 

surgical services in effect on the effective date of this section

 

conflicts with a standard under this section, the standard in this

 

section prevails. This section establishes certain standards

 

required for approval and delivery of services for all projects

 

approved and certificates of need issued under this part that

 

involve the initiation, expansion, replacement, relocation, or

 

acquisition of surgical services provided in a vascular access

 

center.

 


     (2) For the purpose of evaluating compliance with certificate

 

of need minimum volume requirements for a vascular access center,

 

the department shall use all of the following to determine the

 

number of surgical cases, hours of use, or both, as applicable:

 

     (a) All rooms constructed and equipped to perform vascular

 

access procedures that are located on a sterile corridor in which

 

vascular access procedures are performed.

 

     (b) All vascular access cases or hours of use performed in the

 

rooms described in subdivision (a).

 

     (3) A vascular access center applicant for a certificate of

 

need that is required to project volumes of service shall specify

 

how the volume projections were developed and shall include only

 

those vascular access procedures performed in the rooms described

 

in subsection (2)(a). The applicant shall otherwise comply with all

 

of the requirements regarding documentation of projections

 

contained in the certificate of need review standards for surgical

 

services.

 

     (4) A vascular access center applicant for a certificate of

 

need may use patients currently being served by that center to

 

determine or project volumes of service under this section.

 

     (5) As used in this section, "vascular access center" means a

 

physician office practice that primarily performs vascular access

 

services necessary to maintain dialysis access for end stage renal

 

disease patients and that meets the physical requirements of an

 

ambulatory surgery center certified under title XVIII.