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
(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
(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.