A bill for an act relating to the certificate of need process.

This bill updates Iowa's certificate of need requirements for healthcare facilities. It raises the cost thresholds requiring state approval for major expansions - such as construction over $4 million (2027-2031), equipment purchases over $1.5 million, or service changes exceeding $500,000. Facilities must pay an application fee (0.3% of project cost, $600-$21,000), with exemptions for certain facilities serving people with disabilities. The changes clarify which facility expansions need state review before proceeding.