HB 569 Mississippi House · 2025 Regular Session

CON; revise conditions for long-term care hospital in Harrison County to allow participation in Medicaid.

This bill (HB 569) corrects a misstatement in its title - its focus is on University of Mississippi Medical Center (UMMC) in Jackson, not Harrison County. It grants UMMC an academic exemption from the certificate of need approval process for certain hospital beds, services, or equipment within a defined Jackson area, provided they serve academic purposes. The bill also requires the State Department of Health to study exempting small hospitals from certificate of need requirements for dialysis units, geriatric psychiatric units, and mandates psychiatric units to treat a certain percentage of uninsured patients. These changes aimed to streamline healthcare access and reduce administrative barriers for specific facilities.
Bill status vetoed 4 of 5 stages cleared
Introduction
Feb 2025
Committee Review
Mar 2025
House Passage
Mar 2025
Senate Passage
Mar 2025
Vetoed
Apr 2025
Introduced Feb 7, 2025 Vetoed Apr 24, 2025
Maddy AI version diff · 2 comparisons

What changed between versions

As Passed the lower Current version · 7 edits
MODERATE
This bill amends Mississippi's Certificate of Need (CON) regulations to address several healthcare facility issues, including expanding exemptions for the University of Mississippi Medical Center, clarifying Medicaid participation rules for psychiatric facilities, and adjusting financial thresholds for CON requirements. The changes aim to reduce regulatory burdens on certain facilities while maintaining oversight for new construction and expansions.
Scope change
The bill expands CON exemptions for the University of Mississippi Medical Center and adds new provisions for psychiatric facilities in DeSoto County and community living programs in Madison County, while also increasing capital expenditure thresholds that trigger CON requirements.
EXEMPTIONS

University of Mississippi Medical Center now has an academic exemption from CON requirements within a defined area in Jackson, Mississippi, provided the proposed equipment or facility fulfills a substantial and meaningful academic function.

REQUIREMENT

Capital expenditure thresholds for CON requirements were increased from $1.5 million to $3 million for major medical equipment, and from $5 million to $10 million for clinical health services.

Added CON requirement for additional beds in a community living program for developmentally disabled adults in Madison County, effective July 1, 2025.

ADDED

A new study requirement directs the State Department of Health to conduct a feasibility study by December 1, 2025, on exempting small hospitals from CON requirements for dialysis units and geriatric psychiatric units, and on requiring acute adult psychiatric units to treat uninsured patients or pay fees.

ELIGIBILITY

Clarified that psychiatric residential treatment facilities in DeSoto County may participate in Medicaid without restrictions that wouldn't apply to other similar facilities.

Psychiatric hospitals in Jackson, Mississippi providing adult psychiatric services as of January 1, 2025, may receive a new CON to continue services if they relinquish existing transferred authority.

TIMELINE

Extended CON exemption for University of Mississippi Medical Center equipment approved before July 1, 2025, provided they do not undergo physical relocation.

Floor votes · Senate Mar 12, 2025 · House Feb 6, 2025

How they voted

510
Passed
Total votes 51
Mar 12, 2025
D Democratic16
16 Yea
100% Yea
R Republican35
35 Yea
100% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
20
Key actions
8
Committee
4
Amendments
2
Apr 24, 2025
Vetoed
Vetoed
executive
Mar 26, 2025
Lower · Passed
Concurred in Amend From Senate
lower
Mar 13, 2025
Upper · Passed
Passed As Amended
upper
Mar 13, 2025
Upper · Passed
Amended
upper
Mar 12, 2025
Upper · Passed
Passed As Amended
upper
Mar 12, 2025
Upper · Passed
Amended
upper
Mar 4, 2025
Upper · Passed
Title Suff Do Pass As Amended
upper
Feb 17, 2025
Committee
Referred To Public Health and Welfare
upper
Feb 7, 2025
Introduced
Transmitted To Senate
lower
Feb 6, 2025
Lower · Passed
Passed
lower
Jan 23, 2025
Lower · Passed
Title Suff Do Pass
lower
Jan 15, 2025
Committee
Referred To Public Health and Human Services
lower
1 primary · 1 co-sponsor

Sponsors