HB 922 Mississippi House · 2025 Regular Session

Certificate of need laws; revise various provisions of.

HB 922 modifies Mississippi's healthcare certificate of need (CON) law by removing specific services (chemical dependency facilities, intermediate care facilities, psychiatric residential treatment) from CON requirements. It increases the capital expenditure threshold needing CON approval, directs the health department to approve a Madison County nonprofit for expanding a developmental disability program (capping new beds at 10 per facility), and limits total beds for intellectual disability facilities to 80 across all licenses. The bill also adds reporting requirements for CON recipients, allows up to four 12-month extensions for projects, and repeals certain existing provisions. The bill died in committee on March 4, 2025.

Issues: ✓ Healthcare

Bill status died 3 of 5 stages cleared

Introduction

Jan 2025

Committee Review

Feb 2025

House Passage

Jan 2025

Senate Passage

Governor

Introduced Jan 30, 2025 Last action Mar 4, 2025

Maddy AI version diff · 2 comparisons

What changed between versions

As Introduced → Committee Substitute · 8 edits

MODERATE

This bill amends Mississippi's Certificate of Need (CON) law to remove certain services and facilities from CON requirements, increase capital expenditure thresholds for CON approval, and extend CON validity periods. It also establishes new CON exemptions for Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF-IID) and creates a special appeals process using Chancery Judges.

Scope change

The bill expands CON exemptions by removing chemical dependency services, ESRD facilities, MRI services, and invasive imaging from CON requirements, while adding specific CON exemptions for new ICF-IID facilities with limited bed counts.

REQUIREMENT

Removed chemical dependency services, hospital-based ESRD facilities, MRI services, and invasive diagnostic imaging from CON requirements, with MRI and invasive imaging exemptions effective July 1, 2029.

Repealed provisions allowing stays of proceedings for CON decisions and removed references to CERTIFICATE OF NEED in birthing center licensure laws.

FISCAL

Increased minimum capital expenditure thresholds from $3 million to $1.5 million for major medical equipment and from $10 million to $5 million for clinical health services.

ELIGIBILITY

Created new CON exemption for nonprofit corporations in Madison County to build community living programs for developmentally disabled adults in ICF-IID facilities.

Authorized CON issuance for new ICF-IID facilities with no more than 10 beds per facility and 80 beds total statewide.

TIMELINE

Extended CON validity from 6 months to 12 months and allowed up to 4 extensions of 12 months each if construction hasn't started.

ENFORCEMENT

Established special Chancery Judge appeals for CON decisions with the Supreme Court appointing judges within 15 days and final orders being immediately final.

DEFINITION

Updated definitions of 'capital expenditure' and 'major medical equipment' with new monetary thresholds and inflation adjustment provisions.

Floor votes · House Jan 29, 2025

How they voted

106–5

Passed · 8 other

Total votes 119

Jan 29, 2025

D Democratic39

28 Yea 4 Nay 7

71% Yea

I Independent2

2 Yea

100% Yea

R Republican78

76 Yea 1 Nay 1

97% Yea

Vote distribution

All Yea All Nay Mixed No data

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Feb 14, 2025

Committee

Referred To Public Health and Welfare

upper

Jan 30, 2025

Introduced

Transmitted To Senate

lower

Jan 29, 2025

Lower · Passed

Passed

lower

Jan 28, 2025

Lower · Passed

Title Suff Do Pass Comm Sub

lower

Jan 17, 2025

Committee

Referred To Public Health and Human Services;State Affairs

lower

1 primary · 1 co-sponsor