HB 3 Mississippi House · 2026 Regular Session

CON; revise certain provisions of.

HB 3 modifies Mississippi's certificate of need (CON) requirements for healthcare facilities. It removes Medicaid participation restrictions for a psychiatric facility in DeSoto County, requires a CON for a Madison County community living program, and allows Harrison County's long-term care hospital to join Medicaid as a "crossover provider." The bill grants the University of Mississippi Medical Center (UMMC) an academic exemption from CON requirements for certain Jackson-area services, provided proposed equipment or facilities serve a clear academic purpose. It also directs a study on exempting small hospitals from CON rules for dialysis units, geriatric psychiatric units, and requiring acute psychiatric units to treat uninsured patients or pay fees. These changes aim to reduce regulatory barriers for specific healthcare services and facilities.
Bill status signed all 5 stages cleared
Introduction
Jan 2026
Committee Review
Jan 2026
House Passage
Jan 2026
Senate Passage
Jan 2026
Signed into Law
Feb 2026
Introduced Jan 21, 2026 Signed Feb 4, 2026
Maddy AI version diff · 3 comparisons

What changed between versions

As Introduced → Committee Substitute · 7 edits
MODERATE
This bill amends Mississippi's Certificate of Need (CON) law to address specific healthcare facility needs across the state, including psychiatric residential treatment facilities in DeSoto County, long-term care hospitals in Harrison County, and the University of Mississippi Medical Center. The changes establish new exemptions, modify participation requirements for Medicaid, and set thresholds for capital expenditures requiring CON approval.
Scope change
The bill expands exemptions from CON requirements for specific facilities and services while tightening requirements for others, particularly affecting psychiatric residential treatment facilities, long-term care hospitals, and the University of Mississippi Medical Center.
REQUIREMENT

Requires a CON for additional beds in a community living program for developmentally disabled adults in Madison County, effective July 1, 2026.

Increases minimum dollar amounts for capital expenditures and major medical equipment requiring CON approval from $1.5 million to $3 million for major medical equipment and from $5 million to $10 million for clinical health services.

ELIGIBILITY

Removes prohibitions on Medicaid participation for a 40-bed psychiatric residential treatment facility in DeSoto County that previously had restrictions.

Allows a long-term care hospital in Harrison County to participate in Medicaid as a crossover provider with specific conditions.

EXEMPTIONS

Creates an academic exemption for the University of Mississippi Medical Center within a defined area of Jackson, Mississippi, requiring the State Health Officer to determine the proposed equipment or facility fulfills a substantial and meaningful academic function.

TIMELINE

Directs the State Department of Health to conduct a study by December 1, 2026, 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.

DEFINITION

Updates definitions in Section 41-7-173 to reflect new CON thresholds and clarifies terms related to health care facilities and services.

Floor votes · Senate Jan 28, 2026 · House Jan 21, 2026

How they voted

57–0
Passed · 2 other
Total votes 59
Jan 28, 2026
D Democratic22
22 Yea
100% Yea
R Republican37
35 Yea 2
94% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
17
Key actions
6
Committee
4
Amendments
1
Feb 4, 2026
Signed into law
Approved by Governor
executive
Jan 28, 2026
Upper · Passed
Passed
upper
Jan 27, 2026
Upper · Passed
Title Suff Do Pass
upper
Jan 22, 2026
Committee
Referred To Public Health and Welfare
upper
Jan 21, 2026
Introduced
Transmitted To Senate
lower
Jan 21, 2026
Lower · Passed
Passed As Amended
lower
Jan 21, 2026
Lower · Passed
Amended
lower
Jan 20, 2026
Lower · Passed
Title Suff Do Pass Comm Sub
lower
Jan 7, 2026
Committee
Referred To Public Health and Human Services;State Affairs
lower
1 primary · 1 co-sponsor

Sponsors