Certificate of public need program; phased elimination.

Certificate of public need program; phased elimination. Creates a three-phase process to eliminate the certificate of publicneed requirements for many categories of medical care facilitiesand projects, with elimination of the requirement for a certificateof public need (i) for all medical care facilities other than nursinghomes or specialized centers or clinics or that portion of a physician'soffice developed for the provision of outpatient or ambulatory surgery,cardiac catheterization, computed tomographic (CT) scanning, magneticresonance imaging (MRI), positron emission tomographic (PET) scanning,radiation therapy, certain stereotactic radiotherapy, or proton beamtherapy effective July 1, 2024; (ii) for all such services as describedin clause (i) at any existing medical care facility other than nursinghomes or specialized centers or clinics or that portion of a physician'soffice developed for the provision of outpatient or ambulatory surgery,cardiac catheterization, computed tomographic (CT) scanning, magneticresonance imaging (MRI), positron emission tomographic (PET) scanning,radiation therapy, certain stereotactic radiotherapy, or proton beamtherapy located outside of a metropolitan statistical area or ina rural census tract within a metropolitan statistical area effectiveJuly 1, 2025; and (iii) for all medical care facilities effectiveJuly 1, 2026.