HB 2119: Certificate of public need; task force to develop recommendation for expedited application & review. - Virginia

Health and Human Services Substitute → Chaptered · 1 edit

MINOR

The bill transitioned from a House Substitute version to a Chaptered version, meaning it has been formally approved by the Virginia General Assembly and enacted into law. The substantive policy content remains unchanged, directing the State Health Commissioner to establish an expedited review process for healthcare projects in underserved areas.

Scope change

The bill's scope and applicability remain unchanged; the transition is purely procedural, moving from a substitute amendment to final chaptered legislation.

TECHNICAL

Removed House-specific metadata including session identifiers, bill numbers, and amendment dates; replaced with official chaptered format including chapter number (397), approval date (March 24, 2025), and final legislative formatting.

HHS Sub: Health Substitute → Health and Human Services Substitute · 3 edits

MINOR

The bill text was reformatted from a plain text layout to a structured document format with page numbers and proper spacing. The substantive content of the bill remains unchanged, including the criteria for expedited application processes for health care projects in underserved areas.

Scope change

No substantive change to the bill's scope or applicability; changes are purely formatting and layout adjustments.

TECHNICAL

Text layout changed from plain text to formatted document with page numbers, proper spacing, and header information.

Added document identification numbers (25105574D) and session information (2025 SESSION).

Removed informal date markers and unstructured text formatting.

Enrolled → HHS Sub: Health Substitute · 3 edits

MINOR

The bill was converted from an enacted law to a substitute version offered for consideration. The substantive policy content regarding expedited application processes for health care projects in underserved areas remains largely unchanged, with only minor formatting and structural adjustments to the text layout.

Scope change

No substantive change to the bill's scope or applicability; the content remains focused on establishing expedited review processes for health care projects in underserved areas.

TECHNICAL

Changed document status from 'Enrolled' (final approved version) to 'Offered for Consideration' (substitute version pending review).

Reformatted text layout with spacing and line breaks, converting continuous paragraphs into numbered sections.

Added committee attribution information identifying the House Committee on Health and Human Services as the proposing body.

Introduced → Enrolled · 4 edits · Mar 24, 2025

MODERATE

The bill was enacted into law as HB2119ER, establishing an expedited process for approving medical facilities in 'medical deserts' - areas with limited healthcare access. The original introduced version included detailed regulations for certificate of public need applications, while the enrolled version focuses on directing the State Health Commissioner to develop recommendations for an expedited review process for projects in underserved areas.

Scope change

The bill's scope changed from establishing comprehensive certificate of public need regulations to specifically creating an expedited application process for medical projects serving areas with limited healthcare access.

TIMELINE

Original version included specific 90-day and 120-day deadlines for expedited review; enrolled version removes these specific timelines to allow the State Health Commissioner to develop recommendations first.

DEFINITION

Enrolled version defines 'medical desert' as areas meeting at least two criteria: limited hospital access based on distance and population density, low primary care physician ratios, high poverty rates, or HHS-designated health shortage areas.

REQUIREMENT

Original version included detailed regulatory requirements for charity care reporting, temporary bed increases during disasters, and registration of new medical equipment; these were removed from the enrolled version.

Enrolled version requires the State Health Commissioner to direct the State Health Services Plan Task Force to develop recommendations including project eligibility criteria for the expedited process.

Certificate of public need; task force to develop recommendation for expedited application & review.

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