Relating to authorizing the Department of Health to promulgate a legislative rule relating to the exemption of Certificate of Need.

HB 4223 authorizes the West Virginia Department of Health to implement a rule (65 CSR 29) that would exempt certain healthcare facilities from needing state approval, known as a Certificate of Need (CON), before building new facilities or expanding existing ones. This rule would apply directly to hospitals, clinics, and other healthcare providers seeking to avoid the standard CON review process. The rule was previously filed with the State Register on July 21, 2025, and this bill formally authorizes it under state law to take effect. The change reduces regulatory hurdles for eligible facilities while maintaining oversight through the Department of Health.