Health Planning

ORS 442.315
Certificate of need

  • rules
  • fees
  • appeals
  • enforcement
  • exceptions


(1)

Any new hospital or new skilled nursing or intermediate care service or facility not excluded pursuant to ORS 441.065 (Exemption of certain religious institutions) shall obtain a certificate of need from the Oregon Health Authority prior to an offering or development.

(2)

The authority shall adopt rules specifying criteria and procedures for making decisions as to the need for the new services or facilities.

(3)

(a) An applicant for a certificate of need shall apply to the authority on forms provided for this purpose by authority rule.

(b)

An applicant shall pay a fee prescribed as provided in this section. Subject to the approval of the Oregon Department of Administrative Services, the authority shall prescribe application fees, based on the complexity and scope of the proposed project.

(4)

(a) The authority shall issue a draft recommendation in response to an application for a certificate of need.

(b)

The authority may establish an expedited review process for an application for a certificate of need to rebuild a long term care facility, relocate buildings that are part of a long term care facility or relocate long term care facility bed capacity from one long term care facility to another. The authority shall issue a draft recommendation not later than 120 days after the date a complete application subject to expedited review is received by the authority.

(5)

(a) An applicant or any affected person who is dissatisfied with the draft recommendation of the authority is entitled to an informal hearing before the authority in the course of review and before a proposed decision is rendered. Following an informal hearing, or if no applicant or affected person requests an informal hearing within a period of time prescribed by the authority by rule, the authority shall issue a proposed decision.

(b)

An applicant or affected person is entitled to a contested case hearing in accordance with ORS chapter 183 to challenge the proposed decision of the authority. Following a contested case hearing, or if no applicant or affected person requests a contested case hearing within a period of time prescribed by the authority by rule, the authority shall issue a final order granting, with or without limitations, or denying the certificate of need.

(6)

Once a certificate of need has been granted, it may not be revoked or rescinded unless it was acquired by fraud or deceit. However, if the authority finds that a person is offering or developing a project that is not within the scope of the certificate of need, the authority may limit the project as specified in the granted certificate of need or reconsider the application. A certificate of need is not transferable.

(7)

Nothing in this section applies to any hospital, skilled nursing or intermediate care service or facility that seeks to replace equipment with equipment of similar basic technological function or an upgrade that improves the quality or cost-effectiveness of the service provided. Any person acquiring such replacement or upgrade shall file a letter of intent for the project in accordance with the rules of the authority if the price of the replacement equipment or upgrade exceeds $1 million.

(8)

Except as required in subsection (1) of this section for a new hospital or new skilled nursing or intermediate care service or facility not operating as a Medicare swing bed program, nothing in this section requires a rural hospital as defined in ORS 442.470 (Definitions for ORS 442.470 to 442.507) (6)(a)(A) and (B) to obtain a certificate of need.

(9)

Nothing in this section applies to basic health services, but basic health services do not include:

(a)

Magnetic resonance imaging scanners;

(b)

Positron emission tomography scanners;

(c)

Cardiac catheterization equipment;

(d)

Megavoltage radiation therapy equipment;

(e)

Extracorporeal shock wave lithotriptors;

(f)

Neonatal intensive care;

(g)

Burn care;

(h)

Trauma care;

(i)

Inpatient psychiatric services;

(j)

Inpatient chemical dependency services;

(k)

Inpatient rehabilitation services;

(L)

Open heart surgery; or

(m)

Organ transplant services.

(10)

In addition to any other remedy provided by law, whenever it appears that any person is engaged in, or is about to engage in, any acts that constitute a violation of this section, or any rule or order issued by the authority under this section, the authority may institute proceedings in the circuit courts to enforce obedience to such statute, rule or order by injunction or by other processes, mandatory or otherwise.

(11)

As used in this section, “basic health services” means health services offered in or through a hospital licensed under ORS chapter 441, except skilled nursing or intermediate care nursing facilities or services and those services specified in subsection (9) of this section. [1989 c.1034 §2; 1993 c.722 §3; 1995 c.727 §39; 2001 c.875 §3; 2003 c.14 §258; 2009 c.595 §751; 2013 c.608 §§17,23; 2017 c.718 §§9,10; 2019 c.456 §5]

Notes of Decisions

Where Office of Health Policy (OHP) found that second hospital MRI project did not exceed statutorily imposed financial threshold requiring certificate of need, OHP made no final decision subject to provisions for judicial review of contested case. Mercy Medical Center v. Office of Health Policy, 121 Or App 587, 855 P2d 1156 (1993)

"Decision" means deciding whether to issue certificate of need to entity that requires one to implement project, not deciding whether proposed project is above or below financial threshold. Mercy Medical Center v. Office of Health Policy, 121 Or App 587, 855 P2d 1156 (1993)

Chapter 442

Atty. Gen. Opinions

Participation of hospital owners or administrators in joint review of hospital expenses, services, (1978) Vol 38, p 2060; State Health Planning and Development Agency's responsibility to evaluate and act upon nursing home budget and rate increase notifications where positions and funds are deleted from agency's budget, (1979) Vol 40, p 56; health systems agency's failure to review or submit recommendation and findings on application for certificate of need, (1979) Vol 40, p 135


Source

Last accessed
Jun. 26, 2021