2013 House Bill 4787 / Public Act 137

Increase CON health facility rationing fees

Introduced in the House

May 29, 2013

Introduced by Rep. Matt Lori (R-59)

To increase from $1,500 to $3,000 the “base” fee for a hospital or other health care providers seeking government permission to open or expand a health care facility, or add certain capital-intensive equipment (like MRI machines), under an existing state “Certificate of Need” rationing regime. The bill would also authorize additional fee increases of $5,000 for large projects, $3,000 for “complex” projects, $500 for “letter of intent” reviews, and more. These fees would then be indexed to inflation so that legislative authorization would not be required for future fee hikes.

Referred to the Committee on Appropriations

June 12, 2013

Reported without amendment

With the recommendation that the substitute (H-1) be adopted and that the bill then pass.

June 18, 2013

Substitute offered

The substitute passed by voice vote

Sept. 12, 2013

Passed in the House 82 to 26 (details)

To increase from $1,500 to $3,000 the “base” fee for a hospital or other health care providers seeking government permission to open or expand a health care facility, or add certain capital-intensive equipment (like MRIs), under an existing state “Certificate of Need” rationing regime. The bill would also authorize additional fee increases of $5,000 for large projects, $3,000 for “complex” projects, $500 for “letter of intent” reviews, and more. These fees would then be indexed to inflation so that legislative authorization would not be required for future fee hikes.

Received in the Senate

Sept. 17, 2013

Referred to the Committee on Appropriations

Sept. 24, 2013

Reported without amendment

With the recommendation that the bill pass.

Oct. 1, 2013

Passed in the Senate 23 to 14 (details)

To increase from $1,500 to $3,000 the “base” fee for a hospital or other health care providers seeking government permission to open or expand a health care facility, or add certain capital-intensive equipment (like MRIs), under an existing state “Certificate of Need” rationing regime. The bill would also authorize additional fee increases of $5,000 for large projects, $3,000 for “complex” projects, $500 for “letter of intent” reviews, and more. These fees would then be indexed to inflation so that legislative authorization would not be required for future fee hikes.

Signed by Gov. Rick Snyder

Oct. 15, 2013