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ALABAMA

 

C+


1. CRITERIA FOR TRIGGERING CON REVIEW: F

  • New hospital construction, capital expenditure development, or addition of beds to an existing hospital
  • A hospital sale/purchase/lease
  • CON review is not triggered when there is a hospital closure
  • CON review is not triggered when there is a hospital transfer of control
  • CON review is not triggered when there is a loss of health care service(s)
  • CON review is not triggered when there is a relocation of health care service(s)

2. ORGANIZATIONAL STRUCTURE OF REVIEW BOARD & TRANSPARENCY: A

  • CON review is conducted by a joint administrative team and appointed board
  • The CON legislation specifies criteria for appointing board members
    • representatives, three consumers and three health care providers
    • There is also a sixteen-member Statewide Health Coordinating Council (SHCC) appointed by the Governor to advise the appointed board on health planning and resource development
    • The reviewing body is required to have at least eight consumer representatives

3. REVIEW STANDARDS: C

  • Whether the project is compatible with state health planning goals
  • Whether the project is financially feasible
  • CON review does not look at whether the project has an impact on underserved populations
  • CON review does not look at whether the project has an impact on health care access within a geographic region

4. COMMUNICATIONS WITH THE PUBLIC: B

  • There is a website containing details about the CON process, including summaries of regulations/statues and other relevant information
  • The website contains information about each CON application, including dates of public hearings and information about submitting comments
  • It is difficult for the consumer to find info about the CON process on the website
  • The public is notified about CON applications via newspaper or another widely circulated platform

5. ACCOUNTABILITY AND PUBLIC ENGAGEMENT: B

  • The public can participate in the review process by testifying at a regularly scheduled review board meeting
  • The public can participate in the review process by submitting written comments
  • There is not a mandatory public hearing or a public hearing held upon request where the public can testify

6. POST-APPROVAL REVIEW AND ENFORCEMENT: B

  • After a CON is denied, there is a post-approval challenge process
  • There is not a mechanism in place for enforcing compliance with CON requirements and restrictions after a CON is approved