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virginia*

 

B


*The program in Virginia is called the “Certificate of Public Need”

1. CRITERIA FOR TRIGGERING COpN REVIEW: C

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

2. ORGANIZATIONAL STRUCTURE OF REVIEW BOARD & TRANSPARENCY: C

  • Virginia does not have an appointed review board to review COPN applications
  • Review is conducted by the Virginia Department of Health
  • There is no requirement for consumer representation on the review board

3. REVIEW STANDARDS: C

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

4. COMMUNICATIONS WITH THE PUBLIC: B

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

5. ACCOUNTABILITY AND PUBLIC ENGAGEMENT: A

  • The public can participate in the review process by submitting written comments
  • The public can participate in the review process by testifying at a regularly scheduled review board meeting
  • A mandatory public hearing is held where the public can participate in the review process by testifying

6. POST-APPROVAL REVIEW AND ENFORCEMENT: A

  • After a COPN is denied, there is a post-approval challenge process
  • After a COPN is approved, there is a mechanism in place for enforcing compliance with COPN requirements and restrictions