{"formats":[{"name":"JSON","format":"json","url":"\/downloads\/2025\/code-json\/32.1-102.2_1.json"},{"name":"Plain Text","format":"text","url":"\/downloads\/2025\/code-text\/32.1-102.2_1.txt"},{"name":"XML","format":"xml","url":"\/downloads\/2025\/code-xml\/32.1-102.2_1.xml"},{"name":"HTML","format":"html","url":"\/downloads\/2025\/code-html\/32.1-102.2_1.html"}],"law_id":63638,"edition_id":1,"section_id":63638,"structure_id":14008,"section_number":"32.1-102.2:1","catch_line":"State Health Services Plan; Task Force","history":"2008, c. 501; 2009, c. 175; 2020, c. 1271.","full_text":"A\n\nThe Board shall appoint and convene a State Health Services Plan Task Force for the purpose of advising the Board on the content of the State Health Services Plan. The Task Force shall provide recommendations related to (i) periodic revisions to the State Health Services Plan, (ii) specific objective standards of review for each type of medical care facility or project type for which a certificate of public need is required, (iii) project types that are generally noncontested and present limited health planning impacts, (iv) whether certain projects should be subject to expedited review rather than the full review process, and (v) improvements in the certificate of public need process. All such recommendations shall be developed in accordance with an analytical framework established by the Commissioner that includes a specific evaluation of whether State Health Services Plan standards are consistent with the goals of (a) meeting the health care needs of the indigent and uninsured citizens of the Commonwealth, (b) protecting the public health and safety of the citizens of the Commonwealth, (c) promoting the teaching missions of academic medical centers and private teaching hospitals, and (d) ensuring the availability of essential health care services in the Commonwealth, and are aligned with the goals and metrics of the Commonwealth&#8217;s State Health Improvement Plan.B\n\nThe Task Force shall consist of no fewer than 19 individuals appointed by the Commissioner who are broadly representative of the interests of all residents of the Commonwealth and of the various geographic regions, including two representatives of the Virginia Hospital and Healthcare Association, the Medical Society of Virginia, the Virginia Health Care Association, and physicians or administrators representing teaching hospitals affiliated with a public institution of higher education; one representative each of the Virginia Association of Health Plans, the Virginia Association of Free and Charitable Clinics, the Virginia Community Healthcare Association, LeadingAge Virginia, a company that is self-insured or full-insured for health coverage, a nonprofit organization located in the Commonwealth that engages in addressing access to health coverage for low-income individuals, and a rural locality recognized as a medically underserved area; one individual with experience in health facilities planning; and such other individuals as the Commissioner determines is appropriate.C\n\nThe powers and duties of the Task Force shall be:1\n\nTo develop, by November 1, 2022, recommendations for a comprehensive State Health Services Plan for adoption by the Board that includes (i) specific formulas for projecting need for medical care facilities and services subject to the requirement to obtain a certificate of public need, (ii) current statistical information on the availability of medical care facilities and services, (iii) objective criteria and standards for review of applications for projects for medical care facilities and services, and (iv) methodologies for integrating the goals and metrics of the State Health Improvement Plan established by the Commissioner into the criteria and standards for review. Criteria and standards for review included in the State Health Services Plan shall take into account current data on drive times, utilization, availability of competing services, and patient choice within and among localities included in the health planning district or region; changes and availability of new technology; and other relevant factors identified by the Task Force. The State Health Services Plan shall also include specific criteria for determining need in rural areas, giving due consideration to distinct and unique geographic, socioeconomic, cultural, transportation, and other barriers to access to care in such areas and providing for weighted calculations of need based on the barriers to health care access in such rural areas in lieu of the determinations of need used for the particular proposed project within the relevant health planning district or region as a whole;2\n\nTo engage the services of private consultants or request the Department to contract with any private organization for professional and technical assistance and advice or other services to assist the Task Force in carrying out its duties and functions pursuant to this section. The Task Force may also solicit the input of experts with professional competence in the subject matter of the State Health Services Plan, including (i) representatives of licensed health care providers or health care provider organizations owning or operating licensed health facilities and (ii) representatives of organizations concerned with health care consumers and the purchasers and payers of health care services; and3\n\nTo review annually and, if necessary, develop recommendations for revisions to each section of the State Health Services Plan on a rotating schedule defined by the Task Force at least every two years following the last date of adoption by the Board.D\n\nThe Task Force shall exercise its powers and carry out its duties to ensure:1\n\nThe availability and accessibility of quality health services at a reasonable cost and within a reasonable geographic proximity for all people in the Commonwealth, competitive markets, and patient choice;2\n\nAppropriate differential consideration of the health care needs of residents in rural localities in ways that do not compromise the quality and affordability of health care services for those residents;3\n\nElimination of barriers to access to care and introduction and availability of new technologies and care delivery models that result in greater integration and coordination of care, reduction in costs, and improvements in quality; and4\n\nCompliance with the goals of the State Health Services Plan and improvement in population health.E\n\nThe Department shall post on its website information regarding the process by which the State Health Services Plan is created and the process by which the Department determines whether a proposed project complies with the State Health Services Plan on its website.","order_by":null,"text":{"0":{"id":231834,"text":"The Board shall appoint and convene a State Health Services Plan Task Force for the purpose of advising the Board on the content of the State Health Services Plan. The Task Force shall provide recommendations related to (i) periodic revisions to the State Health Services Plan, (ii) specific objective standards of review for each type of medical care facility or project type for which a certificate of public need is required, (iii) project types that are generally noncontested and present limited health planning impacts, (iv) whether certain projects should be subject to expedited review rather than the full review process, and (v) improvements in the certificate of public need process. All such recommendations shall be developed in accordance with an analytical framework established by the Commissioner that includes a specific evaluation of whether State Health Services Plan standards are consistent with the goals of (a) meeting the health care needs of the indigent and uninsured citizens of the Commonwealth, (b) protecting the public health and safety of the citizens of the Commonwealth, (c) promoting the teaching missions of academic medical centers and private teaching hospitals, and (d) ensuring the availability of essential health care services in the Commonwealth, and are aligned with the goals and metrics of the Commonwealth&#8217;s State Health Improvement Plan.","type":"section","prefixes":["A"],"prefix":"A","entire_prefix":"A","prefix_anchor":"A","level":1,"next_prefix":"B"},"1":{"id":231835,"text":"The Task Force shall consist of no fewer than 19 individuals appointed by the Commissioner who are broadly representative of the interests of all residents of the Commonwealth and of the various geographic regions, including two representatives of the Virginia Hospital and Healthcare Association, the Medical Society of Virginia, the Virginia Health Care Association, and physicians or administrators representing teaching hospitals affiliated with a public institution of higher education; one representative each of the Virginia Association of Health Plans, the Virginia Association of Free and Charitable Clinics, the Virginia Community Healthcare Association, LeadingAge Virginia, a company that is self-insured or full-insured for health coverage, a nonprofit organization located in the Commonwealth that engages in addressing access to health coverage for low-income individuals, and a rural locality recognized as a medically underserved area; one individual with experience in health facilities planning; and such other individuals as the Commissioner determines is appropriate.","type":"section","prefixes":["B"],"prefix":"B","entire_prefix":"B","prefix_anchor":"B","level":1,"prior_prefix":"A","next_prefix":"C"},"2":{"id":231836,"text":"The powers and duties of the Task Force shall be:","type":"section","prefixes":["C"],"prefix":"C","entire_prefix":"C","prefix_anchor":"C","level":1,"prior_prefix":"B","next_prefix":"C1"},"3":{"id":231837,"text":"To develop, by November 1, 2022, recommendations for a comprehensive State Health Services Plan for adoption by the Board that includes (i) specific formulas for projecting need for medical care facilities and services subject to the requirement to obtain a certificate of public need, (ii) current statistical information on the availability of medical care facilities and services, (iii) objective criteria and standards for review of applications for projects for medical care facilities and services, and (iv) methodologies for integrating the goals and metrics of the State Health Improvement Plan established by the Commissioner into the criteria and standards for review. Criteria and standards for review included in the State Health Services Plan shall take into account current data on drive times, utilization, availability of competing services, and patient choice within and among localities included in the health planning district or region; changes and availability of new technology; and other relevant factors identified by the Task Force. The State Health Services Plan shall also include specific criteria for determining need in rural areas, giving due consideration to distinct and unique geographic, socioeconomic, cultural, transportation, and other barriers to access to care in such areas and providing for weighted calculations of need based on the barriers to health care access in such rural areas in lieu of the determinations of need used for the particular proposed project within the relevant health planning district or region as a whole;","type":"section","prefixes":["C","1"],"prefix":"1","entire_prefix":"C1","prefix_anchor":"C1","level":2,"prior_prefix":"C","next_prefix":"C2"},"4":{"id":231838,"text":"To engage the services of private consultants or request the Department to contract with any private organization for professional and technical assistance and advice or other services to assist the Task Force in carrying out its duties and functions pursuant to this section. The Task Force may also solicit the input of experts with professional competence in the subject matter of the State Health Services Plan, including (i) representatives of licensed health care providers or health care provider organizations owning or operating licensed health facilities and (ii) representatives of organizations concerned with health care consumers and the purchasers and payers of health care services; and","type":"section","prefixes":["C","2"],"prefix":"2","entire_prefix":"C2","prefix_anchor":"C2","level":2,"prior_prefix":"C1","next_prefix":"C3"},"5":{"id":231839,"text":"To review annually and, if necessary, develop recommendations for revisions to each section of the State Health Services Plan on a rotating schedule defined by the Task Force at least every two years following the last date of adoption by the Board.","type":"section","prefixes":["C","3"],"prefix":"3","entire_prefix":"C3","prefix_anchor":"C3","level":2,"prior_prefix":"C2","next_prefix":"D"},"6":{"id":231840,"text":"The Task Force shall exercise its powers and carry out its duties to ensure:","type":"section","prefixes":["D"],"prefix":"D","entire_prefix":"D","prefix_anchor":"D","level":1,"prior_prefix":"C3","next_prefix":"D1"},"7":{"id":231841,"text":"The availability and accessibility of quality health services at a reasonable cost and within a reasonable geographic proximity for all people in the Commonwealth, competitive markets, and patient choice;","type":"section","prefixes":["D","1"],"prefix":"1","entire_prefix":"D1","prefix_anchor":"D1","level":2,"prior_prefix":"D","next_prefix":"D2"},"8":{"id":231842,"text":"Appropriate differential consideration of the health care needs of residents in rural localities in ways that do not compromise the quality and affordability of health care services for those residents;","type":"section","prefixes":["D","2"],"prefix":"2","entire_prefix":"D2","prefix_anchor":"D2","level":2,"prior_prefix":"D1","next_prefix":"D3"},"9":{"id":231843,"text":"Elimination of barriers to access to care and introduction and availability of new technologies and care delivery models that result in greater integration and coordination of care, reduction in costs, and improvements in quality; and","type":"section","prefixes":["D","3"],"prefix":"3","entire_prefix":"D3","prefix_anchor":"D3","level":2,"prior_prefix":"D2","next_prefix":"D4"},"10":{"id":231844,"text":"Compliance with the goals of the State Health Services Plan and improvement in population health.","type":"section","prefixes":["D","4"],"prefix":"4","entire_prefix":"D4","prefix_anchor":"D4","level":2,"prior_prefix":"D3","next_prefix":"E"},"11":{"id":231845,"text":"The Department shall post on its website information regarding the process by which the State Health Services Plan is created and the process by which the Department determines whether a proposed project complies with the State Health Services Plan on its website.","type":"section","prefixes":["E"],"prefix":"E","entire_prefix":"E","prefix_anchor":"E","level":1,"prior_prefix":"D4"}},"ancestry":[{"id":14008,"edition_id":1,"name":"Medical Care Facilities Certificate of Public Need","identifier":"1.1","label":"article","depth":3,"order_by":1,"parent_id":13670,"metadata":{},"date_created":"2026-06-26 03:46:36","date_modified":"2026-06-26 03:46:36","permalink":{"id":202397,"object_type":"structure","relational_id":14008,"identifier":"1.1","token":"32.1\/4\/1.1","url":"\/32.1\/4\/1.1\/","edition_id":1,"permalink":0,"preferred":1}},{"id":13670,"edition_id":1,"name":"Health Care Planning","identifier":"4","label":"chapter","depth":2,"order_by":1,"parent_id":12727,"metadata":{},"date_created":"2026-06-26 03:45:31","date_modified":"2026-06-26 03:45:31","permalink":{"id":202389,"object_type":"structure","relational_id":13670,"identifier":"4","token":"32.1\/4","url":"\/32.1\/4\/","edition_id":1,"permalink":0,"preferred":1}},{"id":12727,"edition_id":1,"name":"Health","identifier":"32.1","label":"title","depth":1,"order_by":1,"parent_id":null,"metadata":{},"date_created":"2026-06-26 03:43:50","date_modified":"2026-06-26 03:43:50","permalink":{"id":201099,"object_type":"structure","relational_id":12727,"identifier":"32.1","token":"32.1","url":"\/32.1\/","edition_id":1,"permalink":0,"preferred":1}}],"structure_contents":[{"id":77111,"structure_id":14008,"section_number":"32.1-102.1","catch_line":"Definitions","url":"\/32.1-102.1\/","token":"32.1\/4\/1.1\/32.1-102.1","metadata":false},{"id":75479,"structure_id":14008,"section_number":"32.1-102.10","catch_line":"Commencing project without certificate or registration grounds for refusing to issue license","url":"\/32.1-102.10\/","token":"32.1\/4\/1.1\/32.1-102.10","metadata":false},{"id":55098,"structure_id":14008,"section_number":"32.1-102.11","catch_line":"Application of article","url":"\/32.1-102.11\/","token":"32.1\/4\/1.1\/32.1-102.11","metadata":false},{"id":63051,"structure_id":14008,"section_number":"32.1-102.12","catch_line":"Repealed","url":"\/32.1-102.12\/","token":"32.1\/4\/1.1\/32.1-102.12","metadata":false},{"id":77991,"structure_id":14008,"section_number":"32.1-102.13","catch_line":"Repealed","url":"\/32.1-102.13\/","token":"32.1\/4\/1.1\/32.1-102.13","metadata":false},{"id":86983,"structure_id":14008,"section_number":"32.1-102.1:1","catch_line":"Equipment registration required","url":"\/32.1-102.1_1\/","token":"32.1\/4\/1.1\/32.1-102.1_1","metadata":false},{"id":69151,"structure_id":14008,"section_number":"32.1-102.1:2","catch_line":"Certificate of public need required; registration of certain equipment and capital projects required","url":"\/32.1-102.1_2\/","token":"32.1\/4\/1.1\/32.1-102.1_2","metadata":false},{"id":63394,"structure_id":14008,"section_number":"32.1-102.1:3","catch_line":"(Effective July 1, 2028) Medical care facilities and projects for which a certificate is required","url":"\/32.1-102.1_3\/","token":"32.1\/4\/1.1\/32.1-102.1_3","metadata":false},{"id":85729,"structure_id":14008,"section_number":"32.1-102.2","catch_line":"Regulations","url":"\/32.1-102.2\/","token":"32.1\/4\/1.1\/32.1-102.2","metadata":false},{"id":63638,"structure_id":14008,"section_number":"32.1-102.2:1","catch_line":"State Health Services Plan; Task Force","url":"\/32.1-102.2_1\/","token":"32.1\/4\/1.1\/32.1-102.2_1","metadata":false},{"id":59668,"structure_id":14008,"section_number":"32.1-102.3","catch_line":"Demonstration of public need required; criteria for determining need","url":"\/32.1-102.3\/","token":"32.1\/4\/1.1\/32.1-102.3","metadata":false},{"id":73618,"structure_id":14008,"section_number":"32.1-102.3:1","catch_line":"Application for certificate not required of certain nursing facilities or nursing homes","url":"\/32.1-102.3_1\/","token":"32.1\/4\/1.1\/32.1-102.3_1","metadata":false},{"id":74212,"structure_id":14008,"section_number":"32.1-102.3:1.1","catch_line":"Continuing care retirement communities accessing medical assistance","url":"\/32.1-102.3_1.1\/","token":"32.1\/4\/1.1\/32.1-102.3_1.1","metadata":false},{"id":81863,"structure_id":14008,"section_number":"32.1-102.3:2","catch_line":"Certificates of public need; applications to be filed in response to Requests for Applications (RFAs)","url":"\/32.1-102.3_2\/","token":"32.1\/4\/1.1\/32.1-102.3_2","metadata":false},{"id":72268,"structure_id":14008,"section_number":"32.1-102.3:2.1","catch_line":"Repealed","url":"\/32.1-102.3_2.1\/","token":"32.1\/4\/1.1\/32.1-102.3_2.1","metadata":false},{"id":70992,"structure_id":14008,"section_number":"32.1-102.3:2.2","catch_line":"Expired","url":"\/32.1-102.3_2.2\/","token":"32.1\/4\/1.1\/32.1-102.3_2.2","metadata":false},{"id":81767,"structure_id":14008,"section_number":"32.1-102.3:3","catch_line":"Repealed","url":"\/32.1-102.3_3\/","token":"32.1\/4\/1.1\/32.1-102.3_3","metadata":false},{"id":85570,"structure_id":14008,"section_number":"32.1-102.3:5","catch_line":"Repealed","url":"\/32.1-102.3_5\/","token":"32.1\/4\/1.1\/32.1-102.3_5","metadata":false},{"id":58921,"structure_id":14008,"section_number":"32.1-102.3:7","catch_line":"Application for transfer of nursing facility beds","url":"\/32.1-102.3_7\/","token":"32.1\/4\/1.1\/32.1-102.3_7","metadata":false},{"id":87198,"structure_id":14008,"section_number":"32.1-102.3:8","catch_line":"Application for an open admission period for a continuing care retirement community","url":"\/32.1-102.3_8\/","token":"32.1\/4\/1.1\/32.1-102.3_8","metadata":false},{"id":84648,"structure_id":14008,"section_number":"32.1-102.4","catch_line":"Conditions of certificates; monitoring; revocation of certificates; civil penalties","url":"\/32.1-102.4\/","token":"32.1\/4\/1.1\/32.1-102.4","metadata":false},{"id":70069,"structure_id":14008,"section_number":"32.1-102.5","catch_line":"Certificate not transferable","url":"\/32.1-102.5\/","token":"32.1\/4\/1.1\/32.1-102.5","metadata":false},{"id":59090,"structure_id":14008,"section_number":"32.1-102.6","catch_line":"Administrative procedures","url":"\/32.1-102.6\/","token":"32.1\/4\/1.1\/32.1-102.6","metadata":false},{"id":73958,"structure_id":14008,"section_number":"32.1-102.6:1","catch_line":"Revocation of a certificate","url":"\/32.1-102.6_1\/","token":"32.1\/4\/1.1\/32.1-102.6_1","metadata":false},{"id":62746,"structure_id":14008,"section_number":"32.1-102.7","catch_line":"Repealed","url":"\/32.1-102.7\/","token":"32.1\/4\/1.1\/32.1-102.7","metadata":false},{"id":64703,"structure_id":14008,"section_number":"32.1-102.8","catch_line":"Enjoining project undertaken without certificate or registration","url":"\/32.1-102.8\/","token":"32.1\/4\/1.1\/32.1-102.8","metadata":false},{"id":64968,"structure_id":14008,"section_number":"32.1-102.9","catch_line":"Designation of judge","url":"\/32.1-102.9\/","token":"32.1\/4\/1.1\/32.1-102.9","metadata":false}],"previous_section":{"id":85729,"structure_id":14008,"section_number":"32.1-102.2","catch_line":"Regulations","url":"\/32.1-102.2\/","token":"32.1\/4\/1.1\/32.1-102.2","metadata":false},"next_section":{"id":59668,"structure_id":14008,"section_number":"32.1-102.3","catch_line":"Demonstration of public need required; criteria for determining need","url":"\/32.1-102.3\/","token":"32.1\/4\/1.1\/32.1-102.3","metadata":false},"metadata":false,"official_url":"https:\/\/law.lis.virginia.gov\/vacode\/32.1-102.2:1\/","history_text":"<p>This law was first created in 2008. The record of its establishment is cataloged in chapter <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?081+ful+CHAP0501\">501<\/a> of that year\u2019s edition of \u201cActs of Assembly,\u201d the annual state publication listing all changes made to the Code of Virginia in that year. It has been modified 2 times. Those modifications are cataloged by \u201cThe Acts of Assembly,\u201d a state publication, by year and chapter. Those modifications that can be read on the General Assembly\u2019s website will be linked accordingly. Those modifications are as follows: in 2009, chapter <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?091+ful+CHAP0175\">175<\/a>; in 2020, chapter <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?201+ful+CHAP1271\">1271<\/a>.<\/p>","references":[{"id":78729,"section_number":"2.2-4006","catch_line":"Exemptions from requirements of this article","order_by":null,"url":"\/2.2-4006\/"}],"refers_to":false,"permalink":{"id":202435,"object_type":"law","relational_id":63638,"identifier":"32.1-102.2:1","token":"32.1\/4\/1.1\/32.1-102.2_1","url":"\/32.1-102.2_1\/","edition_id":1,"permalink":0,"preferred":1},"url":"\/32.1-102.2_1\/","token":"32.1\/4\/1.1\/32.1-102.2_1","dublin_core":{"Title":"State Health Services Plan; Task Force","Type":"Text","Format":"text\/html","Identifier":"\u00a7 32.1-102.2:1","Relation":"Code of Virginia"},"html":"\n\t\t\t\t\t\t<section id=\"A\"><p><span class=\"prefix-number\">A.<\/span> The <span class=\"dictionary\">Board<\/span> shall appoint and convene a <span class=\"dictionary\">State Health Services Plan<\/span> Task Force for the purpose of advising the <span class=\"dictionary\">Board<\/span> on the content of the <span class=\"dictionary\">State Health Services Plan<\/span>. The Task Force shall provide recommendations related to (i) periodic revisions to the <span class=\"dictionary\">State Health Services Plan<\/span>, (ii) specific objective standards of review for each type of <span class=\"dictionary\">medical care facility<\/span> or <span class=\"dictionary\">project<\/span> type for which a <span class=\"dictionary\">certificate<\/span> of public need is required, (iii) <span class=\"dictionary\">project<\/span> types that are generally noncontested and present limited health planning impacts, (iv) whether certain <span class=\"dictionary\">projects<\/span> should be subject to expedited review rather than the full review process, and (v) improvements in the <span class=\"dictionary\">certificate<\/span> of public need process. All such recommendations shall be developed in accordance with an analytical framework established by the <span class=\"dictionary\">Commissioner<\/span> that includes a specific evaluation of whether <span class=\"dictionary\">State Health Services Plan<\/span> standards are consistent with the goals of (a) meeting the health care needs of the <span class=\"dictionary\">indigent<\/span> and uninsured citizens of the Commonwealth, (b) protecting the public health and safety of the citizens of the Commonwealth, (c) promoting the teaching missions of academic medical centers and private teaching hospitals, and (d) ensuring the availability of essential health care services in the Commonwealth, and are aligned with the goals and metrics of the Commonwealth&#8217;s State Health Improvement Plan. <a id=\"paragraph-231834\" class=\"section-permalink\" href=\"https:\/\/vacode.org\/32.1-102.2_1\/#A\"><i class=\"fa fa-link\"><\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t<section id=\"B\"><p><span class=\"prefix-number\">B.<\/span> The Task Force shall consist of no fewer than 19 individuals appointed by the <span class=\"dictionary\">Commissioner<\/span> who are broadly representative of the interests of all residents of the Commonwealth and of the various geographic regions, including two representatives of the Virginia Hospital and Healthcare Association, the Medical Society of Virginia, the Virginia Health Care Association, and physicians or administrators representing teaching hospitals affiliated with a public institution of higher education; one representative each of the Virginia Association of Health Plans, the Virginia Association of Free and Charitable Clinics, the Virginia Community Healthcare Association, LeadingAge Virginia, a company that is self-insured or full-insured for health coverage, a nonprofit organization located in the Commonwealth that engages in addressing access to health coverage for low-income individuals, and a rural locality recognized as a medically underserved area; one individual with experience in health facilities planning; and such other individuals as the <span class=\"dictionary\">Commissioner<\/span> determines is appropriate. <a id=\"paragraph-231835\" class=\"section-permalink\" href=\"https:\/\/vacode.org\/32.1-102.2_1\/#B\"><i class=\"fa fa-link\"><\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t<section id=\"C\"><p><span class=\"prefix-number\">C.<\/span> The powers and duties of the Task Force shall be: <a id=\"paragraph-231836\" class=\"section-permalink\" href=\"https:\/\/vacode.org\/32.1-102.2_1\/#C\"><i class=\"fa fa-link\"><\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t<section id=\"C1\" class=\"indent-1\"><p><span class=\"prefix-number\">1.<\/span> To develop, by November 1, 2022, recommendations for a comprehensive <span class=\"dictionary\">State Health Services Plan<\/span> for adoption by the <span class=\"dictionary\">Board<\/span> that includes (i) specific formulas for projecting need for medical care facilities and services subject to the requirement to obtain a <span class=\"dictionary\">certificate<\/span> of public need, (ii) current statistical information on the availability of medical care facilities and services, (iii) objective criteria and standards for review of <span class=\"dictionary\">applications<\/span> for <span class=\"dictionary\">projects<\/span> for medical care facilities and services, and (iv) methodologies for integrating the goals and metrics of the State Health Improvement Plan established by the <span class=\"dictionary\">Commissioner<\/span> into the criteria and standards for review. Criteria and standards for review included in the <span class=\"dictionary\">State Health Services Plan<\/span> shall take into account current data on drive times, utilization, availability of competing services, and patient choice within and among localities included in the health planning district or region; changes and availability of new technology; and other relevant factors identified by the Task Force. The <span class=\"dictionary\">State Health Services Plan<\/span> shall also include specific criteria for determining need in rural areas, giving due consideration to distinct and unique geographic, socioeconomic, cultural, transportation, and other barriers to access to care in such areas and providing for weighted calculations of need based on the barriers to health care access in such rural areas in lieu of the determinations of need used for the particular proposed <span class=\"dictionary\">project<\/span> within the relevant health planning district or region as a whole; <a id=\"paragraph-231837\" class=\"section-permalink\" href=\"https:\/\/vacode.org\/32.1-102.2_1\/#C1\"><i class=\"fa fa-link\"><\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t<section id=\"C2\" class=\"indent-1\"><p><span class=\"prefix-number\">2.<\/span> To engage the services of private consultants or request the <span class=\"dictionary\">Department<\/span> to <span class=\"dictionary\">contract<\/span> with any private organization for professional and technical assistance and advice or other services to assist the Task Force in carrying out its duties and functions pursuant to this section. The Task Force may also solicit the input of experts with professional competence in the subject matter of the <span class=\"dictionary\">State Health Services Plan<\/span>, including (i) representatives of licensed health care providers or health care provider organizations owning or operating licensed health facilities and (ii) representatives of organizations concerned with health care consumers and the purchasers and payers of health care services; and <a id=\"paragraph-231838\" class=\"section-permalink\" href=\"https:\/\/vacode.org\/32.1-102.2_1\/#C2\"><i class=\"fa fa-link\"><\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t<section id=\"C3\" class=\"indent-1\"><p><span class=\"prefix-number\">3.<\/span> To review annually and, if necessary, develop recommendations for revisions to each section of the <span class=\"dictionary\">State Health Services Plan<\/span> on a rotating schedule defined by the Task Force at least every two years following the last date of adoption by the <span class=\"dictionary\">Board<\/span>. <a id=\"paragraph-231839\" class=\"section-permalink\" href=\"https:\/\/vacode.org\/32.1-102.2_1\/#C3\"><i class=\"fa fa-link\"><\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t<section id=\"D\"><p><span class=\"prefix-number\">D.<\/span> The Task Force shall exercise its powers and carry out its duties to ensure: <a id=\"paragraph-231840\" class=\"section-permalink\" href=\"https:\/\/vacode.org\/32.1-102.2_1\/#D\"><i class=\"fa fa-link\"><\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t<section id=\"D1\" class=\"indent-1\"><p><span class=\"prefix-number\">1.<\/span> The availability and accessibility of quality health services at a reasonable cost and within a reasonable geographic proximity for all people in the Commonwealth, competitive markets, and patient choice; <a id=\"paragraph-231841\" class=\"section-permalink\" href=\"https:\/\/vacode.org\/32.1-102.2_1\/#D1\"><i class=\"fa fa-link\"><\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t<section id=\"D2\" class=\"indent-1\"><p><span class=\"prefix-number\">2.<\/span> Appropriate differential consideration of the health care needs of residents in rural localities in ways that do not compromise the quality and affordability of health care services for those residents; <a id=\"paragraph-231842\" class=\"section-permalink\" href=\"https:\/\/vacode.org\/32.1-102.2_1\/#D2\"><i class=\"fa fa-link\"><\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t<section id=\"D3\" class=\"indent-1\"><p><span class=\"prefix-number\">3.<\/span> Elimination of barriers to access to care and introduction and availability of new technologies and care delivery models that result in greater integration and coordination of care, reduction in costs, and improvements in quality; and <a id=\"paragraph-231843\" class=\"section-permalink\" href=\"https:\/\/vacode.org\/32.1-102.2_1\/#D3\"><i class=\"fa fa-link\"><\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t<section id=\"D4\" class=\"indent-1\"><p><span class=\"prefix-number\">4.<\/span> Compliance with the goals of the <span class=\"dictionary\">State Health Services Plan<\/span> and improvement in population health. <a id=\"paragraph-231844\" class=\"section-permalink\" href=\"https:\/\/vacode.org\/32.1-102.2_1\/#D4\"><i class=\"fa fa-link\"><\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t<section id=\"E\"><p><span class=\"prefix-number\">E.<\/span> The <span class=\"dictionary\">Department<\/span> shall post on its website information regarding the process by which the <span class=\"dictionary\">State Health Services Plan<\/span> is created and the process by which the <span class=\"dictionary\">Department<\/span> determines whether a proposed <span class=\"dictionary\">project<\/span> complies with the <span class=\"dictionary\">State Health Services Plan<\/span> on its website. <a id=\"paragraph-231845\" class=\"section-permalink\" href=\"https:\/\/vacode.org\/32.1-102.2_1\/#E\"><i class=\"fa fa-link\"><\/i><\/a><\/p><\/section>","plain_text":"                                 CODE OF VIRGINIA\n\nSTATE HEALTH SERVICES PLAN; TASK FORCE (\u00a7 32.1-102.2:1)\n\nA. The Board shall appoint and convene a State Health Services Plan Task Force\nfor the purpose of advising the Board on the content of the State Health\nServices Plan. The Task Force shall provide recommendations related to (i)\nperiodic revisions to the State Health Services Plan, (ii) specific objective\nstandards of review for each type of medical care facility or project type for\nwhich a certificate of public need is required, (iii) project types that are\ngenerally noncontested and present limited health planning impacts, (iv) whether\ncertain projects should be subject to expedited review rather than the full\nreview process, and (v) improvements in the certificate of public need process.\nAll such recommendations shall be developed in accordance with an analytical\nframework established by the Commissioner that includes a specific evaluation of\nwhether State Health Services Plan standards are consistent with the goals of\n(a) meeting the health care needs of the indigent and uninsured citizens of the\nCommonwealth, (b) protecting the public health and safety of the citizens of the\nCommonwealth, (c) promoting the teaching missions of academic medical centers\nand private teaching hospitals, and (d) ensuring the availability of essential\nhealth care services in the Commonwealth, and are aligned with the goals and\nmetrics of the Commonwealth&#8217;s State Health Improvement Plan.\n\nB. The Task Force shall consist of no fewer than 19 individuals appointed by the\nCommissioner who are broadly representative of the interests of all residents of\nthe Commonwealth and of the various geographic regions, including two\nrepresentatives of the Virginia Hospital and Healthcare Association, the Medical\nSociety of Virginia, the Virginia Health Care Association, and physicians or\nadministrators representing teaching hospitals affiliated with a public\ninstitution of higher education; one representative each of the Virginia\nAssociation of Health Plans, the Virginia Association of Free and Charitable\nClinics, the Virginia Community Healthcare Association, LeadingAge Virginia, a\ncompany that is self-insured or full-insured for health coverage, a nonprofit\norganization located in the Commonwealth that engages in addressing access to\nhealth coverage for low-income individuals, and a rural locality recognized as a\nmedically underserved area; one individual with experience in health facilities\nplanning; and such other individuals as the Commissioner determines is\nappropriate.\n\nC. The powers and duties of the Task Force shall be:\n\n   1. To develop, by November 1, 2022, recommendations for a comprehensive State\n   Health Services Plan for adoption by the Board that includes (i) specific\n   formulas for projecting need for medical care facilities and services subject\n   to the requirement to obtain a certificate of public need, (ii) current\n   statistical information on the availability of medical care facilities and\n   services, (iii) objective criteria and standards for review of applications\n   for projects for medical care facilities and services, and (iv) methodologies\n   for integrating the goals and metrics of the State Health Improvement Plan\n   established by the Commissioner into the criteria and standards for review.\n   Criteria and standards for review included in the State Health Services Plan\n   shall take into account current data on drive times, utilization, availability\n   of competing services, and patient choice within and among localities included\n   in the health planning district or region; changes and availability of new\n   technology; and other relevant factors identified by the Task Force. The State\n   Health Services Plan shall also include specific criteria for determining need\n   in rural areas, giving due consideration to distinct and unique geographic,\n   socioeconomic, cultural, transportation, and other barriers to access to care\n   in such areas and providing for weighted calculations of need based on the\n   barriers to health care access in such rural areas in lieu of the\n   determinations of need used for the particular proposed project within the\n   relevant health planning district or region as a whole;\n\n   2. To engage the services of private consultants or request the Department to\n   contract with any private organization for professional and technical\n   assistance and advice or other services to assist the Task Force in carrying\n   out its duties and functions pursuant to this section. The Task Force may also\n   solicit the input of experts with professional competence in the subject\n   matter of the State Health Services Plan, including (i) representatives of\n   licensed health care providers or health care provider organizations owning or\n   operating licensed health facilities and (ii) representatives of organizations\n   concerned with health care consumers and the purchasers and payers of health\n   care services; and\n\n   3. To review annually and, if necessary, develop recommendations for revisions\n   to each section of the State Health Services Plan on a rotating schedule\n   defined by the Task Force at least every two years following the last date of\n   adoption by the Board.\n\nD. The Task Force shall exercise its powers and carry out its duties to ensure:\n\n   1. The availability and accessibility of quality health services at a\n   reasonable cost and within a reasonable geographic proximity for all people in\n   the Commonwealth, competitive markets, and patient choice;\n\n   2. Appropriate differential consideration of the health care needs of\n   residents in rural localities in ways that do not compromise the quality and\n   affordability of health care services for those residents;\n\n   3. Elimination of barriers to access to care and introduction and availability\n   of new technologies and care delivery models that result in greater\n   integration and coordination of care, reduction in costs, and improvements in\n   quality; and\n\n   4. Compliance with the goals of the State Health Services Plan and improvement\n   in population health.\n\nE. The Department shall post on its website information regarding the process by\nwhich the State Health Services Plan is created and the process by which the\nDepartment determines whether a proposed project complies with the State Health\nServices Plan on its website.\n\nHISTORY: 2008, c. 501; 2009, c. 175; 2020, c. 1271.","edition":{"id":1,"name":"2025","slug":"2025","date_created":"2026-06-21 22:39:22","date_modified":"2026-06-21 22:39:22","current":1,"order_by":1,"last_import":null}}