{"formats":[{"name":"JSON","format":"json","url":"\/downloads\/2025\/code-json\/32.1-132.json"},{"name":"Plain Text","format":"text","url":"\/downloads\/2025\/code-text\/32.1-132.txt"},{"name":"XML","format":"xml","url":"\/downloads\/2025\/code-xml\/32.1-132.xml"},{"name":"HTML","format":"html","url":"\/downloads\/2025\/code-html\/32.1-132.html"}],"law_id":83021,"edition_id":1,"section_id":83021,"structure_id":12729,"section_number":"32.1-132","catch_line":"(Effective July 1, 2028) Alterations or additions to hospitals and nursing homes; when new license required; use of inpatient hospital beds for furnishing skilled care services","history":"Code 1950, \u00a7 32-305; 1979, c. 711; 1983, c. 533; 1989, c. 618; 2025, cc. 114, 135.","full_text":"A\n\nAny person who desires to make any substantial alteration or addition to or any material change in any hospital or nursing home shall, before making such change, alteration or addition, submit the proposal therefor to the Commissioner for his approval. The Commissioner shall review the proposal to determine compliance with applicable statutes and regulations of the Board and as soon thereafter as reasonably practicable notify the person that the proposal is or is not approved.B\n\nIf any such alteration, addition or change has the effect of changing the bed capacity or classification of the hospital or nursing home, the licensee shall obtain a new license for the remainder of the license year before beginning operation of additional beds or in the new classification.C\n\nNotwithstanding any provision of state law to the contrary, any hospital, after sending such written notice as may be required by the Commissioner, may utilize, for a period not to exceed thirty days for any one patient, a maximum of ten percent of its inpatient hospital beds as swing beds for the furnishing of services of the type which, if furnished by a nursing home or certified nursing facility, would constitute skilled care services without complying with nursing home licensure requirements or retaining the services of a licensed nursing home administrator. Such hospital shall amend its plan of care and implement its plan as amended to ensure the overall well-being of patients occupying such beds. Only those hospitals which qualify under § 1883 of Title XVIII and § 1913 of Title XIX of the Social Security Act and are certified as skilled nursing facilities may be reimbursed for such services for Medicare and Medicaid patients.","order_by":null,"text":{"0":{"id":297576,"text":"Any person who desires to make any substantial alteration or addition to or any material change in any hospital or nursing home shall, before making such change, alteration or addition, submit the proposal therefor to the Commissioner for his approval. The Commissioner shall review the proposal to determine compliance with applicable statutes and regulations of the Board and as soon thereafter as reasonably practicable notify the person that the proposal is or is not approved.","type":"section","prefixes":["A"],"prefix":"A","entire_prefix":"A","prefix_anchor":"A","level":1,"next_prefix":"B"},"1":{"id":297577,"text":"If any such alteration, addition or change has the effect of changing the bed capacity or classification of the hospital or nursing home, the licensee shall obtain a new license for the remainder of the license year before beginning operation of additional beds or in the new classification.","type":"section","prefixes":["B"],"prefix":"B","entire_prefix":"B","prefix_anchor":"B","level":1,"prior_prefix":"A","next_prefix":"C"},"2":{"id":297578,"text":"Notwithstanding any provision of state law to the contrary, any hospital, after sending such written notice as may be required by the Commissioner, may utilize, for a period not to exceed thirty days for any one patient, a maximum of ten percent of its inpatient hospital beds as swing beds for the furnishing of services of the type which, if furnished by a nursing home or certified nursing facility, would constitute skilled care services without complying with nursing home licensure requirements or retaining the services of a licensed nursing home administrator. Such hospital shall amend its plan of care and implement its plan as amended to ensure the overall well-being of patients occupying such beds. Only those hospitals which qualify under § 1883 of Title XVIII and § 1913 of Title XIX of the Social Security Act and are certified as skilled nursing facilities may be reimbursed for such services for Medicare and Medicaid patients.","type":"section","prefixes":["C"],"prefix":"C","entire_prefix":"C","prefix_anchor":"C","level":1,"prior_prefix":"B"}},"ancestry":[{"id":12729,"edition_id":1,"name":"Hospital and Nursing Home Licensure and Inspection","identifier":"1","label":"article","depth":3,"order_by":1,"parent_id":12728,"metadata":{},"date_created":"2026-06-26 03:43:50","date_modified":"2026-06-26 03:43:50","permalink":{"id":202857,"object_type":"structure","relational_id":12729,"identifier":"1","token":"32.1\/5\/1","url":"\/32.1\/5\/1\/","edition_id":1,"permalink":0,"preferred":1}},{"id":12728,"edition_id":1,"name":"Regulation of Medical Care Facilities and Services","identifier":"5","label":"chapter","depth":2,"order_by":1,"parent_id":12727,"metadata":{},"date_created":"2026-06-26 03:43:50","date_modified":"2026-06-26 03:43:50","permalink":{"id":202855,"object_type":"structure","relational_id":12728,"identifier":"5","token":"32.1\/5","url":"\/32.1\/5\/","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":80727,"structure_id":12729,"section_number":"32.1-123","catch_line":"(Effective January 1, 2026) Definitions","url":"\/32.1-123\/","token":"32.1\/5\/1\/32.1-123","metadata":false},{"id":75042,"structure_id":12729,"section_number":"32.1-124","catch_line":"Exemptions","url":"\/32.1-124\/","token":"32.1\/5\/1\/32.1-124","metadata":false},{"id":58545,"structure_id":12729,"section_number":"32.1-125","catch_line":"Establishment or operation of hospitals and nursing homes prohibited without license or certification; 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The record of this law\u2019s original creation isn\u2019t available online. It has been modified 4 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 1979, chapter 711; in 1983, chapter 533; in 1989, chapter 618; in 2025, chapters 114<\/a> and 135<\/a>.<\/p>","references":false,"refers_to":false,"permalink":{"id":202987,"object_type":"law","relational_id":83021,"identifier":"32.1-132","token":"32.1\/5\/1\/32.1-132","url":"\/32.1-132\/","edition_id":1,"permalink":0,"preferred":1},"url":"\/32.1-132\/","token":"32.1\/5\/1\/32.1-132","dublin_core":{"Title":"(Effective July 1, 2028) Alterations or additions to hospitals and nursing homes; when new license required; use of inpatient hospital beds for furnishing skilled care services","Type":"Text","Format":"text\/html","Identifier":"\u00a7 32.1-132","Relation":"Code of Virginia"},"html":"\n\t\t\t\t\t\t

A.<\/span> Any person<\/span> who desires to make any substantial alteration or addition to or any material<\/span> change in any hospital<\/span> or nursing home<\/span> shall, before making such change, alteration or addition, submit the proposal therefor to the Commissioner<\/span> for his approval. The Commissioner<\/span> shall review the proposal to determine compliance with applicable statutes<\/span> and regulations of the Board<\/span> and as soon thereafter as reasonably practicable notify the person<\/span> that the proposal is or is not approved. <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

B.<\/span> If any such alteration, addition or change has the effect of changing the bed capacity or classification of the hospital<\/span> or nursing home<\/span>, the licensee shall obtain a new license for the remainder of the license year before beginning operation of additional beds or in the new classification. <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

C.<\/span> Notwithstanding any provision of state law<\/span> to the contrary, any hospital<\/span>, after sending such written notice as may be required by the Commissioner<\/span>, may utilize, for a period not to exceed thirty days for any one patient, a maximum of ten percent of its inpatient hospital<\/span> beds as swing beds for the furnishing of services of the type which, if furnished by a nursing home<\/span> or certified nursing facility<\/span>, would constitute skilled care services without complying with nursing home<\/span> licensure requirements or retaining the services of a licensed nursing home<\/span> administrator. Such hospital<\/span> shall amend<\/span> its plan of care and implement its plan as amended to ensure the overall well-being of patients occupying such beds. Only those hospitals<\/span> which qualify under § 1883 of Title XVIII and § 1913 of Title XIX of the Social Security Act and are certified as skilled nursing facilities may be reimbursed for such services for Medicare and Medicaid patients. <\/i><\/a><\/p><\/section>","plain_text":" CODE OF VIRGINIA\n\n(EFFECTIVE JULY 1, 2028) ALTERATIONS OR ADDITIONS TO HOSPITALS AND NURSING\nHOMES; WHEN NEW LICENSE REQUIRED; USE OF INPATIENT HOSPITAL BEDS FOR FURNISHING\nSKILLED CARE SERVICES (\u00a7 32.1-132)\n\nA. Any person who desires to make any substantial alteration or addition to or\nany material change in any hospital or nursing home shall, before making such\nchange, alteration or addition, submit the proposal therefor to the Commissioner\nfor his approval. The Commissioner shall review the proposal to determine\ncompliance with applicable statutes and regulations of the Board and as soon\nthereafter as reasonably practicable notify the person that the proposal is or\nis not approved.\n\nB. If any such alteration, addition or change has the effect of changing the bed\ncapacity or classification of the hospital or nursing home, the licensee shall\nobtain a new license for the remainder of the license year before beginning\noperation of additional beds or in the new classification.\n\nC. Notwithstanding any provision of state law to the contrary, any hospital,\nafter sending such written notice as may be required by the Commissioner, may\nutilize, for a period not to exceed thirty days for any one patient, a maximum\nof ten percent of its inpatient hospital beds as swing beds for the furnishing\nof services of the type which, if furnished by a nursing home or certified\nnursing facility, would constitute skilled care services without complying with\nnursing home licensure requirements or retaining the services of a licensed\nnursing home administrator. Such hospital shall amend its plan of care and\nimplement its plan as amended to ensure the overall well-being of patients\noccupying such beds. Only those hospitals which qualify under § 1883 of\nTitle XVIII and § 1913 of Title XIX of the Social Security Act and are\ncertified as skilled nursing facilities may be reimbursed for such services for\nMedicare and Medicaid patients.\n\nHISTORY: Code 1950, \u00a7 32-305; 1979, c. 711; 1983, c. 533; 1989, c. 618; 2025,\ncc. 114, 135.","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}}