                                 CODE OF VIRGINIA

CERTIFICATE OF PUBLIC NEED REQUIRED; REGISTRATION OF CERTAIN EQUIPMENT AND
CAPITAL PROJECTS REQUIRED (§ 32.1-102.1:2)

A. No person shall undertake a project described in subsection B of &#xA7;
32.1-102.1:3 or regulations of the Board at or on behalf of a medical care
facility described in subsection A of &#xA7; 32.1-102.1:3 without first
obtaining a certificate from the Commissioner.

B. No person shall acquire any replacement medical equipment for the provision
of cardiac catheterization, computed tomographic (CT) scanning, magnetic
resonance imaging (MRI), open heart surgery, positron emission tomographic (PET)
scanning, radiation therapy, stereotactic radiotherapy other than radiotherapy
performed using a linear accelerator or other medical equipment that uses
concentrated doses of high-energy X-rays to perform external beam radiation
therapy, proton beam therapy, or other specialized service designated by the
Board by regulation without first registering such purchase with the
Commissioner and the appropriate regional health planning agency. Such
registration shall be made at least 30 calendar days prior to the date on which
the person will become contractually obligated to acquire such medical
equipment.

C. No general hospital shall make any capital expenditure of $5 million or more
and no medical care facility other than a general hospital shall make any
capital expenditure between $5 million and the amount established by the Board
as the minimum capital expenditure by a medical care facility other than a
general hospital for which a certificate is required pursuant to subdivision B 8
of &#xA7; 32.1-102.1:3 without first registering such capital expenditure with
the Commissioner pursuant to regulations of the Board. The amounts specified in
this subsection shall be revised annually to reflect inflation using appropriate
measures incorporating construction costs and medical inflation.

HISTORY: 2020, c. 1271.