                                 CODE OF VIRGINIA

(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 (§ 32.1-132)

A. 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.

B. 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.

C. 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 &#xA7; 1883 of
Title XVIII and &#xA7; 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.

HISTORY: Code 1950, § 32-305; 1979, c. 711; 1983, c. 533; 1989, c. 618; 2025,
cc. 114, 135.