Code of Alabama
Article 9 - Control and Regulation of Development of Certain Health Care Facilities.
Section 22-21-278 - Kidney Disease Treatment Centers in Certain Municipalities Exempted From Certificate of Need Requirement.

(a) The Legislature hereby finds and declares that it is in the best interest of the state and its residents for kidney disease treatment centers to be established and operated throughout the state so that any patient needing such treatment will be able to utilize a hemodialysis unit located within a reasonable distance from his or her home; that a shortage of kidney disease treatment centers now exists in the rural areas and smaller municipalities in the state; that the existence of the certificate of need requirement with respect to new kidney disease treatment centers is a factor that hinders the establishment of new treatment centers in the less heavily-populated areas of the state; that, in order to encourage and facilitate the development of new kidney disease treatment centers in those areas of the state where such centers are most needed, it is rational, appropriate and desirable to provide an exemption from the certificate of need requirement for any kidney disease treatment center located in a Class 3, 4, 5, 6, 7 or 8 municipality that contains no more than ten hemodialysis units; and that, because of the existence in Class 1, 2 and 3 municipalities of major medical facilities that serve the residents of such municipalities and the surrounding areas, it is rational, appropriate and desirable to provide that the exemption granted by this section shall not apply to a kidney disease treatment center located in a Class 4, 5, 6, 7 or 8 municipality if such municipality is located in a county in which a Class 1, 2 or 3 municipality is located.
(b) Notwithstanding any existing law to the contrary, any kidney disease treatment center that contains no more than ten freestanding hemodialysis units and that is located in a Class 3, 4, 5, 6, 7 or 8 municipality (as such classes are defined in Sections 11-40-12 and 11-40-13 or any successor provision of law) shall not be subject to or governed by the provisions of Article 9 of Chapter 21 of Title 22 (including, without limitation, the provisions of said article which require that a certificate of need be obtained from the State Health Planning and Development Agency as a condition precedent to the offering or development of new institutional health services).
(c) The provisions of subsection (b) shall not apply to a kidney disease treatment center located in a Class 4, 5, 6, 7 or 8 municipality if such municipality or any part thereof is located in a county in which a Class 1, 2 or 3 municipality or any part thereof is located.

Structure Code of Alabama

Code of Alabama

Title 22 - Health, Mental Health, and Environmental Control.

Title 1 - Health and Environmental Control Generally.

Chapter 21 - Hospitals and Other Health Care Facilities Generally.

Article 9 - Control and Regulation of Development of Certain Health Care Facilities.

Section 22-21-260 - Definitions.

Section 22-21-261 - Legislative Findings; Purpose of Article.

Section 22-21-263 - New Institutional Health Services Subject to Review.

Section 22-21-264 - Criteria for State Agency Review.

Section 22-21-265 - Certificates of Need - Required for New Institutional Health Service.

Section 22-21-265.1 - Certificates of Need - No Legislative Intent to Ratify Illegal Actions or False Information of Applicants, Agents, Etc.

Section 22-21-265.2 - Certificates of Need - Legislative Intent Reiterated.

Section 22-21-265.3 - Certificates of Need - All-Digital, Automated Hospital Exempt From Review Process.

Section 22-21-266 - Certificates of Need - Required Findings for Inpatient Facilities.

Section 22-21-267 - Certificates of Need - Application for Certificate or Modification Thereto and Extensions Thereof.

Section 22-21-268 - Certificates of Need - Emergency Certificate Prior to Hearing.

Section 22-21-270 - Certificates of Need - Period for Which Valid; Extension of Time; Termination; Transferability.

Section 22-21-271 - Certificates of Need - Application Fees; Appropriation of Funds; Disposition of Fees.

Section 22-21-271.1 - Certificates of Need - Fee Increases.

Section 22-21-274 - Adoption and Public Notice of Review Procedures and Criteria.

Section 22-21-275 - Procedures for Review of Applications for Certificates of Need.

Section 22-21-276 - Injunctive Relief; Issuance of License for Inpatient Beds or Facilities in Violation of Article Prohibited; Facilities in Violation of Article Not to Receive Reimbursement for Services.

Section 22-21-277 - Article Cumulative; Conflicting Laws.

Section 22-21-278 - Kidney Disease Treatment Centers in Certain Municipalities Exempted From Certificate of Need Requirement.