A. Every project of an existing or proposed medical care facility described in subsection A of § 32.1-102.1:3 shall be subject to all provisions of this article unless, with respect to such project, the owner or operator of an existing medical care facility or the developer of a proposed medical care facility (i) has, by February 1, 1992, purchased or leased equipment subject to registration pursuant to former § 32.1-102.3:4, (ii) has, by February 1, 1992, initiated construction requiring a capital expenditure exceeding one million dollars, or (iii) has made or contracted to make or otherwise legally obligated to make, during the three years ending February 1, 1992, preliminary expenditures of $350,000 or more for a formal plan of construction of the specific project, including expenditures for site acquisition, designs, preliminary or working drawings, construction documents, or other items essential to the construction of the specific project.
Any project exempted pursuant to subdivisions (ii) and (iii) of this subsection shall be limited to such construction, services, and equipment as specifically identified in the formal plan of construction which shall have existed and been formally committed to by February 1, 1992. Further, the equipment to be exempted pursuant to subdivisions (ii) and (iii) shall be limited to the number of units and any types of medical equipment, in the case of medical equipment intended to provide any services included in subdivision B 6 of § 32.1-102.1:3, as are specifically identified in such plan and, in the case of all other equipment, such equipment as is appropriate for the construction and services included in such plan.
None of the exemptions provided in this subsection shall be applicable to projects which required a certificate of public need pursuant to this article on January 1, 1992.
B. Any medical care facility or entity claiming to meet one of the conditions set forth in subsection A of this section shall file a completed application for an exemption from the provisions of this article with the Commissioner by August 1, 1992. Forms for such application shall be made available by the Commissioner no later than April 1, 1992. The Commissioner may deny an exemption if the application is not complete on August 1, 1992, and the medical care facility or entity has not filed a completed application within forty-five days after notice of deficiency in the filing of the completed application. After receiving a completed application, the Commissioner shall determine whether the project has met one of the criteria for an exemption and is, therefore, exempt or has not met any of the criteria for an exemption and is, therefore, subject to all provisions of this article and shall notify the medical care facility or entity of his determination within sixty days of the date of filing of the completed application. If it is determined that an exemption exists for only a portion of a project, the Commissioner may approve an exemption for that portion and any appeal may be limited to the part of the decision with which the appellant disagrees without affecting the remainder of the decision. The Commissioner's determination shall be made in accordance with the provisions of the Administrative Process Act (§ 2.2-4000 et seq.), except that parties to the case shall include only those parties specified in § 32.1-102.6.
C. For the purposes of this section:
"Formal plan of construction" means documentary evidence indicating that the facility, the owner or operator of the facility, or the developer of a proposed facility was formally committed to the project by February 1, 1992, and describing the specific project in sufficient detail to reasonably define and confirm the scope of the project including estimated cost, intended location, any clinical health services to be involved and any types of equipment to be purchased. Such documentary evidence shall include designs, preliminary or working drawings, construction documents or other documents which have been used to explicitly define and confirm the scope of the project for the purposes of seeking architectural or construction plans or capital to the extent that such capital was committed or agreed to be provided for such project prior to February 1, 1992.
"Initiated construction" means an owner or operator of an existing facility or the developer of a proposed facility can present evidence for a specific project that (i) a construction contract has been executed; (ii) if applicable, short-term financing has been completed; (iii) if applicable, a commitment for long-term financing has been obtained; and (iv) if the project is for construction of a new facility or expansion of an existing facility, predevelopment site work and building foundations have been completed.
"Leased" means that the owner or operator of an existing medical care facility or the developer of a proposed facility has a legally binding commitment to lease the equipment pursuant to an agreement providing for fixed, periodic payments commencing no later than June 30, 1992, including a lease-purchase agreement in which the owner or operator of the facility or developer has an option to purchase the equipment for less than fair market value upon conclusion of the lease or an installment sale agreement with fixed periodic payments commencing no later than June 30, 1992.
"Purchased" means that the equipment has been acquired by the owner or operator of an existing medical care facility or the developer of a proposed medical care facility, or the owner or operator of the facility or the developer can present evidence of a legal obligation to acquire the equipment in the form of an executed contract or appropriately signed order or requisition and payment has been made in full by June 30, 1992.
1982, c. 388; 1986, c. 615; 1992, c. 612; 2020, c. 1271.
Structure Code of Virginia
Chapter 4 - Health Care Planning
§ 32.1-102.1:1. Equipment registration required
§ 32.1-102.1:3. Medical care facilities and projects for which a certificate is required
§ 32.1-102.2:1. State Health Services Plan; Task Force
§ 32.1-102.3. Demonstration of public need required; criteria for determining need
§ 32.1-102.3:1.1. Continuing care retirement communities accessing medical assistance
§ 32.1-102.3:7. Application for transfer of nursing facility beds
§ 32.1-102.3:8. Application for an open admission period for a continuing care retirement community
§ 32.1-102.4. Conditions of certificates; monitoring; revocation of certificates; civil penalties
§ 32.1-102.5. Certificate not transferable
§ 32.1-102.6. Administrative procedures
§ 32.1-102.6:1. Revocation of a certificate
§ 32.1-102.8. Enjoining project undertaken without certificate or registration
§ 32.1-102.9. Designation of judge
§ 32.1-102.11. Application of article
§ 32.1-111.2. Exemptions from provisions of this article
§ 32.1-111.3. Statewide Emergency Medical Services Plan; Trauma Triage Plan; Stroke Triage Plan
§ 32.1-111.4:2. Regional emergency medical services councils
§ 32.1-111.4:3. Provision of emergency medical services
§ 32.1-111.4:8. Ordinances as to emergency medical services agencies
§ 32.1-111.5:1. Emergency medical services personnel mental health awareness training
§ 32.1-111.6. Emergency medical services agency license; emergency medical services vehicle permits
§ 32.1-111.6:1. Commissioner to issue certain emergency medical services licenses or permits
§ 32.1-111.8. Revocation and suspension of licenses and permits
§ 32.1-111.9. Applications for variances or exemptions
§ 32.1-111.9:1. Out-of-state emergency medical services providers
§ 32.1-111.12. Virginia Rescue Squads Assistance Fund; disbursements
§ 32.1-111.12:01. Financial Assistance and Review Committee; appointment; terms; duties
§ 32.1-111.13. Annual financial reports
§ 32.1-111.14. Powers of governing bodies of counties, cities, and towns
§ 32.1-111.14:2. Establishment of emergency medical services zones or districts; tax levies
§ 32.1-111.14:6. Supervision and control of joint services of emergency medical services agencies
§ 32.1-111.14:8. Purchase, maintenance, etc., of equipment; donated equipment
§ 32.1-111.14:9. Entry of buildings and premises adjoining during a medical emergency
§ 32.1-111.15. Statewide poison control system established
§ 32.1-111.16. Director of Office of Emergency Medical Services annual performance evaluation
§ 32.1-116.1. Prehospital patient care reporting procedure; trauma registry; confidentiality
§ 32.1-116.1:1. Disclosure of medical records
§ 32.1-116.2. Confidential nature of information supplied; publication; liability protections
§ 32.1-116.3. Reporting of communicable diseases; definitions
§ 32.1-122.03. State Health Plan
§ 32.1-122.03:1. Statewide Telehealth Plan
§ 32.1-122.04. Responsibilities of the Department
§ 32.1-122.05. Regional health planning agencies; boards; duties and responsibilities
§ 32.1-122.06. Funds for regional health planning
§ 32.1-122.08. Continuation of regulations
§ 32.1-122.5. Criteria to identify underserved areas
§ 32.1-122.5:1. Conditional grants for certain medical students
§ 32.1-122.6. Conditional grants for certain medical students
§ 32.1-122.6:01. Board of Health to award certain scholarships and loan repayment funds
§ 32.1-122.6:02. Conditional grants for certain nurse practitioner students
§ 32.1-122.6:03. Conditional grants for certain physician assistant students
§ 32.1-122.6:04. Nurse Loan Repayment Program
§ 32.1-122.6:1. Physician Loan Repayment Program
§ 32.1-122.7. Virginia Health Workforce Development Authority; purpose
§ 32.1-122.7:1. Board of Directors of the Virginia Health Workforce Development Authority
§ 32.1-122.7:2. Powers and duties of the Virginia Health Workforce Development Authority; exemptions
§ 32.1-122.8. Board's authority to receive and expend funds
§ 32.1-122.9. Conditional grants for certain dental students
§ 32.1-122.9:1. Dentist Loan Repayment Program
§ 32.1-122.10. Conditional grants for certain dental hygiene students
§ 32.1-122.10:002. Board of directors; expenses; officers; terms of office; quorum; annual report
§ 32.1-122.10:003. Office of the authority
§ 32.1-122.10:004. Powers of the authority
§ 32.1-122.10:005. Licensed agents; liability
§ 32.1-122.20. Recruitment and retention of health care providers