On August 30, 2021, North Carolina Gov. Roy Cooper signed Senate Bill 462 into law. The bill, which amends the Certificate of Need (CON) law as summarized below, takes effect on October 1, 2021.
Increase in Three CON Cost Thresholds
The bill increases three cost thresholds above which CON review would be required. Notably, these thresholds have not been increased in decades.
The bill also accounts for inflation, so future adjustments won’t be left to politics or inertia. Beginning September 30, 2022, each of the cost thresholds noted above will be adjusted annually based on the consumer price index.
CON Project Implementation and Expiration of a CON
The bill also amends existing statutes to impose clear expiration deadlines for health service facility construction projects that fail to move ahead in a timely manner after a CON has been granted. Currently, under N.C. Gen. Stat. § 131E-189, the North Carolina Department of Health and Human Services has the authority to withdraw a CON if good faith efforts are not being made to develop a project; however, such authority is rarely exercised.
For a construction CON issued on or after Oct. 1, 2021, the new law sets forth the following expiration dates if the holder of the CON fails to execute or commit to a contract for design within:
Relative to CONs for the construction of a health service facility issued prior to October 1, 2021, the bill provides for the expiration of the CON where the holder of the CON fails to execute or commit to a contract for design:
If you have questions about how these changes affect your current or future CON applications, please reach out to Ascendient for clarification.