H.F. 3458 Summary

• Establishes a 7-member Health Care Commission appointed by the governor with senate confirmation to regulate health care services, ensure affordability and accessibility, and develop a state health care plan.

• Grants the commission sole authority to prepare and adopt an annual state health care plan and issue certificates of need for health care facility projects, including new facilities, relocations, bed capacity changes, and service modifications.

• Requires health care companies to submit notifications and applications for projects after October 1, 2023, with public notice and opportunity for written comments and hearings before commission approval or denial.

• Creates regional health care planning boards to provide local input, technical assistance, and recommendations on improving health care affordability, accessibility, and quality in their regions.

• Authorizes the commissioner of health to petition for involuntary receivership of health care facilities when operators attempt to close, relocate, or change services without required certificates of need, with sale protections giving first refusal rights to local public entities.