MO HB685

Renames the "Missouri Health Certificate of Need Law" to the "Missouri Long-term Care Certificate of Need Law" and limits its scope to long-term care facilities and services only.

Redefines "long-term care facility" to include facilities licensed under chapter 198, long-term care beds in hospitals, and long-term care hospitals meeting federal requirements under 42 CFR Section 412.23(e).

Removes the term "health care facilities" from the statute and replaces it with "long-term care facility" throughout, narrowing the law's application to long-term care services specifically.

Maintains existing certificate of need requirements, including expenditure minimums ($600,000 for capital expenditures in licensed facilities), application procedures, and committee review processes for long-term care projects.

Eliminates section 197.366 which previously defined "health care facilities" to include hospital construction, restricting the law to long-term care rather than general hospital development.