MS HB569

Removes Medicaid participation restrictions for a 40-bed psychiatric residential treatment facility in DeSoto County, allowing it to participate in Medicaid on the same terms as other similar facilities.

Modifies a long-term care hospital certificate of need in Harrison County to permit participation in the Medicaid program as a "crossover provider," effective retroactively to July 1, 2023.

Requires issuance of a certificate of need for 40 beds (increased from 20) in a community living program for developmentally disabled adults in Madison County, effective July 1, 2025.

Grants University of Mississippi Medical Center an academic exemption from certificate of need requirements for facilities approved before July 1, 2025 or continuously operated under existing teaching hospital exemptions, provided they do not relocate; after July 1, 2025, exemption limited to a defined area of Jackson requiring state health officer approval for academic function.

Directs State Department of Health to issue a certificate of need to any Jackson psychiatric hospital providing adult psychiatric services as of January 1, 2025 under recently transferred certificate of need authority, conditioned on relinquishing the transferred authority.

Increases minimum capital expenditure thresholds requiring certificate of need review from $1.5M to $3M for major medical equipment, from $5M to $10M for clinical services, and from $10M to $20M for nonclinical services.

Requires study and report by December 1, 2025 on exempting small hospitals from certificate of need requirements for dialysis units and geriatric psychiatric units, and feasibility of requiring acute psychiatric units to treat uninsured patients or pay a fee.