NC S462

Increases diagnostic center cost threshold from $500,000 to $1,500,000 in equipment costs requiring certificate of need approval.

Raises major medical equipment threshold from $750,000 to $2,000,000 requiring certificate of need approval.

Doubles new institutional health services capital expenditure threshold from $2,000,000 to $4,000,000 requiring certificate of need approval.

Implements automatic annual adjustments to all three thresholds beginning September 30, 2022, using the Medical Care Index component of the Consumer Price Index.

Establishes certificate of need expiration timelines: four years for projects over $50,000,000 and two years for projects of $50,000,000 or less, with allowances for extensions due to circumstances beyond the certificate holder's control.