For the last two years, five hospitals have shown an interest in offering new high-end services, but they were unable to do so because of the state's "certificate-of-need" requirements.
Some hospitals went through the lengthy and expensive CON application process and ultimately were turned down by the
Other hospitals notified the state of their intent to submit a certificate of need for a new service but never formally submitted an application.
But now that the law has been eliminated, three of the five hospitals told The News Service of
The repeal of the CON program was one of House Speaker
Baptist Health in
"We continue to move forward with our plans based on
The desire to launch new programs may be even stronger in
The hospital submitted three CON applications in 2016 -- one for a heart transplant program, one for a lung transplant program, and another for a joint heart/lung transplant program. The state approved only a pediatric lung transplant program.
In 2017, Nemours notified state health-care regulators that it was going to submit a CON application for a pediatric liver transplant program. But the hospital dropped the effort.
While the hospital has long shown an interest in expanding its services, Yusila Ramirez said "there are many questions" about the new law, and "it is not clear yet how it will impact our strategies in the future."
Nemours isn't the only hospital waiting to see what the new regulatory environment looks like before publicly committing to moving forward.
In an interview with the trade publication HealthLeaders,
Opponents, meanwhile, argue that CON places artificial barriers on the health-care delivery system and protects existing providers from competition.
The legislation, signed into law by Gov.
Tertiary services include such things as organ transplants and pediatric open-heart surgery and neonatal intensive-care units.
The CON program, though, remains intact for nursing homes, hospices and intermediate care facilities for individuals with developmental disabilities.
In lieu of requiring hospitals to show there is a need for a program like bone marrow transplants, the new law will allow hospitals to open the program as long as they meet certain licensure requirements.
New transplant services popping up now that
Bad ballot design in
The new licensure requirements will have to be adopted through rules, a process that could take months.
"If industry cost structure changed globally, there is a spill-over effect that would come back on state employee health insurance and Medicaid," Baker said. "It won't be something where you see an immediate impact. Changing the cost structure of the health industry is going to evolve over time, whether it's up or down."
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