1.1                          A bill for an act 
  1.2             relating to health; providing an exemption from the 
  1.3             hospital construction moratorium; amending Minnesota 
  1.4             Statutes 2003 Supplement, section 144.551, subdivision 
  1.5             1. 
  1.6   BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: 
  1.7      Section 1.  Minnesota Statutes 2003 Supplement, section 
  1.8   144.551, subdivision 1, is amended to read: 
  1.9      Subdivision 1.  [RESTRICTED CONSTRUCTION OR MODIFICATION.] 
  1.10  (a) The following construction or modification may not be 
  1.11  commenced:  
  1.12     (1) any erection, building, alteration, reconstruction, 
  1.13  modernization, improvement, extension, lease, or other 
  1.14  acquisition by or on behalf of a hospital that increases the bed 
  1.15  capacity of a hospital, relocates hospital beds from one 
  1.16  physical facility, complex, or site to another, or otherwise 
  1.17  results in an increase or redistribution of hospital beds within 
  1.18  the state; and 
  1.19     (2) the establishment of a new hospital.  
  1.20     (b) This section does not apply to:  
  1.21     (1) construction or relocation within a county by a 
  1.22  hospital, clinic, or other health care facility that is a 
  1.23  national referral center engaged in substantial programs of 
  1.24  patient care, medical research, and medical education meeting 
  1.25  state and national needs that receives more than 40 percent of 
  2.1   its patients from outside the state of Minnesota; 
  2.2      (2) a project for construction or modification for which a 
  2.3   health care facility held an approved certificate of need on May 
  2.4   1, 1984, regardless of the date of expiration of the 
  2.5   certificate; 
  2.6      (3) a project for which a certificate of need was denied 
  2.7   before July 1, 1990, if a timely appeal results in an order 
  2.8   reversing the denial; 
  2.9      (4) a project exempted from certificate of need 
  2.10  requirements by Laws 1981, chapter 200, section 2; 
  2.11     (5) a project involving consolidation of pediatric 
  2.12  specialty hospital services within the Minneapolis-St. Paul 
  2.13  metropolitan area that would not result in a net increase in the 
  2.14  number of pediatric specialty hospital beds among the hospitals 
  2.15  being consolidated; 
  2.16     (6) a project involving the temporary relocation of 
  2.17  pediatric-orthopedic hospital beds to an existing licensed 
  2.18  hospital that will allow for the reconstruction of a new 
  2.19  philanthropic, pediatric-orthopedic hospital on an existing site 
  2.20  and that will not result in a net increase in the number of 
  2.21  hospital beds.  Upon completion of the reconstruction, the 
  2.22  licenses of both hospitals must be reinstated at the capacity 
  2.23  that existed on each site before the relocation; 
  2.24     (7) the relocation or redistribution of hospital beds 
  2.25  within a hospital building or identifiable complex of buildings 
  2.26  provided the relocation or redistribution does not result in: 
  2.27  (i) an increase in the overall bed capacity at that site; (ii) 
  2.28  relocation of hospital beds from one physical site or complex to 
  2.29  another; or (iii) redistribution of hospital beds within the 
  2.30  state or a region of the state; 
  2.31     (8) relocation or redistribution of hospital beds within a 
  2.32  hospital corporate system that involves the transfer of beds 
  2.33  from a closed facility site or complex to an existing site or 
  2.34  complex provided that:  (i) no more than 50 percent of the 
  2.35  capacity of the closed facility is transferred; (ii) the 
  2.36  capacity of the site or complex to which the beds are 
  3.1   transferred does not increase by more than 50 percent; (iii) the 
  3.2   beds are not transferred outside of a federal health systems 
  3.3   agency boundary in place on July 1, 1983; and (iv) the 
  3.4   relocation or redistribution does not involve the construction 
  3.5   of a new hospital building; 
  3.6      (9) a construction project involving up to 35 new beds in a 
  3.7   psychiatric hospital in Rice County that primarily serves 
  3.8   adolescents and that receives more than 70 percent of its 
  3.9   patients from outside the state of Minnesota; 
  3.10     (10) a project to replace a hospital or hospitals with a 
  3.11  combined licensed capacity of 130 beds or less if:  (i) the new 
  3.12  hospital site is located within five miles of the current site; 
  3.13  and (ii) the total licensed capacity of the replacement 
  3.14  hospital, either at the time of construction of the initial 
  3.15  building or as the result of future expansion, will not exceed 
  3.16  70 licensed hospital beds, or the combined licensed capacity of 
  3.17  the hospitals, whichever is less; 
  3.18     (11) the relocation of licensed hospital beds from an 
  3.19  existing state facility operated by the commissioner of human 
  3.20  services to a new or existing facility, building, or complex 
  3.21  operated by the commissioner of human services; from one 
  3.22  regional treatment center site to another; or from one building 
  3.23  or site to a new or existing building or site on the same 
  3.24  campus; 
  3.25     (12) the construction or relocation of hospital beds 
  3.26  operated by a hospital having a statutory obligation to provide 
  3.27  hospital and medical services for the indigent that does not 
  3.28  result in a net increase in the number of hospital beds; 
  3.29     (13) a construction project involving the addition of up to 
  3.30  31 new beds in an existing nonfederal hospital in Beltrami 
  3.31  County; 
  3.32     (14) a construction project involving the addition of up to 
  3.33  eight new beds in an existing nonfederal hospital in Otter Tail 
  3.34  County with 100 licensed acute care beds; 
  3.35     (15) a construction project involving the addition of 20 
  3.36  new hospital beds used for rehabilitation services in an 
  4.1   existing hospital in Carver County serving the southwest 
  4.2   suburban metropolitan area.  Beds constructed under this clause 
  4.3   shall not be eligible for reimbursement under medical 
  4.4   assistance, general assistance medical care, or MinnesotaCare; 
  4.5   or 
  4.6      (16) a project for the construction or relocation of up to 
  4.7   20 hospital beds for the operation of up to two psychiatric 
  4.8   facilities or units for children provided that the operation of 
  4.9   the facilities or units have received the approval of the 
  4.10  commissioner of human services; or 
  4.11     (17) a project involving the addition of 14 new hospital 
  4.12  beds to be used for rehabilitation services in an existing 
  4.13  hospital in Itasca County.