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Mackinac Center for Public Policy
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2013 House Bill 4787: Increase CON health facility rationing fees

Public Act 137 of 2013

  1. Introduced by Rep. Matt Lori (R) on May 29, 2013, to increase from $1,500 to $3,000 the “base” fee for a hospital or other health care providers seeking government permission to open or expand a health care facility, or add certain capital-intensive equipment (like MRIs), under an existing state “Certificate of Need” rationing regime. The bill would also authorize additional fee increases of $5,000 for large projects, $3,000 for “complex” projects, $500 for “letter of intent” reviews, and more. These fees would then be indexed to inflation so that legislative authorization would not be required for future fee hikes.
    • Referred to the House Appropriations Committee on May 29, 2013.
      • Reported in the House on June 12, 2013, with the recommendation that the substitute (H-1) be adopted and that the bill then pass.
    • Substitute offered in the House on June 18, 2013. The substitute passed by voice vote in the House on June 18, 2013.
  2. Passed 82 to 26 in the House on September 12, 2013.
    Who Voted "Yes" and Who Voted "No"

  3. Received in the Senate on September 17, 2013.
    • Referred to the Senate Appropriations Committee on September 17, 2013.
      • Reported in the Senate on September 24, 2013, with the recommendation that the bill pass.
  4. Passed 23 to 14 in the Senate on October 1, 2013, to increase from $1,500 to $3,000 the “base” fee for a hospital or other health care providers seeking government permission to open or expand a health care facility, or add certain capital-intensive equipment (like MRIs), under an existing state “Certificate of Need” rationing regime. The bill would also authorize additional fee increases of $5,000 for large projects, $3,000 for “complex” projects, $500 for “letter of intent” reviews, and more. These fees would then be indexed to inflation so that legislative authorization would not be required for future fee hikes.
    Who Voted "Yes" and Who Voted "No"

  5. Signed by Gov. Rick Snyder on October 15, 2013.

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