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Commenting for this proposal will be open until the close of business on Monday, June 5.

Title of Proposal:

Clarification of COPN Policy

On behalf of:       

Virginia Orthopaedic Society

Describe the Idea or Issue:

The Virginia Orthopaedic Society (VOS) and the Virginia Society of Eye Physicians and Surgeons (VSEPS) strongly support MSV’s policy on Certificate of Public Need. The current policy is an appropriate balance of supporting deregulated services, but with quality standards and charity care requirements. Under this policy, MSV has been able to support COPN reform legislation the last two legislative sessions that have met this  criteria.

While recent legislation has attempted to reform the entire system, we will likely see a different approach during the 2018 General Assembly Session. Delegate Orrock, the Chair of the House Health, Welfare and Institutions Committee, announced that he welcomes and encourages specific-project COPN legislation. Due to a lack of movement in revamping the entire COPN program, he believes that legislation granting individual exemptions is the best way to address COPN reform. For example, if a physician practice in Richmond wants to purchase a MRI machine, Chairman Orrock is directing them to submit legislation requesting the ability to do so.

Desired Outcome:

With this new environment, we can expect to see numerous bills addressing individual COPN exemptions. We would like to clarify that the current MSV policy allows MSV to support these bills, as long as they include quality standards and charity care requirements. The MSV policy specifically states that MSV will “consider supporting individual COPN legislation on a case-by case-basis, with decision for approval derived from previously adopted principles of patient safety and access to quality, affordable health care.” VOS and VSEPS request the MSV Advocacy Committee to confirm that the current policy on COPN allows MSV to support both specific-project and comprehensive reform legislation.

Background/Supporting Information:

MSV's Current COPN Policy:

205.000 Health Planning 205.001 - COPN Policy Date: 1/20/2016 The Medical Society of Virginia supports the deregulation of COPN. MSV will consider supporting individual COPN legislation on a case-by case-basis, with decision for approval derived from previously adopted principles of patient safety and access to quality, affordable health care. The MSV continues to support the economic viability of Virginia's academic health centers. Newly deregulated services should be required to meet a charity care commitment as well as recognized standards of accreditation or quality.

Additional background materials in appendix.

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