Health Planning Amendments of 1985 - A bill to amend the Public Health Service Act

Sep 21, 2026

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A legislative bill titled “Health Planning Amendments of 1985” proposes amendments to the Public Health Service Act to revise and extend the health planning authority under that Act. It addresses staff expertise and staff size for health systems agencies, modifies rules governing certificate of need review, and expands state agency systems for consistent review of similar applications. The bill also adjusts designation conditions, secretary authority, and planning grant provisions through conforming technical amendments.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages12

Reading Time30 min

AccessFree to download

Short Title and Reference to Act

Health Systems Agencies

Staff Expertise

Staff Size

Certificate of Need Review

Review by Health Systems Agencies

Role of State Agency

Designation of Health Systems Agencies

Conditional Designation

Secretary's Authority

Planning Grants

[Report No.99-464] To amend the Public Health Service Act to revise and extend the health planningauthority under that Act. # IN THE HOUSE OF REPRESENTATIVES JULY 16,1985 Mr.WAXMAN introduced the following bill;which was referred to the Committeeon Energy and Commerce JANUARY 23,1986Additional sponsor:Mr.HORTON JANUARY 23,1986 Reported with an amendment,committed to the Committee of the Whole Houseon the State of the Union,and ordered to be printed [Insert the part printed in italic] # A BILL To amend the Public Health Service Act to revise and extendthe health planning authority under that Act. 1Be it enacted by the Senate and House of Representa-2 tives of the United States of America in Congress assembled, ## 2 1 SECTION 1.SHORT TITLE:REFERENCE TO ACT. 2(a)SHORT TITLE.—This Act may be cited as the3 “Health Planning Amendments of 1985”. 4(b)REFERENCE TO ACT.—Whenever in this Act (other5 than in section 9(a))an amendment or repeal is expressed in6 terms of an amendment to,or repeal of,a section or other7 provision,the reference shall be considered to be made to a8 section or other provision of the Public Health Service Act.9 SEC.2.HEALTH SYSTEMS AGENCIES. 10(a)STAFF ExPERTISE. The first sentence of section111512(b)(2)(A)(42 U.S.C.3001-1(b)(2)(A))is amended— 12(1)by striking out"shall have a staff"and insert-13ing in lieu thereof"shall,to the extent practicable,14have a staff",and 15(2)by striking out“at least”. 16(b)STAFF SIZE.—The first sentence of section171512(b)(2)(B)is amended 18(1)by striking out"five,"each place it occurs and19inserting in lieu thereof "three,", 20(2)by striking out "rounded to the next highest"21and inserting in lieu thereof “rounded to the nearest”,22and 23(3)by striking out"one hundred thousand"each24place it occurs and inserting in lieu thereof"three hun-25dred thousand”. 人 0~0~/1986 3 1 SEC.3.CERTIFICATE OF NEED REVIEW. (a)REVIEW BY HEALTH SYSTEMS AGENCIES.—Sec- 2 ## 3 tion 1513(f)(42 U.S.C.3001-2(f))is amended by striking out 4“(f)To"and inserting in lieu thereof“(f)(1)Except as provid- ## 5 ed in paragraph (2),to"and by adding at the end the follow- 6 ing: 7"(2)If a State health planning and development agency8 for a State establishes a system under section 1523(a)(4)for9 review by health systems agencies of applications for certifi-10 cates of need,each health systems agency in such State shall11 make such review only to the extent authorized by and in12 accordance with such system." 13(b)RoLE OF STATE AGENCY.—Section 1523(a)(4)(42 14 U.S.C.300m-2)is amended by inserting before the last sen-15 tence the following:“The State Agency of a State may es-16 tablish a system describing the extent to which and the17 manner in which health systems agencies may review appli-18 cations for certificates of need.Under such system applica-19 tions for certificates of need which are of the same or similar20 type shall be reviewed in the same manner.". 21 SEC.4.DESIGNATION OF HEALTH SYSTEMS AGENCIES. 22(a)CoNDITIONAL DESIGNATION.—Section 1515(b)(42 ## 23 U.S.C.3001-4(b))is amended— | C⁵!iDr3ry
C2-07-13
7500 Secu.ity Blvu.
5St!nore,Mtylar!21244 | | --- | 24(1)in paragraph (2)— 4 1(A)by striking out"(which,except as other- 2wise provided in this paragraph,may not exceed324 months)"in the first sentence,and (B)by striking out the second,third,andfourth sentences; 4 5 6(2)by inserting before the period at the end of7paragraph(3)the following:"if the Secretary deter-8mines,in accordance with subsection (c)(1)(B),that the9entity is not complying with the provisions of such10agreement”; 11(3)by striking out"subparagraph(A)(ii),an12agreement with an entity for designation"in subsection13(c)(1)(B)and inserting in lieu thereof“subsection (b)(3)14or subparagraph(A)(ii)of this paragraph,an agreement15with an entity for conditional designation or designa-16tion”;and 17(4)striking out"an agreement"in the third sen-18

FAQs

What is the short title of the Act proposed by the bill?

The Act may be cited as the “Health Planning Amendments of 1985.”

How does the bill change staffing requirements for health systems agencies?

It amends staff expertise language to allow “to the extent practicable” and revises staff size by striking “five” and substituting “three,” along with related rounding and numeric threshold changes.

What changes does the bill make regarding certificate of need review?

It amends the certificate of need review provisions so that, when a state establishes a system for such review, each health systems agency reviews applications only as authorized and in accordance with that system, and it adds guidance on consistent review of similar application types.

Sep 21, 2026

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