The Chairs of the Senate Finance Committee and the Health and Government Operations Committee have asked the Maryland Health Care Commission (MHCC) to develop recommendations for modernizing Maryland’s health facility planning and CON programs in light of Maryland’s implementation of the global budgets under the All-Payer Model and the proposed migration to the Total Cost of Care Demonstration in 2019.  The Committees have asked MHCC to submit an interim report in May and a final report in December of next year.   The Commission supports this review and further believes that we should consider changes in our health planning and Certificate of Need (CON”) authority across all categories of services at the same time.

• Charge Letter
• Member List
• Questions Posed to CON-Regulated Providers
  • Hospitals
  • Comprehensive Care Facilities
  • Ambulatory Surgery Facilities
  • Home Health Agencies
  • Hospice Agencies
  • General Inquiries directed to other Stakeholders 
• Comments on CON Modernization
  • Hospitals
  • Comprehensive Care Facilities
  • Ambulatory Surgery Facilities
  • Home Health Agencies
  • Hospice Agencies
  • Others 

December 20, 2018 Commission Meeting

• Final Report 

December 3, 2018 Meeting

• Agenda
• Draft Summary of November 9, 2018 Meeting
• Draft Final Report
• Comments from Stakeholders to MHCC 
• Slide Presentation: CON Task Force: Phase 2 Draft Recommendations 
• Draft Meeting Summary of December 3, 2018 Meeting 

Draft Final Report for Stakeholder Comment

• Comments from Ashley Addictions Treatment
• Comments from Health Facilities Association of Maryland
• Comments from Hospice and Palliative Care Network
• Comments from Johns Hopkins Medicine 
• Comments from LifeSpan Network
• Comments from Lorien Health Services
• Comments from Maryland Ambulatory Surgery Association
• Comments from Maryland Hospital Association
• Comments from Maryland National Capital Homecare Association 
• Comments from Maryland Patient Care and Access Coalition
• Comments from Seasons Hospice and Palliative Care 

If you wish to comment on the 20th, please contact Diane Arnold by close of business on December 18th.  Diane's email is diane.arnold@maryland.gov 

November 9, 2018 Meeting

• Agenda
• Draft Summary of October 12, 2018 Meeting
• Draft Final Report 
• Slide Presentation: CON Task Force: Phase 2 

October 12, 2018 Meeting

• Agenda
• Decision Template 
• Draft Summary of October 1, 2018 Meeting 
• Slide Presentation: CON Task Force: Phase 2 
• Statute 

October 1, 2018 Meeting

• Agenda
• Draft Summary of September 7, 2018 Meeting
• Ambulatory Surgery Facilities
  • Maryland Ambulatory Surgery Association  
  • Maryland Patient Care and Access Coalition
• General Hospitals and Freestanding Medical Facilities
  • Maryland Hospital Association
• Slide Presentation:  CON Task Force:  Phase 2

September 7, 2018 Meeting

• Agenda
• Discussion Guide 
• Draft Summary of August 10, 2018 Meeting
• Power Point Slide - CON Task Force: Phase 2 

MEETING AGENDA FOCUS - August 10, 2018 through November 2, 2018

August 10, 2018 Meeting

• Agenda
• Slides:  CON Task Force:  Phase 2
• CON Moderization Task Force: Meeting Summary, June 29, 2018
• Principles to Guide CON Reform
• Discussion Outline for Meeting of CCFs and Home Health Care Providers - Phase II: Formulate Recommendations for CON program modernization
• Potential CON Reforms for CCFs and HHAs: Options for discussions (MHCC staff generated based on review of Phase I)
• CON Modernization Task Force - Phase II:  HFAM Key Points, Additional Key Points
• Maryland-National Capital Homecare Association - Position Paper on CON Modernization

June 29, 2018 Meeting

• Agenda
• Slides:  Monitoring Maryland Performance Medicare Fee-for-Service
• Excerpts from Maryland Law 
• Guiding Principles from MHCC 2001 Analysis & Evaluation of CON Regulations
• Guilding Principles from 2005 Report of the Certificate of Need Task Force
• Meeting Agenda Focus
• Principle Guide to CON Program 
• Slides:  Modernizing Maryland's Certificate of Need Program 

May 17, 2018 MHCC Commission Meeting

• Task Force - DRAFT - Consideration at 5/17/18 MHCC Commission Meeting
• Slide Deck Presentation 

June 1, 2018 - Interim Report on Modernization of the Maryland Certificate of Need Program

• Cover Letter 
• Volume I: Interim Report
• Volume II:  Appendices 

      Comments Received on Interim Report

• Health Facilities Association of Maryland
• LifeSpan 
• Maryland Patient Care and Access Coalition

May 11, 2018 Meeting

• Agenda  
• Task Force - DRAFT
• Appendix G
• Comments

April 20, 2018 Meeting

• Agenda 
• Draft Summary of March 23, 2018 Meeting 
• Comment Summary - Ambulatory Surgical Facilities 
• CMS 5-Star Rating System for Home Health Agencies
• CMS 5-Star Rating System for Nursing Homes
• CMS Rating System for Hospice
• Ambulatory Surgery Fact Sheet 
• RTC Fact Sheet 
• Alcohol and Drug Abuse Treatment Fact Sheet 

February 23, 2018 Meeting

• Agenda
• Discussion Guide 

March 23, 2018 Meeting

• Agenda 
• Comment Summary - Comprehensive Care Facilities (Nursing Homes)
  • Nursing Home Fact Sheet 
• Comment Summary - Home Health Agency and Hospice
  • Home Health Fact Sheet
  • Hospice Fact Sheet 
• Key Problem Statement  

January 22, 2018 Meeting

• Agenda and Workplan
• Charge, Members, Overview 
• VA and NY CON Reform Studies
• MHCC 2005 CON Reform Report and 2008 Progress
• Slide Deck Presentation  
• Hospital Fact Sheet 

Meeting Summary

• Meeting Summary - January 22, 2018 
• Meeting Summary - February 23, 2018
• Meeting Summary - March 23, 2018
• Meeting Summary - April 20, 2018
• Meeting Summary - May 11, 2018  (Draft)

Articles

1. Certificate of Need Regulation and Entry: Evidence from the Dialysis Industry
2. Does Removing Certificate of Need Regulation Lead to a Surge in Health Care Spending
3. The Effects of CON Repel on Medicaid Nursing Home and Long Term Care Expenditures
4. Contomporary Impact of State Certificate of Need Regulations for Cardiac Surgery: Analysis Using the Society of Thoracic Surgeons National Cardiac Surgery Database
5. Certificate of Need Regulations and Use of Coronary Revascularization After Acute Myocardiac Infarction
6. Effects of Regulation and Competition on Health Care Disparities: The Case of Cardiac Angiography in New Jersey
7. Input Constraints and the Efficiency of Entry: Lessons from Cardiac Surgery
8. The Effect of Certificate of Need Laws on Hospital Beds and Healthcare Expenditures: An Empirical Analysis
9. Certificate of Need (CON) for Cardiac Care: Controversy over the Contributions of CON
10. The Effects of Certificate of Need Regulation on Hospital Costs
11. The Rise and Fall of Certificate of Need in Pennsylvania: An Experiment in Health Care Planning & the Role of the Commonwealth Court
12. Certificate of Need Over Hospitals in Rhode Island: A Forty-year Retrospective
13. Joint Statement of the Federal Trade Commission and the Antitrust Division of the U.S. Dept. of Justice to the Virginia Certificate of Public Need Work Group
14. Travel Dislance and Health Outcomes for Scheduled Surgery
15. Should Minnesota Reinstate a Certificate of Need Program for Health Care Expenditures
16. The Effect of Certificate of Need Laws on All-Cause Mortality
17. The impact of Certificate of Need Laws on Nursing Home and Home Health Care Expenditures
18. Can Health Care Spending be Reined in through Supply Constraints
19. Certificate of Need in Post-Affordable Care Act Era
20. Certificate of Need (CON) Task Force: Final Report
21. Joint Statement of the Antitrust Division of the U.S. Dept. of Justice and the Federal Trade Commission on Certificate of Need Laws and Alaska Senate Bill 62
22. Making Health Care Markets Work:  Competition Policy for Health Care
23. Taking the CON out of Pennsylvania:  Did Hip and Knee Replacement Patients Benefit 

Meeting Dates

All meetings are at MHCC’s Offices at 4160 Patterson Avenue, Room 100, Baltimore MD