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"(F) CONFLICTS OF INTEREST.-No member of a governing body, executive committee, or any entity appointed by a governing body or executive committee

may vote on any matter before the governing body, executive committee, or any such entity respecting any

6 individual or entity with which such member has any substantial ownership, employment, fiduciary, contractual, creditor, or consultative relationship. A governing body, executive committee, and any entity appointed by a governing body or executive committee shall require each of its members which has or has had such a relation

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ship with an individual or entity involved in a matter before the governing body, committee, or entity to make a written disclosure of such relationship before any action is taken by the body, committee, or entity with respect to such matter.".

STAFF EXPERTISE

18 SEC. 215. The first sentence of section 1512 (b) (2) 19 (A) is amended (1) by striking out "and" after "health 20 planning,", and (2) by inserting before the period a 21 comma and the following: "(v) financial and economic 22 analysis, and (vi) prevention of disease and other public 23 health matters".

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HEALTH PLAN REQUIREMENTS

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SEC. 216. (a) Section 1524 (c) (1) is amended by

3 striking out "Review" and inserting in lieu thereof "Estab

4 lish a uniform format for HSP's and review".

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(b) Section 1513 (b) (2) is amended by striking out 6 "establish" in the first sentence and inserting in lieu thereof 7 "establish (in accordance with the format prescribed pur8 suant to section 1524 (c) (1))".

9 (c) (1) (A) Section 1523 (a) (1) is amended by in10 serting “(A)" after " (1) " and by inserting before the period 11 a comma and the following: "and (B) determine, after 12 consultation with the Statewide Health Coordinating Council, 13 the health needs of the State which are statewide".

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(B) Section 1523 (a) (2) is amended by striking out 15 "statewide health needs" and inserting in lieu thereof "state16 wide health needs determined under paragraph (1) (B)". (2) Section 1513 (b) (2) is amended (A) by striking 18 out "and" after "resources of the area;", and (B) by in19 serting before the period at the end of the first sentence a 20 semicolon and the following: "and (D) which are responsive 21 to statewide health needs as determined by the State health 22 planning and development agency".

23 (3) Section 1524 (c) (2) is amended by inserting "as 24 determined by the State Agency of the State" after "state25 wide health needs" each place it occurs.

26 (d) Section 1513 (b) (2) is amended by inserting after

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the first sentence the following: "The HSP shall also include 2 a statement of changes (through increases or reductions, or 3 both) in personnel, facilities, and other resources which the

4 agency determines are required to meet the goals set forth in 5 the preceding sentence.".

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(e) Section 1513 (b) (3) is amended by adding at 7 the end the following: "The AIP shall include a state8 ment of the personnel, facilities, and other resources which 9 the agency determines are required to meet the objectives. 10 described pursuant to the first sentence. Before establish11 ing an AIP, the agency shall conduct a public hearing on 12 the proposed AIP and shall give interested persons an 13 opportunity to submit their views orally and in writing. 14 Not less than thirty days prior to such hearing, the agency 15 shall publish in at least two newspapers of general circu16 lation throughout its health service area a notice of its 17 consideration of the proposed AIP, the time and place of 18 the hearing, the place at which interested persons may 19 review the AIP in advance of the hearing, and the place 20 and period during which to submit written comments to 21 the agency on the AIP.".

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(f) Section 1513 (b) (4) is repealed.

CRITERIA AND PROCEDURES FOR REVIEWS

SEC. 217. (a) (1) The first sentence of section 1532

25 (a) is amended (A) by striking out “; and in perform

26 ing" and inserting in lieu thereof "; in performing", and

1 (B) by inserting before the period a semicolon and the 2 following: "and in performing its review functions a State3 wide Health Coordinating Council shall (except to the 4 extent approved by the Secretary) follow procedures and 5 apply criteria developed and published by the Council in 6 accordance with regulations of the Secretary".

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(2) The second sentence of such section is amended 8 by striking out "and State Agencies" and inserting in lieu 9", State Agencies, and Statewide Health Coordinating 10 Councils".

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(b) (1) Subsections (b) and (c) of section 1532 are 12 each amended

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(A) by striking out "agency and State Agency" each place it occurs and inserting in lieu thercof "agency, State Agency, and Statewide IIcalth Coordinating Council", and

(B) by striking out "agency or State Agency" each place it occurs and inserting in lieu thereof "agency, State Agency, or Statewide Health Coordinating Council".

(2) Subsection (b) (4) of such section is amended by

22 striking out "agency or a State Agency" and inserting in lieu

23 thereof "agency, State Agency, or Statewide Health Coordi24 nating Council".

25 (c) Section 1532 (a) is amended by adding at the end

1 the following: "Health systems agencies and the State 2 Agency within each State shall cooperate in the development 3 of procedures and criteria under this subsection to the extent 4 appropriate to the achievement of efficiency in their reviews 5 and consistency in criteria for such reviews.".

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CERTIFICATE OF NEED PROGRAMS

SEC. 218. (a) Part C of title XV is amended by add

8 ing at the end the following:

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"CERTIFICATE OF NEED PROGRAM

"SEC. 1527. (a) The certificate of need program re

11 quired by section 1523 (a) (4) (B) shall provide for the 12 following:

"(1) Review and determination of need under such program of

"(A) major medical equipment, health care facilities, institutional health services, and home health services, and

"(B) capital expenditures,

shall be made before the time such equipment or facilities are acquired, such services or facilities are offered or developed, substantial expenditures are undertaken in preparation for such offering or development, or capital expenditures are obligated.

"(2) The acquisition, offering, and development of only such equipment, facilities, and services as may