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Bill

SB 404

Certificate of public need; hospitals licensed by DBHDS psychiatric beds.

2025 Regular Session Introduced by Tara Durant

SB 404 modifies Virginia's Certificate of Public Need requirements for psychiatric beds in hospitals, potentially streamlining regulatory approval for mental health bed expansion.

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Bill Summary · SB 404

Legislative bill overview

SB 404 modifies Virginia's Certificate of Public Need (COPN) requirements for psychiatric beds in hospitals licensed by the Department of Behavioral Health and Developmental Services. The bill streamlines or adjusts the regulatory approval process that hospitals must navigate to establish or expand psychiatric bed capacity.

Why is this important

Virginia's COPN process is designed to control healthcare facility expansion and manage costs, but it can delay access to mental health services during a period of increased demand. This bill directly affects the availability of psychiatric inpatient care, a critical healthcare resource, and influences which healthcare facilities can expand mental health services.

Potential points of contention

  • Regulatory oversight vs. market flexibility: Adjusting COPN requirements may increase psychiatric bed capacity but raises questions about whether reduced oversight protects public health or simply reduces bureaucratic barriers
  • Cost control mechanisms: COPN historically aims to contain healthcare costs; removing or modifying requirements could increase capital spending without guaranteed accessibility improvements
  • Equity in facility access: Changes may benefit well-resourced hospitals over smaller or rural facilities, potentially widening healthcare disparities

Compiled from official sources — confirm details with the bill’s official record.

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