D.C. Municipal Regulations (Last Updated: September 13, 2017) |
Title 22. HEALTH |
SubTilte 22-B. PUBLIC HEALTH AND MEDICINE |
Chapter 22-B42. APPLICATION FOR CERTIFICATE OF NEED REVIEW |
Section 22-B4203. SUBSTANTIAL MODIFICATION OF APPLICATION
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4203.1When an applicant proposes a substantial modification of a CON application the applicant may be required to withdraw the original application and submit a new application reflecting the modifications.
4203.2The new application constitutes a wholly separate application and is subject to all elements of the review process, including submission of a Letter of Intent for the new application. SHPDA shall waive the sixty (60) day waiting period following the submission of a Letter of Intent for the submission of a new application when the application results from substantial modification of an original application.
4203.3For purposes of this section, the term "substantial modification" includes:
(a) A change in the location of the facility to a different Advisory Neighborhood Commission, service, or the type of facility or service;
(b) A change in the proposed capital expenditure budget of thirty percent (30%) or more;
(c)A change increasing or decreasing patient load or units of service by forty percent (40%) or more from the capacity originally proposed; or
(e) A change in the ownership or effective control of the entity seeking to obtain a CON that, if the entity already held a valid CON, would cause the revocation of the CON under Section 4009 of this title.