District of Columbia Administrative Code

4030 [REPEALED] SOURCE: Final Rulemaking published at 29 DCR 5569 (December 17, 1982), enacting Proposed Rulemaking published at 29 DCR 4742 (October 29, 1982); as amended by Final Rulemaking published at 61 DCR 1666 (February 28, 2014). District of Columbia Municipal Regulations…

4040 [REPEALED] SOURCE: Final Rulemaking published at 29 DCR 5569 (December 17, 1982), enacting Proposed Rulemaking published at 29 DCR 4742 (October 29, 1982); as amended by Final Rulemaking published at 61 DCR 1666 (February 28, 2014). District of Columbia Municipal Regulations…

4050 [REPEALED] SOURCE: Final Rulemaking published at 30 DCR 5429 (October 21, 1983); as amended by Final Rulemaking published at 61 DCR 1666 (February 28, 2014). District of Columbia Municipal Regulations Public Health and Medicine 22-B DCMR § 4050 AUTHORITY: DC-DCMR § 22 of the…

4099 DEFINITIONS 4099.1 When used in Chapters 40 through 45 of this title, the following terms and phrases shall have the meanings ascribed: Act—the Health Services Planning Program Re-establishment Act of 1996, effective April 9, 1997 (D.C. Official Code § 44-401 et seq.). Acute…

4100 NEW HEALTH SERVICES 4100.1 Except for a new institutional health service offered solely for research, no person shall construct, develop, or otherwise establish a new institutional health service including a new health care facility, health care service, or home health or nu…

4101 NEW HEALTH SERVICES DETERMINATIONS 4101.1 A person shall request a determination from SHPDA as to whether a new technique constitutes a new institutional health service subject to review before offering any new medical technique of a highly specialized nature not appearing o…

4102 CAPITAL EXPENDITURES 4102.1 Except for a capital expenditure made solely for research, no person shall make or obligate a capital expenditure for a health service or facility before first obtaining a CON if: (a) The capital expenditure is two million five hundred thousand do…

4103 MAJOR MEDICAL EQUIPMENT 4103.1 Except for the acquisition of major medical equipment solely for research, no person or HCF shall acquire (in whole or in part) through lease, rental, donation, or any comparable arrangement, or put into operation, major medical equipment (a si…

4104 REVIEW OF PROPOSALS: BEDS 4104.1 No person shall increase, decrease, or redistribute among health service categories the bed capacity of a HCF by ten percent (10%) or ten (10) beds, whichever is less, in any two (2) year period. 4104.2 The distribution of bed types shall use…

4105 REVIEW OF PROPOSALS: NEW SERVICES 4105.1 No person shall offer an institutional health service by or through an HCF that was not offered by the same HCF on a regular basis within the twelve (12) month period before the time the service would begin without first obtaining a C…

4106 REVIEW OF PROPOSALS: RENAL DIALYSIS 4106.1 No person shall increase the number of renal dialysis stations in an HCF or health service or move stations from one HCF to another without first obtaining a CON. 4106.2 For purposes of this section, a “renal dialysis station” means…

4107 REVIEW OF PROPOSALS: CLOSURES 4107.1 No person shall permanently close a health care facility or health service, without notifying SHPDA, in writing and obtaining its approval. 4107.2 For purposes of this section, the phrase “permanently close a health care or service” means…

4108 ACQUISITIONS 4108.1 No person shall acquire an existing HCF by purchase, lease, or other arrangement to acquire effective control over a facility without first obtaining a CON. 4108.2 For purposes of this section, the phrase “acquire effective control” includes: (a) A transf…

4109 HEALTH MAINTENANCE ORGANIZATIONS 4109.1 A Health Maintenance Organization (HMO), or combination of HMOs, shall obtain a CON before undertaking any activity for which a CON is required unless it applies for and receives an exemption from SHPDA under this section. 4109.2 In it…

4110 [REPEALED] SOURCE: Final Rulemaking published at 29 DCR 5569 (December 17, 1982), enacting Proposed Rulemaking published at 29 DCR 4742 (October 29, 1982); as amended by Final Rulemaking published at 61 DCR 1666 (February 28, 2014). District of Columbia Municipal Regulations…

4111 [REPEALED] SOURCE: Final Rulemaking published at 29 DCR 5569 (December 17, 1982), enacting Proposed Rulemaking published at 29 DCR 4742 (October 29, 1982); as amended by Final Rulemaking published at 61 DCR 1666 (February 28, 2014). District of Columbia Municipal Regulations…

4112 [REPEALED] SOURCE: Final Rulemaking published at 29 DCR 5569 (December 17, 1982), enacting Proposed Rulemaking published at 29 DCR 4742 (October 29, 1982); as amended by Final Rulemaking published at 61 DCR 1666 (February 28, 2014). District of Columbia Municipal Regulations…

4113 [REPEALED] SOURCE: Final Rulemaking published at 29 DCR 5569 (December 17, 1982), enacting Proposed Rulemaking published at 29 DCR 4742 (October 29, 1982); as amended by Final Rulemaking published at 61 DCR 1666 (February 28, 2014). District of Columbia Municipal Regulations…

4114 [REPEALED] SOURCE: Final Rulemaking published at 29 DCR 5569 (December 17, 1982), enacting Proposed Rulemaking published at 29 DCR 4742 (October 29, 1982); as amended by Final Rulemaking published at 61 DCR 1666 (February 28, 2014). District of Columbia Municipal Regulations…

4115 [REPEALED] SOURCE: Final Rulemaking published at 29 DCR 5569 (December 17, 1982), enacting Proposed Rulemaking published at 29 DCR 4742 (October 29, 1982); as amended by Final Rulemaking published at 61 DCR 1666 (February 28, 2014). District of Columbia Municipal Regulations…

4116 [REPEALED] SOURCE: Final Rulemaking published at 29 DCR 5569 (December 17, 1982), enacting Proposed Rulemaking published at 29 DCR 4742 (October 29, 1982); as amended by Final Rulemaking published at 61 DCR 1666 (February 28, 2014). District of Columbia Municipal Regulations…

4117 [REPEALED] SOURCE: Final Rulemaking published at 29 DCR 5569 (December 17, 1982), enacting Proposed Rulemaking published at 29 DCR 4742 (October 29, 1982); as amended by Final Rulemaking published at 61 DCR 1666 (February 28, 2014). District of Columbia Municipal Regulations…

4118 [REPEALED] SOURCE: Final Rulemaking published at 29 DCR 5569 (December 17, 1982), enacting Proposed Rulemaking published at 29 DCR 4742 (October 29, 1982); as amended by Final Rulemaking published at 61 DCR 1666 (February 28, 2014). District of Columbia Municipal Regulations…

4119 [REPEALED] SOURCE: Final Rulemaking published at 29 DCR 5569 (December 17, 1982), enacting Proposed Rulemaking published at 29 DCR 4742 (October 29, 1982); as amended by Final Rulemaking published at 61 DCR 1666 (February 28, 2014). District of Columbia Municipal Regulations…

4120 [REPEALED] SOURCE: Final Rulemaking published at 29 DCR 5569 (December 17, 1982), enacting Proposed Rulemaking published at 29 DCR 4742 (October 29, 1982); as amended by Final Rulemaking published at 61 DCR 1666 (February 28, 2014). District of Columbia Municipal Regulations…

4121 [REPEALED] SOURCE: Final Rulemaking published at 29 DCR 5569 (December 17, 1982), enacting Proposed Rulemaking published at 29 DCR 4742 (October 29, 1982); as amended by Final Rulemaking published at 61 DCR 1666 (February 28, 2014). District of Columbia Municipal Regulations…

4199 DEFINITIONS 4199.1 The provisions of Section 4099 of this title, and the definitions set forth in that section shall apply to this chapter. SOURCE: Final Rulemaking published at 29 DCR 5569 (December 17, 1982), enacting Proposed Rulemaking published at 29 DCR 4742 (October 2…

4200 SUBMISSION OF APPLICATIONS 4200.1 An applicant shall submit an application for a CON in writing on a form prescribed by SHPDA. The form shall contain the information that SHPDA uniformly prescribes and publishes as requirements for a CON. 4200.2 An application for major medi…