(a) There is created a health facilities commission that has jurisdiction and powers relating to the licensing and regulation of healthcare facilities, as described in § 68-11-202; the certificate of need program described in part 16 of this chapter; the development of the criteria and standards to guide the commission when issuing certificates of need; conducting of studies related to health care; and related reporting of healthcare institutions subject to this chapter.
(b) (1) The commission consists of fifteen (15) members, including:(A) The comptroller of the treasury, or an employee of the office of the comptroller of the treasury, designated by the comptroller;(B) The commissioner of disability and aging, or an employee of the department of disability and aging, designated by the commissioner;(C) The director of TennCare, or an employee of the division of TennCare, designated by the director;(D) Four (4) members appointed by the speaker of the senate, to include:(i) One (1) consumer member;(ii) One (1) individual who has recent experience as an executive officer of a hospital or hospital system who may be appointed from lists of qualified persons submitted by interested hospital groups, including, but not limited to, the Tennessee Hospital Association;(iii) One (1) representative of the nursing home industry who may be appointed from lists of qualified persons submitted by interested healthcare groups, including, but not limited to, the Tennessee Health Care Association; and(iv) One (1) duly licensed physician who may be appointed from lists of qualified persons submitted by interested medical groups, including, but not limited to, the Tennessee Medical Association;(E) Four (4) members appointed by the speaker of the house of representatives, to include:(i) One (1) consumer member;(ii) One (1) individual who has recent experience as an executive officer of a hospital or hospital system who may be appointed from lists of qualified persons submitted by interested hospital groups, including, but not limited to, the Tennessee Hospital Association;(iii) One (1) representative of the nursing home industry who may be appointed from lists of qualified persons submitted by interested healthcare groups, including, but not limited to, the Tennessee Health Care Association; and(iv) One (1) duly licensed physician who may be appointed from lists of qualified persons submitted by interested medical groups, including, but not limited to, the Tennessee Medical Association; and(F) Four (4) members appointed by the governor, to include:(i) One (1) registered nurse, who may be appointed from lists of qualified persons submitted by interested groups, including, but not limited to, the Tennessee Nurses Association;(ii) One (1) representative of the home care industry who may be appointed from lists of qualified persons submitted by interested home care groups, including, but not limited to, the Tennessee Association for Home Care. The initial term for the home care industry representative is two (2) years. Upon the expiration of that term, the home care industry representative is appointed for a three-year term pursuant to subsection (c);(iii) One (1) representative of the assisted-care living facility industry who may be appointed from lists of qualified persons submitted by interested groups, including the Tennessee Center for Assisted Living, LeadingAge Tennessee, and Argentum; and(iv) One (1) representative of the ambulatory surgical treatment center industry.(2) The governor and each speaker shall consult with interested groups, including, but not limited to, the organizations listed in subdivision (b)(1) to determine qualified persons to fill positions with the commission.(3) In making appointments to the health facilities commission, the governor and the speakers shall strive to ensure that racial minorities, females, persons sixty (60) years of age and older, and the three (3) grand divisions are represented.(4) The consumer members must be persons who are knowledgeable of health needs and services and who are further knowledgeable by training or experience in healthcare facility design or construction, financing of healthcare services or construction, reimbursement of healthcare services, or general healthcare economics. The consumer members shall not be a direct provider of healthcare goods or services.
(1) The commission consists of fifteen (15) members, including:(A) The comptroller of the treasury, or an employee of the office of the comptroller of the treasury, designated by the comptroller;(B) The commissioner of disability and aging, or an employee of the department of disability and aging, designated by the commissioner;(C) The director of TennCare, or an employee of the division of TennCare, designated by the director;(D) Four (4) members appointed by the speaker of the senate, to include:(i) One (1) consumer member;(ii) One (1) individual who has recent experience as an executive officer of a hospital or hospital system who may be appointed from lists of qualified persons submitted by interested hospital groups, including, but not limited to, the Tennessee Hospital Association;(iii) One (1) representative of the nursing home industry who may be appointed from lists of qualified persons submitted by interested healthcare groups, including, but not limited to, the Tennessee Health Care Association; and(iv) One (1) duly licensed physician who may be appointed from lists of qualified persons submitted by interested medical groups, including, but not limited to, the Tennessee Medical Association;(E) Four (4) members appointed by the speaker of the house of representatives, to include:(i) One (1) consumer member;(ii) One (1) individual who has recent experience as an executive officer of a hospital or hospital system who may be appointed from lists of qualified persons submitted by interested hospital groups, including, but not limited to, the Tennessee Hospital Association;(iii) One (1) representative of the nursing home industry who may be appointed from lists of qualified persons submitted by interested healthcare groups, including, but not limited to, the Tennessee Health Care Association; and(iv) One (1) duly licensed physician who may be appointed from lists of qualified persons submitted by interested medical groups, including, but not limited to, the Tennessee Medical Association; and(F) Four (4) members appointed by the governor, to include:(i) One (1) registered nurse, who may be appointed from lists of qualified persons submitted by interested groups, including, but not limited to, the Tennessee Nurses Association;(ii) One (1) representative of the home care industry who may be appointed from lists of qualified persons submitted by interested home care groups, including, but not limited to, the Tennessee Association for Home Care. The initial term for the home care industry representative is two (2) years. Upon the expiration of that term, the home care industry representative is appointed for a three-year term pursuant to subsection (c);(iii) One (1) representative of the assisted-care living facility industry who may be appointed from lists of qualified persons submitted by interested groups, including the Tennessee Center for Assisted Living, LeadingAge Tennessee, and Argentum; and(iv) One (1) representative of the ambulatory surgical treatment center industry.
(A) The comptroller of the treasury, or an employee of the office of the comptroller of the treasury, designated by the comptroller;
(B) The commissioner of disability and aging, or an employee of the department of disability and aging, designated by the commissioner;
(C) The director of TennCare, or an employee of the division of TennCare, designated by the director;
(D) Four (4) members appointed by the speaker of the senate, to include:(i) One (1) consumer member;(ii) One (1) individual who has recent experience as an executive officer of a hospital or hospital system who may be appointed from lists of qualified persons submitted by interested hospital groups, including, but not limited to, the Tennessee Hospital Association;(iii) One (1) representative of the nursing home industry who may be appointed from lists of qualified persons submitted by interested healthcare groups, including, but not limited to, the Tennessee Health Care Association; and(iv) One (1) duly licensed physician who may be appointed from lists of qualified persons submitted by interested medical groups, including, but not limited to, the Tennessee Medical Association;
(i) One (1) consumer member;
(ii) One (1) individual who has recent experience as an executive officer of a hospital or hospital system who may be appointed from lists of qualified persons submitted by interested hospital groups, including, but not limited to, the Tennessee Hospital Association;
(iii) One (1) representative of the nursing home industry who may be appointed from lists of qualified persons submitted by interested healthcare groups, including, but not limited to, the Tennessee Health Care Association; and
(iv) One (1) duly licensed physician who may be appointed from lists of qualified persons submitted by interested medical groups, including, but not limited to, the Tennessee Medical Association;
(E) Four (4) members appointed by the speaker of the house of representatives, to include:(i) One (1) consumer member;(ii) One (1) individual who has recent experience as an executive officer of a hospital or hospital system who may be appointed from lists of qualified persons submitted by interested hospital groups, including, but not limited to, the Tennessee Hospital Association;(iii) One (1) representative of the nursing home industry who may be appointed from lists of qualified persons submitted by interested healthcare groups, including, but not limited to, the Tennessee Health Care Association; and(iv) One (1) duly licensed physician who may be appointed from lists of qualified persons submitted by interested medical groups, including, but not limited to, the Tennessee Medical Association; and
(i) One (1) consumer member;
(ii) One (1) individual who has recent experience as an executive officer of a hospital or hospital system who may be appointed from lists of qualified persons submitted by interested hospital groups, including, but not limited to, the Tennessee Hospital Association;
(iii) One (1) representative of the nursing home industry who may be appointed from lists of qualified persons submitted by interested healthcare groups, including, but not limited to, the Tennessee Health Care Association; and
(iv) One (1) duly licensed physician who may be appointed from lists of qualified persons submitted by interested medical groups, including, but not limited to, the Tennessee Medical Association; and
(F) Four (4) members appointed by the governor, to include:(i) One (1) registered nurse, who may be appointed from lists of qualified persons submitted by interested groups, including, but not limited to, the Tennessee Nurses Association;(ii) One (1) representative of the home care industry who may be appointed from lists of qualified persons submitted by interested home care groups, including, but not limited to, the Tennessee Association for Home Care. The initial term for the home care industry representative is two (2) years. Upon the expiration of that term, the home care industry representative is appointed for a three-year term pursuant to subsection (c);(iii) One (1) representative of the assisted-care living facility industry who may be appointed from lists of qualified persons submitted by interested groups, including the Tennessee Center for Assisted Living, LeadingAge Tennessee, and Argentum; and(iv) One (1) representative of the ambulatory surgical treatment center industry.
(i) One (1) registered nurse, who may be appointed from lists of qualified persons submitted by interested groups, including, but not limited to, the Tennessee Nurses Association;
(ii) One (1) representative of the home care industry who may be appointed from lists of qualified persons submitted by interested home care groups, including, but not limited to, the Tennessee Association for Home Care. The initial term for the home care industry representative is two (2) years. Upon the expiration of that term, the home care industry representative is appointed for a three-year term pursuant to subsection (c);
(iii) One (1) representative of the assisted-care living facility industry who may be appointed from lists of qualified persons submitted by interested groups, including the Tennessee Center for Assisted Living, LeadingAge Tennessee, and Argentum; and
(iv) One (1) representative of the ambulatory surgical treatment center industry.
(2) The governor and each speaker shall consult with interested groups, including, but not limited to, the organizations listed in subdivision (b)(1) to determine qualified persons to fill positions with the commission.
(3) In making appointments to the health facilities commission, the governor and the speakers shall strive to ensure that racial minorities, females, persons sixty (60) years of age and older, and the three (3) grand divisions are represented.
(4) The consumer members must be persons who are knowledgeable of health needs and services and who are further knowledgeable by training or experience in healthcare facility design or construction, financing of healthcare services or construction, reimbursement of healthcare services, or general healthcare economics. The consumer members shall not be a direct provider of healthcare goods or services.
(c) (1) A member of the commission shall not serve beyond the expiration of the member's term, whether or not a successor has been appointed by the governor or the speakers of the senate and the house of representatives.(2) (A) Except as otherwise provided in subdivisions (c)(2)(B) and (C), commission members are appointed for three-year terms. A commission member may serve consecutive terms, and there is no limit upon the number of consecutive or non-consecutive terms that a member may serve.(B) The comptroller of the treasury, the commissioner of disability and aging, and the director of TennCare, or their respective designees, are not limited to a term of years.(C) In order to stagger the initial terms of the consumer members of the commission, the following initial terms apply:(i) The initial term for the consumer member appointed pursuant to subdivision (b)(1)(D)(i) is three (3) years; and(ii) The initial term for the consumer member appointed pursuant to subdivision (b)(1)(E)(i) is two (2) years.(3) If a member is absent from three (3) consecutive, regularly scheduled public meetings of the commission, then the individual's membership is automatically terminated, and the position is considered vacant.
(1) A member of the commission shall not serve beyond the expiration of the member's term, whether or not a successor has been appointed by the governor or the speakers of the senate and the house of representatives.
(2) (A) Except as otherwise provided in subdivisions (c)(2)(B) and (C), commission members are appointed for three-year terms. A commission member may serve consecutive terms, and there is no limit upon the number of consecutive or non-consecutive terms that a member may serve.(B) The comptroller of the treasury, the commissioner of disability and aging, and the director of TennCare, or their respective designees, are not limited to a term of years.(C) In order to stagger the initial terms of the consumer members of the commission, the following initial terms apply:(i) The initial term for the consumer member appointed pursuant to subdivision (b)(1)(D)(i) is three (3) years; and(ii) The initial term for the consumer member appointed pursuant to subdivision (b)(1)(E)(i) is two (2) years.
(A) Except as otherwise provided in subdivisions (c)(2)(B) and (C), commission members are appointed for three-year terms. A commission member may serve consecutive terms, and there is no limit upon the number of consecutive or non-consecutive terms that a member may serve.
(B) The comptroller of the treasury, the commissioner of disability and aging, and the director of TennCare, or their respective designees, are not limited to a term of years.
(C) In order to stagger the initial terms of the consumer members of the commission, the following initial terms apply:(i) The initial term for the consumer member appointed pursuant to subdivision (b)(1)(D)(i) is three (3) years; and(ii) The initial term for the consumer member appointed pursuant to subdivision (b)(1)(E)(i) is two (2) years.
(i) The initial term for the consumer member appointed pursuant to subdivision (b)(1)(D)(i) is three (3) years; and
(ii) The initial term for the consumer member appointed pursuant to subdivision (b)(1)(E)(i) is two (2) years.
(3) If a member is absent from three (3) consecutive, regularly scheduled public meetings of the commission, then the individual's membership is automatically terminated, and the position is considered vacant.
(d) (1) Each member of the commission shall be reimbursed for all travel and other necessary expenses.(2) Expenditures must be claimed and paid in accordance with the comprehensive travel regulations as promulgated by the department of finance and administration, and approved by the attorney general and reporter.
(1) Each member of the commission shall be reimbursed for all travel and other necessary expenses.
(2) Expenditures must be claimed and paid in accordance with the comprehensive travel regulations as promulgated by the department of finance and administration, and approved by the attorney general and reporter.
(e) (1) At the first meeting in each even-numbered year, the commission shall elect officers. The chair of the commission must be a consumer member to serve a term as chair for two (2) years. A member shall not serve more than two (2) consecutive terms as chair. A member of the commission may serve as vice chair, which is a term of two (2) years. A member shall not serve more than two (2) consecutive terms as vice chair.(2) Meetings of the commission must be held as frequently as its duties may require, and no less frequently than eight (8) times each fiscal year.(3) A majority of appointed members, not including vacant positions, constitutes a quorum.(4) (A) An action of the commission is not effective unless the action is concurred in by a majority of commission members present and voting.(B) (i) For purposes of contested case hearings and disciplinary matters other than a suspension or revocation, five (5) or more members constitute a quorum, and the commission chairperson is authorized, when it is deemed necessary, to split the commission into panels of five (5) or more members each to conduct contested case hearings or disciplinary matters. A majority vote of the members present on a duly constituted disciplinary panel is required to authorize commission action in disciplinary matters and contested case hearings.(ii) Any matter where summary suspension of a license is sought must be heard by a panel of seven (7) or more members. A majority vote of the members present is required to authorize the summary suspension of a license.(iii) A license revocation must be heard by a majority of appointed members of the commission, not including vacant positions. A majority vote of the members present is required to authorize the revocation of a license.(iv) The decision of a disciplinary panel is a final order.(v) Either party to a contested case hearing or disciplinary matter heard by a disciplinary panel may appeal the panel's decision consistent with the Uniform Administrative Procedures Act, compiled in title 4, chapter 5.(vi) A disciplinary panel may be convened electronically, in accordance with § 8-44-108.(5) The chair may only vote if there is a tie among the other members present and voting.(6) The commission shall record by name the votes taken on all actions of the commission.(7) (A) All commission members shall annually review and sign a statement acknowledging the statute, rules, and policies concerning conflicts of interest.(B) (i) Except as provided in subdivision (e)(7)(B)(ii), a member or employee of the commission, upon determining that a matter scheduled for consideration by the commission results in a conflict with a direct interest, shall immediately notify the executive director and is recused from any deliberation of the matter, making any recommendation, testifying concerning the matter, or voting on the matter. The member or employee shall join the public during the proceedings.(ii) Notwithstanding subdivision (e)(7)(B)(i), a member or employee of the commission may participate in the commission's action on a matter if the member or employee of the commission publicly acknowledges such interest, when the member or employee of the commission, or a relative of the commission member or employee:(a) Is employed by or owns or controls an interest of less than five percent (5%) in the persons involved in a matter before the commission;(b) Did not participate in the matter for persons involved in a matter before the commission; and(c) Is not an officer, director, trustee, partner, or similar position of the persons involved in a matter before the commission.(iii) A member or employee of the commission with an indirect interest shall publicly acknowledge such interest, unless the member is recused from deliberation on, making a recommendation regarding, testifying concerning, or voting on the matter.
(1) At the first meeting in each even-numbered year, the commission shall elect officers. The chair of the commission must be a consumer member to serve a term as chair for two (2) years. A member shall not serve more than two (2) consecutive terms as chair. A member of the commission may serve as vice chair, which is a term of two (2) years. A member shall not serve more than two (2) consecutive terms as vice chair.
(2) Meetings of the commission must be held as frequently as its duties may require, and no less frequently than eight (8) times each fiscal year.
(3) A majority of appointed members, not including vacant positions, constitutes a quorum.
(4) (A) An action of the commission is not effective unless the action is concurred in by a majority of commission members present and voting.(B) (i) For purposes of contested case hearings and disciplinary matters other than a suspension or revocation, five (5) or more members constitute a quorum, and the commission chairperson is authorized, when it is deemed necessary, to split the commission into panels of five (5) or more members each to conduct contested case hearings or disciplinary matters. A majority vote of the members present on a duly constituted disciplinary panel is required to authorize commission action in disciplinary matters and contested case hearings.(ii) Any matter where summary suspension of a license is sought must be heard by a panel of seven (7) or more members. A majority vote of the members present is required to authorize the summary suspension of a license.(iii) A license revocation must be heard by a majority of appointed members of the commission, not including vacant positions. A majority vote of the members present is required to authorize the revocation of a license.(iv) The decision of a disciplinary panel is a final order.(v) Either party to a contested case hearing or disciplinary matter heard by a disciplinary panel may appeal the panel's decision consistent with the Uniform Administrative Procedures Act, compiled in title 4, chapter 5.(vi) A disciplinary panel may be convened electronically, in accordance with § 8-44-108.
(A) An action of the commission is not effective unless the action is concurred in by a majority of commission members present and voting.
(B) (i) For purposes of contested case hearings and disciplinary matters other than a suspension or revocation, five (5) or more members constitute a quorum, and the commission chairperson is authorized, when it is deemed necessary, to split the commission into panels of five (5) or more members each to conduct contested case hearings or disciplinary matters. A majority vote of the members present on a duly constituted disciplinary panel is required to authorize commission action in disciplinary matters and contested case hearings.(ii) Any matter where summary suspension of a license is sought must be heard by a panel of seven (7) or more members. A majority vote of the members present is required to authorize the summary suspension of a license.(iii) A license revocation must be heard by a majority of appointed members of the commission, not including vacant positions. A majority vote of the members present is required to authorize the revocation of a license.(iv) The decision of a disciplinary panel is a final order.(v) Either party to a contested case hearing or disciplinary matter heard by a disciplinary panel may appeal the panel's decision consistent with the Uniform Administrative Procedures Act, compiled in title 4, chapter 5.(vi) A disciplinary panel may be convened electronically, in accordance with § 8-44-108.
(i) For purposes of contested case hearings and disciplinary matters other than a suspension or revocation, five (5) or more members constitute a quorum, and the commission chairperson is authorized, when it is deemed necessary, to split the commission into panels of five (5) or more members each to conduct contested case hearings or disciplinary matters. A majority vote of the members present on a duly constituted disciplinary panel is required to authorize commission action in disciplinary matters and contested case hearings.
(ii) Any matter where summary suspension of a license is sought must be heard by a panel of seven (7) or more members. A majority vote of the members present is required to authorize the summary suspension of a license.
(iii) A license revocation must be heard by a majority of appointed members of the commission, not including vacant positions. A majority vote of the members present is required to authorize the revocation of a license.
(iv) The decision of a disciplinary panel is a final order.
(v) Either party to a contested case hearing or disciplinary matter heard by a disciplinary panel may appeal the panel's decision consistent with the Uniform Administrative Procedures Act, compiled in title 4, chapter 5.
(vi) A disciplinary panel may be convened electronically, in accordance with § 8-44-108.
(5) The chair may only vote if there is a tie among the other members present and voting.
(6) The commission shall record by name the votes taken on all actions of the commission.
(7) (A) All commission members shall annually review and sign a statement acknowledging the statute, rules, and policies concerning conflicts of interest.(B) (i) Except as provided in subdivision (e)(7)(B)(ii), a member or employee of the commission, upon determining that a matter scheduled for consideration by the commission results in a conflict with a direct interest, shall immediately notify the executive director and is recused from any deliberation of the matter, making any recommendation, testifying concerning the matter, or voting on the matter. The member or employee shall join the public during the proceedings.(ii) Notwithstanding subdivision (e)(7)(B)(i), a member or employee of the commission may participate in the commission's action on a matter if the member or employee of the commission publicly acknowledges such interest, when the member or employee of the commission, or a relative of the commission member or employee:(a) Is employed by or owns or controls an interest of less than five percent (5%) in the persons involved in a matter before the commission;(b) Did not participate in the matter for persons involved in a matter before the commission; and(c) Is not an officer, director, trustee, partner, or similar position of the persons involved in a matter before the commission.(iii) A member or employee of the commission with an indirect interest shall publicly acknowledge such interest, unless the member is recused from deliberation on, making a recommendation regarding, testifying concerning, or voting on the matter.
(A) All commission members shall annually review and sign a statement acknowledging the statute, rules, and policies concerning conflicts of interest.
(B) (i) Except as provided in subdivision (e)(7)(B)(ii), a member or employee of the commission, upon determining that a matter scheduled for consideration by the commission results in a conflict with a direct interest, shall immediately notify the executive director and is recused from any deliberation of the matter, making any recommendation, testifying concerning the matter, or voting on the matter. The member or employee shall join the public during the proceedings.(ii) Notwithstanding subdivision (e)(7)(B)(i), a member or employee of the commission may participate in the commission's action on a matter if the member or employee of the commission publicly acknowledges such interest, when the member or employee of the commission, or a relative of the commission member or employee:(a) Is employed by or owns or controls an interest of less than five percent (5%) in the persons involved in a matter before the commission;(b) Did not participate in the matter for persons involved in a matter before the commission; and(c) Is not an officer, director, trustee, partner, or similar position of the persons involved in a matter before the commission.(iii) A member or employee of the commission with an indirect interest shall publicly acknowledge such interest, unless the member is recused from deliberation on, making a recommendation regarding, testifying concerning, or voting on the matter.
(i) Except as provided in subdivision (e)(7)(B)(ii), a member or employee of the commission, upon determining that a matter scheduled for consideration by the commission results in a conflict with a direct interest, shall immediately notify the executive director and is recused from any deliberation of the matter, making any recommendation, testifying concerning the matter, or voting on the matter. The member or employee shall join the public during the proceedings.
(ii) Notwithstanding subdivision (e)(7)(B)(i), a member or employee of the commission may participate in the commission's action on a matter if the member or employee of the commission publicly acknowledges such interest, when the member or employee of the commission, or a relative of the commission member or employee:(a) Is employed by or owns or controls an interest of less than five percent (5%) in the persons involved in a matter before the commission;(b) Did not participate in the matter for persons involved in a matter before the commission; and(c) Is not an officer, director, trustee, partner, or similar position of the persons involved in a matter before the commission.
(a) Is employed by or owns or controls an interest of less than five percent (5%) in the persons involved in a matter before the commission;
(b) Did not participate in the matter for persons involved in a matter before the commission; and
(c) Is not an officer, director, trustee, partner, or similar position of the persons involved in a matter before the commission.
(iii) A member or employee of the commission with an indirect interest shall publicly acknowledge such interest, unless the member is recused from deliberation on, making a recommendation regarding, testifying concerning, or voting on the matter.
(f) In addition to the powers granted elsewhere in this part, the commission has the duty and responsibility to:(1) Promulgate rules and policies deemed necessary by the commission for the fulfillment of its duties and responsibilities under this part;(2) Promulgate rules and policies deemed necessary by the commission for the fulfillment of its duties and responsibilities under part 16 of this chapter, including, but not limited to, criteria to guide the commission in the issuance of certificates of need;(3) Conduct studies related to health care, including a needs assessment that must be updated at least annually; and(4) Contract when necessary for the development of criteria and standards to guide the commission when issuing certificates of need and for the implementation of the certificate of need program described in this part.
(1) Promulgate rules and policies deemed necessary by the commission for the fulfillment of its duties and responsibilities under this part;
(2) Promulgate rules and policies deemed necessary by the commission for the fulfillment of its duties and responsibilities under part 16 of this chapter, including, but not limited to, criteria to guide the commission in the issuance of certificates of need;
(3) Conduct studies related to health care, including a needs assessment that must be updated at least annually; and
(4) Contract when necessary for the development of criteria and standards to guide the commission when issuing certificates of need and for the implementation of the certificate of need program described in this part.