Certificate of public need program; phased elimination.

Certificate of public need program; phased elimination. Creates a three-phase process to eliminate the certificate of public need requirements for many categories of medical care facilities and projects, with elimination of the requirement for a certificate of public need (i) for all medical care facilities other than nursing homes or specialized centers or clinics or that portion of a physician's office developed for the provision of outpatient or ambulatory surgery, cardiac catheterization, computed tomographic (CT) scanning, magnetic resonance imaging (MRI), positron emission tomographic (PET) scanning, radiation therapy, certain stereotactic radiotherapy, or proton beam therapy effective July 1, 2025; (ii) for all such services as described in clause (i) at any existing medical care facility other than nursing homes or specialized centers or clinics or that portion of a physician's office developed for the provision of outpatient or ambulatory surgery, cardiac catheterization, computed tomographic (CT) scanning, magnetic resonance imaging (MRI), positron emission tomographic (PET) scanning, radiation therapy, certain stereotactic radiotherapy, or proton beam therapy located outside of a metropolitan statistical area or in a rural census tract within a metropolitan statistical area effective July 1, 2026; and (iii) for all medical care facilities effective July 1, 2027.