West Virginia hospitals to acquire imaging scanners and establish micro-hospitals

On March 18, 2025, the West Virginia State Legislature introduced House Bill 3487, a significant piece of legislation aimed at addressing healthcare accessibility in the state. The bill proposes an exemption for small format or micro-hospitals from the certificate of need (CON) review process, which is typically required for healthcare facilities to expand or establish new services. This legislative move is designed to facilitate the acquisition and establishment of smaller healthcare facilities, thereby increasing care capacity in underserved areas.

The key provisions of House Bill 3487 allow hospitals with existing licenses in West Virginia to construct or develop micro-hospitals that can include up to 25 inpatient beds and emergency room beds, along with essential diagnostic services such as computed tomography (CT) and magnetic resonance imaging (MRI) scanners. The total cost for establishing these facilities is capped at $100 million. By streamlining the approval process, the bill aims to enhance healthcare delivery in regions where access to medical services is limited.

The introduction of this bill has sparked notable debates among lawmakers and healthcare advocates. Proponents argue that the exemption from the CON process will expedite the establishment of necessary healthcare services, particularly in rural areas where traditional hospitals may be too far away. They emphasize that micro-hospitals can provide critical care without compromising the operational status of existing critical access hospitals.

However, opposition has emerged from various stakeholders concerned about the potential oversaturation of healthcare facilities and the implications for existing hospitals. Critics argue that bypassing the CON review could lead to unnecessary competition, potentially undermining the financial stability of established hospitals. They also raise concerns about the quality of care and whether smaller facilities can adequately meet the healthcare needs of their communities.

The implications of House Bill 3487 extend beyond immediate healthcare access. Economically, the establishment of micro-hospitals could create jobs and stimulate local economies, particularly in rural areas. Socially, improved access to healthcare services may lead to better health outcomes for residents who previously faced barriers to care.

As the bill progresses through the legislative process, its future remains uncertain. Lawmakers will need to weigh the benefits of increased healthcare access against the potential risks to existing facilities. The outcome of this legislation could set a precedent for how healthcare services are delivered in West Virginia, influencing the landscape of medical care for years to come. The next steps will involve further discussions, potential amendments, and a vote that will ultimately determine the fate of this significant healthcare initiative.