Virginia Regulatory Town Hall
Virginia Department of Health
State Board of Health
Virginia's Rules and Regulations Governing Cooperative Agreements [12 VAC 5 ‑ 221]
Promulgate Regulations Governing Cooperative Agreements
Action 4439
General Information
Action Summary In order to address the unique healthcare challenges that exist in the Southwest Virginia region, the General Assembly through HB2316 of 2015, has authorized the Commissioner to approve Cooperative Agreements that are beneficial to individuals served by the Southwest Virginia Health Authority, and to actively supervise Cooperative Agreements to ensure compliance with the provisions that have been approved. The intent of this regulatory action is to promote and protect the health and safety of individuals within the Southwest Virginia Health Authority's geographic area by ensuring any Cooperative Agreements entered into by hospitals foster improvements in the quality of health care, moderate increases in health care cost, improve access to needed health care services, and promote improvements in population health status in the Southwest Virginia Health Authority's geographic area. HB2316 of 2015 mandates that this regulatory action include at a minimum provisions regarding i) the review of applications for proposed cooperative agreements; ii) the process by which applications for proposed cooperative agreements shall be approved or denied; iii) post-approval monitoring; and iv) a schedule establishing the amount of the annual fee that the Commissioner is authorized to assess from the parties to a cooperative agreement. The proposed Emergency Regulations contain provisions which meet these requirements.
Chapters Affected Only affects this chapter.
Executive Branch Review This action will go through the normal Executive Branch Review process.
RIS Project Yes  [004430]
Associated Mandates Cooperative Agreements
New Periodic Review This action will not be used to conduct a new periodic review.
Stages associated with this regulatory action.
Stage ID Stage Type Status
7332 Emergency/NOIRA Stage complete. Emergency regulation was set to expire on 07/17/2017 and was extended until 01/16/2018.
7933 Proposed Governor's office has completed its review - Next step is Submission to the Registrar.
7977 Fast-Track Stage complete. This regulation became effective on 10/20/2017.
Contact Information
Name / Title: Erik Bodin  / Director, Offfice of Licensure and Certification
Address: Virginia Department of Health
9960 Mayland Drive, Ste. 401
Richmond, VA 23233
Email Address:
Phone: (804)367-2109    FAX: ()-    TDD: ()-