Virginia Regulatory Town Hall
Virginia Department of Health
State Board of Health
Regulations for the Licensure of Hospitals in Virginia [12 VAC 5 ‑ 410]
Update the Regulations to reflect a CMS issued final rule enabling hospitals that are part of a hospital system to have a unified integrated medical staff
Action 4484
General Information
Action Summary The State Board of Health (Board) proposes to amend 12VAC5-410 et. seq. Regulations for the Licensure of Hospitals in Virginia to reflect changes to federal regulations. The Center for Medicare and Medicaid Services (CMS) revised 42 C.F.R. § 482.22 (b) in 2014 to add § 482.22 (b)(4) which permits a hospital that is part of a hospital system consisting of multiple, separately certificated hospitals to participate in a unified, integrated medical staff that the hospital system utilizes for two or more of its member hospitals, in accordance with state law. The Regulations for the Licensure of Hospitals in Virginia is currently written in a manner that can be interpreted to be more restrictive than the federal regulations. This was not the intent and therefore this regulatory action will amend the regulations to remove restrictions that may be interpreted to be more stringent than federal law.
Chapters Affected Only affects this chapter.
Executive Branch Review This action will go through the normal Executive Branch Review process.
RIS Project Yes  [004521]
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
7401 Fast-Track Stage complete. This regulation became effective on 04/22/2016.
Contact Information
Name / Title: Rebekah E. Allen  / Sr. Policy Analyst
Address: Virginia Department of Health
9960 Mayland Drive, Ste. 401
Richmond, VA 23233
Email Address:
Phone: (804)367-2102    FAX: (804)527-4502    TDD: ()-

This person is the primary contact for this chapter.