%PDF-1.3
%
2 0 obj
<>
endobj
12 0 obj
<>stream
2020-01-02T10:08:04-06:00
Canon
2020-01-02T10:08:04-06:00
2020-01-02T10:08:04-06:00
uuid:7e931901-6f43-4ecf-b0e8-4ba0d3f057ce
uuid:e87c2ea7-a231-465b-890c-7a561234abb6
application/pdf
endstream
endobj
3 0 obj
<>
endobj
11 0 obj
<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/Subtype 7 0 R/XObject<>>>/Type/Page>>
endobj
7 0 obj
<>stream
STATE HEALTH PLANNING AND DEVELOPMENT AGENCY1OO NORTH UNION STREET, SUITE 870MONTGOMERY ALABAMA 361 04
MEMORANDUM
DATE: December 31,2019
Interested Parties
TO
6Y't'
FROM: Emily T. Marsal
Executive Director
RE:
NOTICE
On January 15,2020, the Certificate of Need Review Board (CONRB) will receive an updatefrom representatives of the Alabama Hospital Association (AlaHA) and the Medical Associationof the State of Alabama (MASA) regarding the status of their discussions on behalf of non-reviewability determinations under the so-called "Physician's Office Exemption" for certaininterventional and therapeutic procedures, including those concerns identified in the September),6,2019 letter to SHPDA from AIaHA and addressed in the October 21,2019 response fromMASA.
AIaHA and MASA shall provide SHPDA with the names of representatives or other speakersthey anticipate participating in the session on or before 5:00 p.m. on January 10,2020 at
shpda. online@shpda. alabama. sov in PDF format.
Any other interested parties that wish to be
heard at the session should noti$r SHPDA at shpda.online@shpda.alabama.gov by January 10,2020 at 5:00 p.m. in the same format. The CONRB reserves the right to issue a funher noticeplacing time limitations on individual presentations.The CONRB meeting will begin at 10:00 a.m. on January 15,2020 in the auditorium at the StateCapitol Montgomery, Alabama, (Union Street entrance). The AIaHA and MASA update willoccur at the end ofthe agenda.Should you have any questions, please contact the SHPDA office at (334) 242-4103.
MAILING ADDRESS: P.O. BOX 303025, MONTGOMERY ALABAMA 36130-3025PHONE: 1334) 242-4103 FAX: (334) 242-4113
endstream
endobj
4 0 obj
<>/Filter/CCITTFaxDecode/Height 3300/Length 43312/Name/Obj4/Subtype/Image/Type/XObject/Width 2550>>stream
)i`%8ds0GDp<gs#);D4\Ȏ;? [(dq尦2Q-A)<(" pMp@.`۠[
.vG DaЈ<9pDY ( FNAeV @fk@x`xI
AiI7K@ؑւA6@P|&y3iA]Qt0)YAP"ݝUA ~xg!gCIG8IԒGdrSS\Z dbAAP␂#ބAtDRA6kRI5]&e5ġ$ED; aqS)WH%ztI]KgMp:[u:Ai,H4GIM-R0¶kPEE:he5Jd"Hrehe5R@AXv">)AP"9"I
) Bb:0$즸=gAl"Dtʡ)UB6AeSm af;I
*A$%h$@onA3GmaׯЄD&Q0ޒVB-ʟA$vzJm?$!mkRč":.ݻ\]U$Q
.#l =A;e5Ȫ("]mYMtuI,=ZK%B,lPR3M^FcH,L6|&]?YGCK$EP=fk}-t"?O F euG[Q?hc宣! H #n_S&]GN#Z!:#k>!)~${$!k{rhcN h|?No;#Kװe" mk"?w'B"9kݒh
FEz'E:^EY}th$}_+"bT"BD}g!"CZ)${e("5_J(OuҎZ{dĊI*>&7˕UR{1-Ii}/۾SWo:"fRxAgsIonءd+_:xU{٩pƲtZ]B
~)*K?t-nP=
#W6ݔ$0iPK;mljLIvm*%Z+m;oqAQ"ua+fGPHI-Vi"%A!
^mB(jFӱBhA&JeZeP9#ShH$$teyĺIKVbCGH6GRNa0A)R$l0AISb2BI2a RIoa#aeYTjSAE8a#T e\*(q.{g1@΄[{ca$J
D|0 A1}P
#&B8sΓ" ?^Ӧ_Use3Km@!$~AACIm+JpvS]-ʚwDTH$٦@ m>);I-0A%Q!! Ka 0Kl0ODH XawlH,6aT[0.A`uAa l2I$a$X F& !bq# $⠰a*c``e@1!89W.\?@aZ;TJQm-JPrc?zYk#Z"ULaNӇmrDJYP)E(AiÇwYȑF":7"ʶFaD@T{ozZS>;kErfL@.FI bӿZ!=<Ry0?Ma>OOtN@xA䩾A7ޓM
#z1&;}in[|A
x_ݫԘI^$q;[vOl99C9"0B?&LWZC8ID!hGv{{~_ko_&=d$;ջ_KI1U6VoZW{~O^W_kk}{J~K.
ą"}+(Ҕ?_w7G>^_}/`BQ߫_;^]78ˣG68V ^߷w
G'Ux^uoaE{H
oRc_-aW$%]~H]Km]_~_k߮ |-}~߾
| y!'
K s~{~MPζ{~/{.,[{z[^]z_䓷_vw{dsC`[K~+ۿwK!*~=Hg~~'W" q^]-ӷ_I{~2~^@ղBGD=J_OTT)kWbWZ]~4ݐL{{;Ku.GC^!5iozᅻeh'pB$
Ap"?"ǥ{2nx2Be9s(\aV![ݢ!j{^D"$pYUA H%" "|0!@h(-3˲8a`PgFa#8ȇ@ΤHaf=.D&C7&]A}'au
AǢ'W^~ߺ=U_]]K[]^n]Z_wY/o_ﶻ_30Ib+Iݰ$ |w1Mo5kk0*kᄘ0KiWM0pӃحރ[AQ[Xa88eLpDhDa4 Ј0B""""a0GDF)5ҮvT!!3`mHD
)3Pq PQ)2fa.|44kki5MUj
t"l OVT"-pMȣH"< Ӻ{>X?@(&A{TLv]'KcnuoX{K&~ccƽIIK_I_^To_i+6F_~&:K-m^C?k}[^_W^']WpOW^_}{+zM˧w(:o!ʢ
kkŇЌt/ޝ_2tO_[O_[_u0_]}\?tk":]z?^ҽZoIokV֘i{v{kװ0]yxcc+l%V%HN\U֭l%U0=ӵӆCu28BCB"""">k|4
ЈЈpq*Eq ЈcY
?&[,#S !&
f@Ô:r8S(L0A
YnVAp0dH
0l@h0&EA>&"sknMmmkj{}:[z0avM}uZߧ;}Gmz_T_/og_^i___RW%oo}]MW~{_~ms7_OO_~ﭥz[im:^jVi+iݾ`K'MM B A"!3Ab"pa46M
t9DqQe[d`sACs9Nw 9Xw(s0WN ёA`\4dR
j
D<;pa[I Ș_;"S$p]Zn|>xAmIέ[ַoI[ݻտ}znX
e:
HSd2_v;ma
AASavE
]4laU/_nixŤ]*NӃL<2P|uZ\&B Uuz7zl]//$G}?,G}_oᑺ_oIߋ~K/ioH솿zkKiY#=++"GuפiZVi$륪[~6kk +!Fե// 1LSiE*a
$_.MZ$M ;Ai
h lBՈ@Xg@\ h4Azjr
:d(2)Q4d4Aa&""""""""""8Zia.?i-YfgT[6MAJaV@B0AҰa?'PA];yG`]$=nJ꿯߯꿮8hBƂ}Rn$X.tm'|`ħ6S#uJ5WOM/C_oS_]_kR1_pabձJ! >a_}/7a/zC^CA_#6~N{Si_ޓuw+w^O\4k]_caDZޙ)ui'I>.a-5X.izm&ժ qTWV@h6 @aj)0 P9J4O#&S/jX^/gkU'~
JVqR-AxC]G_K$%֩`!k, FV8[V Vt濿HI h+K(IڷRץi|/)!+]'l%UUدJ}$a}pD|4^| YW$=|,"aBUef
2ȹ
KC0A܁N뇂_pd#C@ܟm ~dS) 5tqtm+Fuqz,kMH^?33: !Dm
h'
aZ`5AOPULam{/]v_5V? _'?0(KOG -|mخ8Vkjt.E%?i}!j\i|5"^,a}߭v_uKvD[^?߄~_
u_{yBۤKm}?m_]{KK[TN?*wuaSJ-*_ia$t5M4ttY:)@ l6!H ah4 TӃ iȃe8M8P"Јa C"":_YuZX`vYiBpʳPQ?- 2? eH5A]m}|":O:2@AO3a t"i!zt4L{D,4&
~
4 SM7aࡄH([F_څ68A7i:
[J}&t+F덴uRއ[Kun:m(د_G[j3:Cy/ǯmnOo!5ϲGd$z]Ic^Jҵzմ_]mu-iiwiZpdrzP+VT6* |5}=!&MBpAjBAMhi> aS 4a0AX3ɹug"!fur@$ap "$ev [D[>m@ܖH;$Gs-- ,;n}ۥoߧ'{տ}㎯8_J9!z{}Z߮@Q_Hߑ]w{]{{kD}=/oTi~ޫWl0݅A{%.m0I0b@p @i.04 """# dD)ۊ{fȎN
H` d
۰P\u0`K"Q0M8ѝPA
(paޫAM4jH'H86k<)DD6ІIJmD@%TxE@ZK;'DNn6
nPi44 ![om 6߷yJnҵzuC{{}VwV}~+メNkOT뮓߫_uUߪN_kk?W5:QJjDMS5MfJ3h3P<4W٨!~6:
t<(DUdR
pCY*ǚzMq3:*3n!ɲ:N)D`!!,)
"1ax)B@["ASCwI (L&a00Pj
pP@B xA`(A4iTaDݢ
]^߯
UEEEa
mS4]v\?S1*tMTkO_ht%iQvxkhmmѱT]kII4}oJݦA6۽$WiIҵOA0N(ֵ\3cTlHOIpe6e}&m'IH:Mos1jX%J)6l80m/}&հb{N:zqk귄Np|''INw~)&ׄK] ޯuW:M
+m['jN/[iz_ӭOwzKm7v_{HOkMǡMu'@a/Pu["\b׆WZu,YbyfWBWm-/X^'-=vk{u//__[wN??s~ւ'"qtI__otmKmA?'/oK?[}/-Kt/-t-R솒jnkvCOZ/Om7_Hw$Hݺ/KK#Wz]uV+WK}KJ;w_U_V[ZnՏ~?}۫kKkJ/n_}$C+Km+ݺm/Үim/VՆ_?moiwK{^NPi~Vm|kmZOK0տn֭aKMomuqP`WXR=}l)+m}>mL-$jhW_#Vab]#ڱLSi
uBWw {
&Jbi؊ &KXCN_a$$"=%]/bJ廉nQ0ئ &hWi{Rziի!A8⭥m$KVti!2 pU@bApp@8AA
6iajBd 4i0A!6B`J+V+bip aL&B4Lװ a008a d3Kj=
a&0L(Rn a4AA0_h0A9C:ɺ&L&aa&`a""""""""#`B!BBKDDG_UVm/,I'KЊ J A"DT0W|c,QE#*F2&
W-㵲#YF $
S=21C$FBx iVGwP`ZaB@l+aSOz3
_oȤK~FSkѡ:d!֝+i |zzI7S4A=C
ntI N邦iݥ*h='EB&8h0PPЈ`L0P0P B&ha
A/'Azi
?\:\Q7ap4]
z'ovª/!4lcDnhjݠaWSD݅L&S
UDݣ]v=a 6QxFzhjv
2tAA:7A& ?NvNhi7M +KtI:VܴA5]]A&Xe82I6t(`ɜM
&ҽ^-]Mt]&հdANh+_'II}~tu|pa?#t`'N>EJ}780AI&\: 6owjm~qO/KZۧni'N^-O_ #J'W}ҿ{K.K'{-[Ot]{OzMZOS~_uzmkۺx/U1i>;x]+a1m}-/ q^[bt拓Ç_B
GDx.x.03a/X厘rn]05ǂ/E$?{ՆB?xDDtl;"opAzJ}k/'_=J[A:=< ^"%o7~
`l6K'uA};a}__V~Jp+k$k
!Z\}%$v:I{פ9HF
~ZAW8\mJKKI/߫_moK/_{k7k}6nk__i}ko_IO֦qn_j]}oaiZ_wJKKN6KRmL/~%GJ%vaKaVՆ~!{}[]K⽏wc+!CCUm'J5IX)m-]n؊M>#^ ZM ըui0ҥRMu+7ӎ"JץNبa&*ؘui a4i0j(MM<
90A@aP tLL04)h ڦ
0@M
$چI!
چAA #*B:00@
qQLSA¦a6i
ޓ &5ni+i|*aaUqA0AQ ڊh N%i<5TAIaWRcUA aCG!!DA#$B=PaVC e$ i8`@ DCGX0A""B"8Ј"""#kki~ K4mᑴA"JXA"̅,h"Htd23l SӰPɲ@i D
9,Is `(EE`(-ŦӆTk~Mn¡CP1mPIMR{m&=tVNлVAWt;G]?㎭VQ=ZmU'[__zWuUׯ][wmu^y4DE_ު[Jў-GDA̐PƳ\SHͤdXR@{3Pq>mc8B@8)|!umӯ/I}}7M> i}J|R~o/Iu߮m+Iտߥ7];
'~ˮ{>o\7ـ}>ֻooxk!b1B{_ |WW6XxO
bz#?x/#[X
"CЉܫ_ǂƗw_"Mawa0״xD'&$çznxAl7K/ֵ/ihBnb? _>o
7_^M}]Ia ׆߿m
z_o
1K/o$n AnGo
oץOO?Ka~ښ<۫~z}~_z0] w_m+n_+үlK-nKaڗ_~_j\0ڗ[v[^m>(kiiyᅵv:Z_
HRktT&a5]\ kiZlSwMǫ^i1>$VIGI5K]VT0W|G
&"#{t;bkƝ($A4AqM2ua(`A8AMAt lPD@`@aRR%baӻ$v!L0za4# qA
dG@d( nmESM4( 8$5
*bkAL4M6]Obt`L* a )Aa6Aw& ~
L(L&(APLCT
UʀB'0A`Db"[VR&Ma42 i` 0DDh!""jB"(Ȉ""#N$ZZ[i&L00Km(+m
0`eID!'#q\mțɱj;%<4v212d5L2&i0RϘMtچ;LM0PPPPM#-
84ѡPUUB
~#u8pth7N2a]pm&OㆇIzo飲Lzv)Hrdҭ]&șOI_dS8?m~N+KkhISF1aQHyI+53Z9k39hS"Qd4jfz5FG