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Virginia Administrative Code
Title 12. Health
Agency 5. Department of Health
Chapter 410. Regulations for the Licensure of Hospitals in Virginia
6/4/2026

12VAC5-410-130.  Surrender of license; mid-term change of license.

A. Upon revocation or suspension of a license, the hospital shall surrender its license to the OLC.

B. The hospital shall notify the director of the OLC in writing by submitting a mid-term change application no fewer than 30 calendar days in advance of implementing any of the following:

1. Change of location of the hospital, including change of location of any emergency department, not located on the hospital's campus;

2. Change of ownership of the hospital;

3. Change of operator of the hospital;

4. Change of name of the hospital;

5. Change of bed capacity, except as provided in 12VAC5-410-110 C, which shall be accompanied by an approved Certificate of Public Need if the requested change is for an increase in bed capacity;

6. Change of services being provided, including any proposed addition or discontinuation, regardless of whether licensure is required for the service; or

7. Closure of the hospital.

C. The OLC shall:

1. Consider the submission date of a mid-term change application to be the date it is postmarked or the date it is received, whichever is earlier; and

2. Notify the licensee in writing if the commissioner will issue a changed license.

D. The commissioner's issuance of a changed license to the hospital shall satisfy the requirements of subdivision C 2 of this section.

E. Upon receipt of the changed license, the licensee shall return its prior license issued by the commissioner to the OLC and destroy any copies of the prior license.

F. A license may not be transferred or assigned. The commissioner may not issue a changed license in response to a change of operator of the hospital, but shall instead require the hospital to obtain a new license. If the hospital intends to implement a change of operator, it shall:

1. File for a new license in accordance with 12VAC5-410-70 no fewer than 30 calendar days in advance of any change of operator; and

2. Upon receipt of the new license, surrender its prior license issued by the commissioner to the OLC and destroy any copies of the prior license.

G. If the hospital is closing or will otherwise no longer be operational, it shall:

1. Notify patients, legal representatives, and the OLC no fewer than seven calendar days prior to closing or ceasing operations where all clinical records are to be located following closure or cessation of operations; and

2. Surrender its license to the OLC and destroy all copies of its license no more than five calendar days after the hospital closes or ceases operations.

H. The OLC shall determine if any changes listed in subsection B of this section affect the terms of the license or the continuing eligibility for a license. An inspector may inspect the hospital during the process of evaluating a proposed change.

Statutory Authority

§§ 32.1-12, 32.1-127, and 32.1-132 of the Code of Virginia.

Historical Notes

Derived from VR355-33-500 § 1.13, eff. July 28, 1993; amended, Virginia Register Volume 11, Issue 8, eff. April 1, 1995; Volume 11, Issue 16, eff. June 1, 1995; Volume 23, Issue 10, eff. March 1, 2007; Volume 35, Issue 24, eff. August 23, 2019; Volume 42, Issue 18, eff. June 4, 2026.

Website addresses provided in the Virginia Administrative Code to documents incorporated by reference are for the reader's convenience only, may not necessarily be active or current, and should not be relied upon. To ensure the information incorporated by reference is accurate, the reader is encouraged to use the source document described in the regulation.

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