Modifies provisions relating to long-term care facilities

This bill requires new long-term care facilities (like nursing homes or assisted living centers) to obtain state approval - called a "certificate of need" - before opening or expanding services. It directly affects developers, hospitals, and health care providers seeking to start new facilities or add services, while exempting state-operated facilities and existing ownership transfers. Key provisions include a $1,000 application fee (or 0.1% of project cost), mandatory reporting during construction, and prohibitions on denying approvals based on abortion services. The bill also exempts certain expansions, academic research equipment, and facilities shifting care levels without new approvals.