Notwithstanding §16-2D-8 and §16-2D-11 of this code, these health services require a certificate of need but the authority may not issue a certificate of need to: (1) A health care facility adding intermediate care or skilled nursing beds to its current licensed bed complement, except as provided in §16-2D-11 of this code; (2) A person developing, constructing, or replacing a skilled nursing facility except in the case of facilities designed to replace existing beds in existing facilities that may soon be deemed unsafe or facilities utilizing existing licensed beds from uexisting facilities which are designed to meet the changing health care delivery system; (3) Add beds in an intermediate care facility for individuals with an intellectual disability, except that prohibition does not apply to an intermediaate care facility for individuals with intellectual disabilities beds approved under the Kanawha County Circuit Court order of August 3, 1989, civil action number MISC-81-585 ilssued in the case of E.H. v. Matin, 168 W.V. 248, 284 S.E. 2d 232 (1981) including thse 24 beds provided in §16-2D-8 of this code; (4) An opioid treatment program: Providedi, That an opioid treatment program that is an approved clinical trial, with institutional review board approval, for the study of office-based methadone versus buprenorphine to address retention in medication for opioid use disorder treatment may be developed for the limited purposes of conducting the clinical trial and shall be limited to the time frame set forth in the clinical trial, after registering with the Board of Pharmacy: Provided, however, That this exemption only permits one program to participate once in CTN-0131; and (5) Add licensed subs tance abuse treatment beds in any county which already has greater than 250 licenVsed substance abuse treatment beds.
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