On June 28, 2017 the Determination of Need Office issued notification that it has promulgated two new Guidelines and issued a clarification of the MCE Guideline, all three of which should be available on the DoN Website shortly. Specifically: J une 29, 2017 Update to Annual Adjustments to Determination of Need (DoN) Expenditure Minimums – updates Maximum Capital Thresholds effective October 1, 2016; Disaggregation – The purpose of this memorandum is to inform interested parties of the time period Applicants

On July 26th, Senate Majority Leader Mitch McConnell (R-KY) announced that Senate Republicans will delay a vote on the Senate’s Affordable Care Act replacement bill until after the July 4th Congressional recess due to opposition from enough Republican Senators to block the bill from moving forward.