This bill exempts health care institutions and services located in rural areas from the requirement to obtain a certificate of need. Specifically, the bill amends the definition of “covered health care reporter” to include health care facilities in rural areas, and adds a new section that states any new institutional health service proposed to be offered or developed in a rural area on or after October 1, 2024 shall not be subject to certificate of need review. The bill also repeals a section related to an exemption for certain kidney disease treatment centers, and sets an effective date of October 1, 2024.