The bill proposes a comprehensive repeal of Chapter 23-15 of the General Laws, which governs the determination of need for new healthcare equipment and institutional health services in Rhode Island. This repeal eliminates the existing review and approval framework, introducing new legal language that includes 23-15-1. Short title and 23-15-2. Definitions. The new provisions aim to establish a foundation for future regulations without the constraints of the previous law, effectively removing references to "affected persons," "cost-impact analysis," and various definitions related to healthcare facilities and services. This legislative change signifies a shift in how healthcare needs and services may be evaluated and approved in the state. Additionally, the bill streamlines the approval process by deleting several existing criteria that the Health Services Council must consider, such as financial feasibility and the impact on the existing healthcare system. Instead, it emphasizes affordability and prioritization among competing proposals, mandating that the council make recommendations to the state agency regarding approval or denial. The bill also introduces new sections that exempt certain capital expenditures from the certificate of need review process and establishes procedures for expedited reviews of proposals addressing emergency needs or safety compliance. Overall, the bill aims to simplify and enhance the efficiency of the regulatory framework surrounding healthcare service expansions and equipment acquisitions in Rhode Island.