SB 1051 - This act modifies provisions relating to the relocation or replacement of certain long-term care facilities under the certificate of need program. Current law provides that any residential care facility or assisted living facility may relocate any portion of such facility's current licensed beds to any other facility to be licensed within the same licensure category under certain specified conditions. Also, certain health care facilities may be replaced in their entirety under specified conditions. This act provides that such relocation or replacement shall not require review under the state certificate of need laws or approval by the Missouri Health Facilities Review Committee. The owner of any facility or beds exempt from certificate of need review may submit a request to the Department of Health and Senior Services to verify exemption prior to beginning the project. If the department determines such project is exempt from certificate of need review, the department shall issue a certification letter to such owner. Such decision shall be considered final and subject to appeal. ADRIANE CROUSE