24A-1-10. Rural emergency hospital licensure; licensing
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requirements.
A. The authority shall promulgate rules to establish a rural emergency hospital license that enables certain hospitals to apply to receive federal health care reimbursement as rural emergency hospitals.
B. The authority shall only issue a rural emergency hospital license to a health facility that:
(1)on December 27, 2020, was:
(a)designated as a critical access hospital by the centers for medicare and medicaid services; or
(b)licensed as a hospital with less than fifty licensed beds and located in a county in a rural area as defined in Section 1886(d)(2)(D) or Section 1886(d)(8)(E) of the federal Social Security Act;
(2)provides rural emergency hospital services in the facility twenty-four hours per day and is staffed twenty-four hours per day, seven days per week with a physician, nurse practitioner, clinical nurse specialist or physician assistant;
(3)has a transfer agreement in effect with a level 1 or level 2 trauma center;
(4)does not have an annual average patient length of stay over twenty-four hours; and
(5)meets any other requirements that the authority finds necessary to implement state licensure and satisfy centers for medicare and medicaid services requirements for reimbursement as a rural emergency hospital.
C. A health facility that applies to the authority for licensure as a rural emergency hospital shall include with the licensure application:
(1)an action plan for initiating rural emergency hospital services, including a detailed transition plan that lists the specific services that the facility will retain, modify, add and discontinue;
(2)a description of services that the facility intends to provide on an outpatient basis; and
(3)any other information required by rules of the authority.
D. A rural emergency hospital shall not have inpatient beds, but a rural emergency hospital may have a unit that is a distinct part of the hospital that is licensed as a skilled nursing facility and provides post-hospital extended care services.
E. For the purposes of this section,"rural emergency hospital" means a health facility that provides emergency and observational care and meets the licensure requirements outlined in Subsection B of this section. History: Laws 2023, ch. 109, § 1; § 24-1-5.12, recompiled and amended as § 24A-1- 10 by Laws 2024, ch. 39, § 31.