House Amendment 8691 PAG LIN 1 1 Amend House File 2700 as follows: 1 2 #1. Page 21, by inserting after line 14 the 1 3 following: 1 4 <Sec. . Section 135.63, subsection 2, paragraph 1 5 l, Code 2007, is amended to read as follows: 1 6 l. The replacement or modernization of any 1 7 institutional health facility if the replacement or 1 8 modernization does not add new health services or 1 9 additional bed capacity for existing health services, 1 10 notwithstanding any provision in this division to the 1 11 contrary. With reference to a hospital, "replacement" 1 12 means establishing a new hospital that demonstrates 1 13 compliance with all of the following criteria through 1 14 evidence submitted to the department: 1 15 (1) Is designated as a critical access hospital 1 16 pursuant to 42 U.S.C. } 1395i=4. 1 17 (2) Serves at least seventy=five percent of the 1 18 same service area that was served by the prior 1 19 hospital to be closed and replaced by the new 1 20 hospital. 1 21 (3) Provides at least seventy=five percent of the 1 22 same services that were provided by the prior hospital 1 23 to be closed and replaced by the new hospital. 1 24 (4) Is staffed by at least seventy=five percent of 1 25 the same staff, including medical staff, contracted 1 26 staff, and employees, as constituted the staff of the 1 27 prior hospital to be closed and replaced by the new 1 28 hospital.> 1 29 #2. By renumbering as necessary. 1 30 1 31 1 32 1 33 HOFFMAN of Crawford 1 34 HF 2700.219 82 1 35 pf/mg/11671 1 36 1 37 1 38 1 39 1 40 1 41 1 42 1 43 1 44 1 45 1 46 1 47 1 48 1 49 1 50 -1-