Senate File 75 H-1029 Amend Senate File 75, as amended, passed, and reprinted by 1 the Senate, as follows: 2 1. Page 4, after line 8 by inserting: 3 < 3. Any change of a rural emergency hospital in licensure, 4 organizational structure, or type of institutional health 5 facility shall require a certificate of need pursuant to 6 section 135.63. > 7 2. Page 10, by striking lines 7 through 10 and inserting 8 < shall adopt emergency rules under section 17A.4, subsection 3, 9 and section 17A.5, subsection 2, paragraph “b”, to implement 10 the provisions of this division of this Act within six months 11 of the effective date of this division of this Act and shall 12 submit such rules to the administrative rules coordinator and 13 the administrative code editor pursuant to section 17A.5, 14 subsection 1, within the same period. The rules shall be 15 effective > 16 3. Page 10, line 15, after < Act > by inserting < also > 17 4. Page 11, line 4, by striking < exclusively > and inserting 18 < primarily > 19 5. Page 11, line 14, after < surgery, > by inserting < not 20 including cosmetic, reconstructive, or plastic surgery, > 21 6. Page 11, line 30, after < chapter > by inserting < but which 22 shall not exceed the requirements for applications required by 23 Medicare or an accrediting organization with deeming authority 24 authorized by the centers for Medicare and Medicaid of the 25 United States department of health and human services > 26 7. Page 11, after line 30 by inserting: 27 < ___. An applicant for an initial ambulatory surgical 28 center license that has been certified by Medicare or an 29 accrediting organization with deeming authority authorized by 30 the centers for Medicare and Medicaid of the United States 31 department of health and human services shall be granted an 32 initial license. > 33 8. By renumbering, redesignating, and correcting internal 34 references as necessary. 35 -1- SF 75.704 (2) 90 pf/rh 1/ 2 #1. #2. #3. #4. #5. #6. #7.