H-1029

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

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MOORE of Cass