House File 786 - Introduced HOUSE FILE BY COMMITTEE ON HUMAN RESOURCES (SUCCESSOR TO HSB 241) Passed House, Date Passed Senate, Date Vote: Ayes Nays Vote: Ayes Nays Approved A BILL FOR 1 An Act relating to the operating or providing of another business 2 or activity in a health care facility. 3 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 4 TLSB 2555HV 81 5 pf/pj/5 PAG LIN 1 1 Section 1. Section 135C.5, Code 2005, is amended to read 1 2 as follows: 1 3 135C.5 LIMITATIONS ON USE. 1 4 Another business or activity serving persons other than the 1 5 residents of a health care facilityshall notmay becarried 1 6 on in a health care facility, or inoperated or provided in a 1 7 designated part of thesamephysical structurewith aof the 1 8 health care facility,unless such business or activity is 1 9 under the control of and is directly related to and incidental 1 10 to the operation of the health care facility or unless the 1 11 business or activity is approved by the department and the 1 12 state fire marshalif the other business or activity meets the 1 13 requirements of applicable state and federal laws, 1 14 administrative rules, and federal regulations.AThe 1 15 department shall not limit the ability of a health care 1 16 facility to operate or provide another business or activity 1 17which is operated within the limitations of this section shall1 18 in the designated part of the facility if the business or 1 19 activity does not interferein any mannerwith the use of the 1 20 facility by the residents or with the services provided to the 1 21 residents, andshallis notbedisturbing tothemthe 1 22 residents. In denying the ability of a health care facility 1 23 to operate or provide another business or activity under this 1 24 section, the burden of proof shall be on the department to 1 25 demonstrate that the other business or activity substantially 1 26 interferes with the use of the facility by the residents or 1 27 the services provided to the residents, or is disturbing to 1 28 the residents. Thedepartment and thestate fire marshal, in 1 29 accordance with chapter 17A, shall adopt rules which establish 1 30 criteria for approval of a business or activity to becarried 1 31 on in a health care facility oroperated or provided in a 1 32 designated part of thesamephysical structurewithof a 1 33 health care facility. For the purposes of this section, 1 34 "another business or activity" shall not include laboratory, 1 35 radiological, anesthesiology, obstetrical, surgical, or 2 1 emergency services provided by hospitals licensed under 2 2 chapter 135B. 2 3 EXPLANATION 2 4 This bill allows a health care facility to operate or 2 5 provide another business or activity, serving persons other 2 6 than the residents of the health care facility, in a 2 7 designated part of the physical structure of the health care 2 8 facility, if the other business or activity meets the 2 9 requirements of applicable state and federal laws, 2 10 administrative rules, and federal regulations. The bill 2 11 prohibits the department of inspections and appeals from 2 12 limiting the ability of a health care facility to operate or 2 13 provide another business or activity in the designated part of 2 14 the facility if the business or activity does not interfere 2 15 with the use of the facility by the residents or with the 2 16 services provided to the residents, and is not disturbing to 2 17 the residents. In denying the ability of a health care 2 18 facility to operate or provide another business or activity in 2 19 the physical structure of the health care facility, the burden 2 20 of proof is on the department to demonstrate that the business 2 21 or activity substantially interferes with the use of the 2 22 facility by, or the services provided to, the residents, or is 2 23 disturbing to the residents. The bill also directs the state 2 24 fire marshal to adopt rules to establish criteria for approval 2 25 of a business or activity to be operated or provided in a 2 26 designated part of the physical structure of a health care 2 27 facility. 2 28 The bill provides that "another business or activity" shall 2 29 not include laboratory, radiological, anesthesiology, 2 30 obstetrical, surgical, or emergency services provided by 2 31 licensed hospitals. 2 32 Current law provides that another business or activity is 2 33 prohibited from being carried on in the health care facility 2 34 or in the same physical structure as the health care facility 2 35 unless the business or activity is under the control of and is 3 1 directly related and incidental to, the operation of the 3 2 health care facility, or unless the department of inspections 3 3 and appeals and the state fire marshal approve the business or 3 4 activity. Current law does not specify that the population 3 5 served by the business or activity is persons other than 3 6 residents of the facility. Current law also directs the 3 7 department of inspections and appeals and the state fire 3 8 marshal to adopt rules to establish criteria for approval of a 3 9 business or activity being carried on in a health care 3 10 facility or the same physical structure with a health care 3 11 facility. 3 12 LSB 2555HV 81 3 13 pf:nh/pj/5