House File 735 - Introduced HOUSE FILE 735 BY COMMITTEE ON HUMAN RESOURCES (SUCCESSOR TO HF 115) A BILL FOR An Act relating to emergency care policy and procedure 1 requirements applicable to an ambulatory surgical center. 2 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 3 TLSB 2072HV (2) 89 pf/rh

H.F. 735 Section 1. NEW SECTION . 135Q.1 Ambulatory surgical centers 1 —— emergency care policies and procedures. 2 1. An ambulatory surgical center shall have in place 3 established written policies and procedures to provide 4 appropriate care to the center’s patients if a patient requires 5 emergency care. The policies and procedures shall provide for 6 all of the following: 7 a. Readily available on-site equipment and supplies and the 8 appropriately trained staff necessary to administer emergency 9 care protocols. 10 b. Arrangement for immediate emergency transport of a 11 patient to a local hospital when emergency services are 12 required and notification of the person identified by the 13 patient as an emergency contact. 14 c. The documentation required to accompany the patient to 15 the hospital to be submitted by the ambulatory surgical center 16 to the receiving hospital at the time a patient is transferred 17 for emergency care. Such documentation shall include a copy 18 of the patient’s medical records related to the procedure 19 scheduled or performed at the ambulatory surgical center, 20 including observations of the patient’s signs and symptoms, 21 any treatment provided to the patient, the results of any 22 tests performed that are available at the time of transfer, 23 and a copy of the informed written consent for the patient’s 24 procedure scheduled or performed at the ambulatory surgical 25 center. 26 2. For the purposes of this section, “ambulatory surgical 27 center” means a distinct facility that operates exclusively 28 for the purpose of providing surgical services to patients not 29 requiring hospitalization and in which the expected duration of 30 services does not exceed twenty-four hours following admission. 31 “Ambulatory surgical center” includes a facility that otherwise 32 meets the definition of an ambulatory surgical center whether 33 or not licensed, certified, or accredited as an ambulatory 34 surgical center and which may or may not operate on a partially 35 -1- LSB 2072HV (2) 89 pf/rh 1/ 2

H.F. 735 cash-only or completely cash-only basis. “Ambulatory surgical 1 center” does not include individual or group practice offices 2 of private physicians or podiatrists that do not contain a 3 distinct area used for outpatient surgical treatment on a 4 regular basis or that only provide surgery routinely provided 5 in a physician’s or podiatrist’s office using local anesthesia 6 or conscious sedation; individual or group practice offices 7 of private dentists; or a portion of a licensed hospital 8 designated for outpatient surgical treatment. 9 EXPLANATION 10 The inclusion of this explanation does not constitute agreement with 11 the explanation’s substance by the members of the general assembly. 12 This bill relates to emergency care policies and procedures 13 for ambulatory surgical centers. The bill specifies the 14 established written policies and procedures to provide 15 appropriate care to an ambulatory surgical center’s patients if 16 a patient requires emergency care. The policies and procedures 17 shall provide for readily available on-site equipment and 18 supplies and the appropriately trained staff necessary to 19 administer emergency care protocols; arrangement for immediate 20 emergency transport of a patient to a local hospital when 21 emergency services are required and notification of the person 22 identified as the emergency contact of the patient; and the 23 documentation required to accompany a patient to the hospital 24 to be submitted by the ambulatory surgical center to the 25 receiving hospital at the time the patient is transferred for 26 emergency care. The bill defines “ambulatory surgical center” 27 for the purposes of the bill. 28 -2- LSB 2072HV (2) 89 pf/rh 2/ 2