HRS §321-14.6
How a hospital can get a rural emergency license
The health department can license a hospital as a rural emergency hospital if the hospital chooses the Medicare rural emergency designation, provides emergency care with stays of 24 hours or less, meets federal requirements, and passes inspection. The department then recommends it to federal Medicare. A rural emergency hospital must have been a critical access hospital on December 27, 2020.
The statute, as written — Rural emergency hospitals; licensing
(a) The department of health may license a hospital as a rural emergency hospital if the hospital: (1) Elects to receive the medicare designation as a rural emergency hospital; (2) Provides emergency treatment and stabilization services for an average length of stay of twenty-four hours or less; (3) Meets the requirements of title 42 United States Code section 1395x(kkk)(2); and (4) Passes inspection and receives a recommendation from the department to the federal Centers for Medicare and Medicaid Services to operate as a rural emergency hospital . (b) For the purposes of this section, "rural emergency hospital" means a hospital licensed under this section that was previously designated and operating as a critical access hospital as of December 27, 2020.
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