Public Health Emergency Preparedness
This resource was part of AHRQ's Public Health Emergency Preparedness program, which was discontinued on June 30, 2011, in a realignment of Federal efforts.
This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://info.ahrq.gov. Let us know the nature of the problem, the Web address of what you want, and your contact information.
Please go to www.ahrq.gov for current information.
Appendix D. Legal & Regulatory Issues (continued)
References
1. 42 CFR §482.11-.13.
2. Please see the main body of this report which contains chapters on Facilities Structure, for additional detail about life safety and other facility requirements.
3. Centers for Medicare & Medicaid Services, Department of Health and Human Services. Medicare Program: Clarifying Policies Related to the Responsibilities of Medicare-Participating hospitals in Treating Individuals with Emergency Medical Conditions, Federal Register. September 9, 2003, Vol. 68, No. 174.
4. Ibid.
5. 42 CFR §489.24.
6. 42 CFR §489.24.
7. Joint Commission on Accreditation of Healthcare Organizations. Health Care at the Crossroads: Strategies for Creating and Sustaining Community-wide Emergency Preparedness Systems. Washington (DC), JCAHO, 2003.
8. 42 CFR §482.22-482.28.
9. 42 CFR §483.30.
10. 42 CFR §483.35.
11. 42 CFR §483.35.
12. 42 CFR §483.15(g).
13. 42 CFR §482.13.
14. 42 CFR §489.27.
15. 42 CFR §482.24; 45 CFR Parts 160 and 164.
16. 42 CFR § 482.24.
17. 45 CFR §160.102.
18. Centers for Disease Control and Prevention. HIPAA Privacy Rule and public health: guidance from CDC and the U.S. Department of Health and Human Services. MMWR 2003;52(Early Release):1.
19. 45 CFR §164.512(b).
20. 45 CFR §164.512(a).
21. See Massachusetts General Laws (MGL), Chapter 111, Sections 51-53 and Code of Massachusetts Regulations (CMR), 105 CMR 130.000: Hospital Licensure. Separate licensing procedures apply for mental health facilities.
22. 105 CMR 130.200. The Medicare Conditions of Participation are discussed in Section 2 of this Report.
23. Massachusetts also offers deemed status to hospitals surveyed and accredited by the American Osteopathic Association. However, there are no licensed osteopathic hospitals in Massachusetts.
24. See Illinois Compiled Statutes (ILCS), Chapter 210, Section 85: Hospital Licensing Act and Illinois Administrative Code (IAC), Chapter I, Subchapter b, Part 250: Hospital Licensing Requirements.
25. 77 IAC 250.130.
26. 77 IAC 250.130.
27. 77 IAC 250.120.
28. Kansas Statutes (KSA) Chapter 65, Article 4: Hospitals and other Facilities and Kansas Administrative Regulations (KAR) 28-34: Kansas Hospital Regulations and 28-52: Risk Management Regulations.
29. KAR 28-34-2.
30. Texas Health and Safety Code, Chapter 241: The Texas Hospital Licensing Law and 25 Texas Administrative Code (TAC), Chapter 133: Hospital Licensing Rules.
31. 25 TAC 133.22(h)(1).
32. 25 TAC 133.2(h).
33. Texas Health and Safety Code 241.003 (15).
34. 25 TAC 133.22(a)(4).
35. 25 TAC 133.22.
36. MGL chapter 111, section 51.
37. See 105 CMR 100.308.
38. IAC 250.110(a).
39. MGL chapter 111, section 51.
40. See 105 CMR 130.050.
41. IAC 250.2420.
42. KAR 28-34-2.
43. KAR 28-34-2.
44. MGL chapter 111, section 51.
45. 210 ILCS 85/6.
46. IAC 250.1980(a).
47. IAC 250.1980.
48. KAR 28-34-3.
49. KAR 28-34-3f.
50. 25 TAC 133.22(C)(5).
51. Texas Health and Safety
Code 241.022(e).
52. 25 TAC 133.22(a)(6).
53. 25 TAC 133.167(e)(4).
54. See 105 CMR 130.104.
55. 105 CMR 130.104.
56. 77 IAC 250.110(a).
57. 210 ILCS 85/6a.
58. KAR 28-34-2(a).
59. 25 TAC 133.22.
60. 25 TAC 133.22a.
61. 25 TAC 133.2(5).
62. 25 TAC 133.22a8.
63. 105 CMR 130.050.
64. 105 CMR 130.124(B).
65. 210 ILCS 85/8.5).
66. 210 ILCS 85/8.5).
67. KSA 65-453.
68. 25 TAC 133.81(a).
69. 25 TAC 133.81(d).
70. 25 TAC 133.81(b).
71. See 243 CMR 3.00, The Establishment and Participation in Qualified Patient Care Assessment Programs.
72. 243 CMR 3.08.
73. IAC 250.310(a).
74. IAC 250.310.
75. IAC 250.310.
76. KAR 28-34-6a(d).
77. KAR 28-34-6a.
78. 25 TAC 133.41(k).
79. 25 TAC 133.41(k).
80. IAC 250.910(c).
81. IAC 250.910.
82. IAC 250.910.
83. KAR 28-34-7.
84. 25 TAC 133.41.
85. 25 TAC 133.41.
86. 25 TAC 133.41.
87. 105 CMR 130.330.
88. 105 CMR 130.331.
89. 77 Ill., Admin. Code,
Chapter 1, Subchapter b, Section 250.1520.
90. 77 Ill. Adm. Code 657, 77 Ill.,
77 Ill. Adm. Code. Subchapter b, Section 250.1830 (i)(2).
91. 77 Ill. Admin. Code,
Subchapter b, Section 250.1830 and Section 250.1840.
92. 77 Ill. Adm. Code 690.
93. KAR 28-52-1.
94. 25 TAC 133.
95. 25 TAC 133.42.
96. Go to Section 2 of this Report.
97. 77 Ill. Admin. Code 250.1510.
98. Kansas Hospital
Regulations, 28-34-9.
99. 105 CMR 342-349A.
100. 105 CMR 130.345.
101. 77 Ill Adm. Code 250.240.
102. 77 Ill Adm. Code 250.260.
103. KAR 28-34-3b.
104. 25 TAC 133.44.
105. 25 TAC 133.41.
106. 77 Ill. Adm. Code 250.510.
107. 25 TAC 133.41.
108. Kansas Administrative
Regulations, Department of Health
and Environment, 28-29-27.
109. 25 TAC
1.131-1.132 and 30 TAC 330.1004.
110. See,
generally, 105 CMR 300.000.
111. See,
generally, MGL chapter 111, sections 9.2-109.
112. 77 Ill. Adm. Code. Section
690.100.
113. 20 UKCS 2105-400.
114. Kansas Disease Control Regulations, 28-1-5 through 28-1-12.
115. 25 TAC 9.7.1-97.13.
116. See, generally, 105 CMR 170.000.
117. 105 CMR 170.305.
118. KAR 109-2-15 and 109-6-01.
119. 25 TAC 157.
120. 25 TAC 9.9.11.
121. 25 TAC 133.44.
122. In order to contain the scope of this report, we have not addressed issues of costs, third party reimbursement, or financing of the surge facility.
123. MGL chapter 17, section 2A.
124. Many states have so-called "Good Samaritan" laws that provide limited immunity from liability for individuals who assist victims of a crime or of an accident. These laws are generally too narrow in scope to be helpful in a prolonged state of emergency. See, for example, MGL chapter 258C, section 13.
125. Texas Civil Practice and Remedies Code 74.151-74.154. In addition, the Office of the General Counsel, Texas Department of Health issued a legal memorandum on September 17, 2003, to clarify physician liability in a public health emergency.
126. State employees who are sent to another state to provide assistance are treated for liability purposes under EMAC as employees of the requesting state and thus usually protected from liability under the tort claims act of the requesting state, except for willful misconduct, gross negligence or recklessness.
127. See, for example, Massachusetts Chapter 339 of the Acts of 2000.
128. Doctors, nurses and behavioral health professionals, with others chosen for inclusion on a State-by-State basis.
Return to Appendix D Contents
Return to Report Contents
AHRQ Publication No. 06-0029
Current as of February 2006
5600 Fishers Lane Rockville, MD 20857