House File 735 - Introduced
HOUSE FILE 735
BY COMMITTEE ON HUMAN
RESOURCES
(SUCCESSOR TO HF 115)
A BILL FOR
1 An Act relating to emergency care policy and procedure
2 requirements applicable to an ambulatory surgical center.
3 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
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 H.F. 735
1 Section 1. NEW SECTION. 135Q.1 Ambulatory surgical centers
2 —— emergency care policies and procedures.
3 1. An ambulatory surgical center shall have in place
4 established written policies and procedures to provide
5 appropriate care to the center’s patients if a patient requires
6 emergency care. The policies and procedures shall provide for
7 all of the following:
8 a. Readily available on-site equipment and supplies and the
9 appropriately trained staff necessary to administer emergency
10 care protocols.
11 b. Arrangement for immediate emergency transport of a
12 patient to a local hospital when emergency services are
13 required and notification of the person identified by the
14 patient as an emergency contact.
15 c. The documentation required to accompany the patient to
16 the hospital to be submitted by the ambulatory surgical center
17 to the receiving hospital at the time a patient is transferred
18 for emergency care. Such documentation shall include a copy
19 of the patient’s medical records related to the procedure
20 scheduled or performed at the ambulatory surgical center,
21 including observations of the patient’s signs and symptoms,
22 any treatment provided to the patient, the results of any
23 tests performed that are available at the time of transfer,
24 and a copy of the informed written consent for the patient’s
25 procedure scheduled or performed at the ambulatory surgical
26 center.
27 2. For the purposes of this section, “ambulatory surgical
28 center” means a distinct facility that operates exclusively
29 for the purpose of providing surgical services to patients not
30 requiring hospitalization and in which the expected duration of
31 services does not exceed twenty-four hours following admission.
32 “Ambulatory surgical center” includes a facility that otherwise
33 meets the definition of an ambulatory surgical center whether
34 or not licensed, certified, or accredited as an ambulatory
35 surgical center and which may or may not operate on a partially
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 H.F. 735
1 cash-only or completely cash-only basis. “Ambulatory surgical
2 center” does not include individual or group practice offices
3 of private physicians or podiatrists that do not contain a
4 distinct area used for outpatient surgical treatment on a
5 regular basis or that only provide surgery routinely provided
6 in a physician’s or podiatrist’s office using local anesthesia
7 or conscious sedation; individual or group practice offices
8 of private dentists; or a portion of a licensed hospital
9 designated for outpatient surgical treatment.
10 EXPLANATION
11 The inclusion of this explanation does not constitute agreement with
12 the explanation’s substance by the members of the general assembly.
13 This bill relates to emergency care policies and procedures
14 for ambulatory surgical centers. The bill specifies the
15 established written policies and procedures to provide
16 appropriate care to an ambulatory surgical center’s patients if
17 a patient requires emergency care. The policies and procedures
18 shall provide for readily available on-site equipment and
19 supplies and the appropriately trained staff necessary to
20 administer emergency care protocols; arrangement for immediate
21 emergency transport of a patient to a local hospital when
22 emergency services are required and notification of the person
23 identified as the emergency contact of the patient; and the
24 documentation required to accompany a patient to the hospital
25 to be submitted by the ambulatory surgical center to the
26 receiving hospital at the time the patient is transferred for
27 emergency care. The bill defines “ambulatory surgical center”
28 for the purposes of the bill.
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