reglab/statecodes huggingface dataset:
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 12 - General Provisions › 7 AAC 12.900 - Physical plant

Current through May 31, 2024
(a) Each facility, with the exception of home
				  health agencies, frontier extended stay clinics, and birth centers, must comply
				  with the provisions of this section.
(b) Any renovation, expansion, or new
				  construction must comply with
(1) the
				  requirements of
Guidelines for Design and Construction of Hospital and
				  Health Care Facilities
, American Institute of Architects, 2001
				  edition, adopted by reference, that are applicable to the particular facility
				  and services provided, as follows:
(A) secs.
				  1 - 6 apply to all facilities;
(B)
				  sec. 7 applies to the general acute care hospitals, rural primary care
				  hospitals, and critical access hospitals;
(C) sec. 10 applies to rehabilitation
				  hospitals;
(D) sec. 8 applies to
				  intermediate care facilities for the mentally retarded and to nursing
				  facilities;
(E) sec. 9 applies to
				  ambulatory surgical facilities;
(F)
				  secs. 7.1; 7.2, except 7.2.B15 and 7.2.C; 7.6; 7.17 - 7.19; 7.21; 7.22; 7.25 -
				  7.30, except 7.28.A; 8.3; and Table 2 apply to substance abuse hospitals;
				  and
(G) sec. 11 applies to
				  psychiatric hospitals.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 12 - General Provisions › 7 AAC 12.910 - Contracts

Current through May 31, 2024
(a) A facility may contract with another
				  facility or agent to perform services or provide resources to the
				  facility.
(b) Services regulated
				  under this chapter that are provided by contract must meet the requirements of
				  this chapter.
(c) A contract for
				  resources or services required by regulation and not provided directly by a
				  facility must be in writing, must be dated and signed by both parties, and must
(1) specify the respective functions and
				  responsibilities of the contractor and the facility, and the frequency of
				  onsite consultation by the contractor;
(2) identify the type and frequency of
				  services to be furnished;
(3)
				  specify the qualifications of the personnel providing services;
(4) require documentation that services are
				  provided in accordance with the agreement;
(5) specify how and when communication will
				  occur between the facility and the contractor;
(6) specify the manner in which the care or
				  services will be controlled, coordinated, supervised, and evaluated by the
				  facility;
(7) identify the
				  procedures for payment for services furnished under the contract; and
(8) include the current license or
				  registration number of the contractor, if required by state statute or
				  regulation.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 12 - General Provisions › 7 AAC 12.920 - Applicable federal, state, and local laws and regulations

Current through May 31, 2024
A facility must comply with all applicable federal, state,
					 and local laws and regulations. If a conflict or inconsistency exists between
					 codes or standards, the more restrictive provision applies.
Authority:
AS
						18.05.040
AS 18.20.010
AS 18.20.060
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 12 - General Provisions › 7 AAC 12.925 - Accredited entities

Current through May 31, 2024
(a) An entity licensed under this chapter
				  with a current accreditation from a nationally recognized organization with
				  standards the department determines meet the intent of AS 47.32 and this
				  chapter may submit a written request to the department for a waiver of a
				  biennial inspection by the department under
				  AS
				  47.32.060. The entity must submit a separate
				  request for each licensing period during which the accrediting organization
				  inspected the entity. The entity must include with the request a copy of the
				  accrediting organization's most recent report of inspection, and a plan of
				  correction and proof of corrective action if applicable.
(b) The department will waive its biennial
				  inspection under
				  AS
				  47.32.060 during the licensing period in
				  which the accrediting organization conducted an inspection if the entity passed
				  that inspection or has corrected any deficiencies noted by the accrediting
				  organization. The inspection waiver will be in effect for the remainder of that
				  licensing period unless revoked under (c) of this section.
(c) Nothing in this section precludes the
				  department from responding to a complaint received under
				  AS
				  47.32.090, and from taking any necessary
				  action under
				  AS
				  47.32.130 or
				  47.32.140. If the entity fails to
				  fulfill any plan of correction developed under
				  AS
				  47.32.130 or
				  47.32.140, the waiver from
				  inspection will be revoked.
Authority:
AS
						18.05.010
AS 18.05.040
AS 47.32.010
AS 47.32.030
AS 47.32.050
AS 47.32.060
AS 47.32.090
AS 47.32.100
AS 47.32.110
AS 47.32.120
AS 47.32.130
AS 47.32.140
AS
						47.32.150
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 12 - Facilities and Local Units › Article 12 - General Provisions › 7 AAC 12.990 - Definitions

Current through May 31, 2024
In this chapter, unless the context requires otherwise,
(1) "administrator" means an employee
				  appointed by the governing body to be responsible for the overall operation of
				  a facility;
(2) "advanced practice
				  registered nurse" means a person who is authorized to practice as an advanced
				  practice registered nurse under
				  12 AAC 44.400;
(3) "alcoholism" means a chronic and
				  progressive disease characterized by tolerance, physical dependency, or
				  pathological organic changes which are consequences of alcohol
				  ingestion;
(4) "ambulatory surgical
				  center" or "ambulatory surgical facility" means a facility described in
				  AS
				  47.32.900 and
				  7 AAC 12.350;
(5) "anesthesia service" means the
				  administration by authorized personnel of anesthesia of the type and in the
				  manner required by the patient's condition;
(6) "anesthesiologist" means a physician who
				  has training and experience in the field of anesthesiology, and is certified or
				  eligible for certification by the American Board of Anesthesiologists,
				  Inc.;
(7) "approved laboratory"
				  means a laboratory that is
(A) certified by
				  the
(i) federal government under the Clinical
				  Laboratories Improvement Act of 1967,
				  42 U.S.C.
				  263(a) or Title XVIII of the
				  Social Security Act, as amended,
				  42 U.S.C.
				  1395 et seq.;
(ii) College of American Pathologists;
				  or
(iii) Joint Commission on
				  Accreditation of Hospitals; or
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 13 - Assistance for Community Health Facilities › Article 1 - Scope › 7 AAC 13.010 - Scope

Current through May 31, 2024
Subject to legislative appropriation and the provisions of
					 AS
					 18.25.070-18.25.110, the department will
					 award grants under this chapter to assist in the operation of community health
					 facilities in case of operational deficits.
Authority:
AS
						18.25.070
AS
						18.25.100
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 13 - Assistance for Community Health Facilities › Article 2 - Minimum Requirements › 7 AAC 13.020 - Application procedures

Current through May 31, 2024
(a) Applicants for financial assistance under
				  AS
				  18.25.070-18.25.110 must apply on forms
				  provided by the division.
(b) The
				  division will, in its discretion, assist an applicant in preparing the
				  application and in complying with the requirements of this chapter.
Authority:
AS
						18.25.100
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 13 - Assistance for Community Health Facilities › Article 2 - Minimum Requirements › 7 AAC 13.025 - Service areas

Current through May 31, 2024
(a) A facility may serve one or more
				  communities in a geographically contiguous area in which a mid-level
				  practitioner or physician is not readily accessible.
(b) When an applicant proposes to serve two
				  or more communities through a single facility, the applicant shall
(1) provide evidence to the department of the
				  practicability of service arrangements and demonstrate to the department the
				  existence of a transportation system linking the communities; and
(2) include with the application a memorandum
				  of agreement executed by the governing bodies of these communities describing
				  the scope of services to be provided to the communities by the facility and the
				  relationships and responsibilities of the communities to the
				  facility.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 13 - Assistance for Community Health Facilities › Article 2 - Minimum Requirements › 7 AAC 13.030 - Governing boards and advisory boards

Current through May 31, 2024
(a) To be eligible
				  to receive financial assistance under
				  AS
				  18.25.070-18.25.110, a facility must be
				  either governed or advised by a board selected in accordance with the following
				  criteria:
(1) A governing or advisory board
				  must be composed of at least five members who reside in the area served by the
				  facility.
(2) A majority of board
				  members may not have been health care providers for the 12 months before
				  appointment. No more than two members, or 40% of the membership, whichever is
				  greater, may be health care providers.
(3) To the extent practicable, a governing or
				  advisory board must be representative of the geographic service area, including
				  representatives of the
(A) major racial and
				  linguistic groups; and
(B) various
				  economic groups.
(4) A
				  representative of a particular subgroup or class of members need not be an
				  actual member of the subgroup or class if the representative is designated by
				  an organization composed primarily of members of the subgroup or
				  class.
(5) No employee of a
				  grantee; or spouse, parent or child of an employee of a grantee; may be a
				  member of the grantee's governing board.
(6) If the facility is to serve two or more
				  communities, each participating community must be represented on the governing
				  or advisory board by members appointed by the city council, the Indian
				  Reorganization Act (IRA) council, or the traditional council.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 13 - Assistance for Community Health Facilities › Article 2 - Minimum Requirements › 7 AAC 13.035 - Collection of fees for service

Current through May 31, 2024
(a) A facility
				  shall establish a schedule of fees that it will charge for services. These fees
				  must be sufficient to minimize the need for assistance from the department, but
				  may not be unreasonable when compared to fees charged for similar services by
				  other health care providers in the region.
(b) The schedule of fees must be reviewed at
				  least annually and modified as necessary.
(c) The governing board of the facility shall
				  assure that a diligent attempt is made to collect the established fees for
				  services rendered.
(d) The
				  governing board of a facility shall, during the first year the facility
				  receives grant money under this program, apply for medicaid rural health
				  facility certification; enroll with the division of public assistance as a
				  medicaid participant; and register as a provider with health insurance
				  carriers. The facility shall maintain the certification and enrollment during
				  subsequent grant years, and shall reapply or reenroll if the certification or
				  enrollment is not initially granted or is allowed to lapse.
Authority:
AS
						18.25.100
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 13 - Assistance for Community Health Facilities › Article 2 - Minimum Requirements › 7 AAC 13.040 - Self-sufficiency

Current through May 31, 2024
In its grant application, a facility shall include a
					 five-year plan for increasing self-sufficiency. A five-year plan for
					 self-sufficiency must include
(1) a
				  summary, by source and amount of revenues and expenses, that the facility
				  expects during each of the five years starting with the current state fiscal
				  year;
(2) an estimate of
				  revenue-sharing under AS 29.89.030, and other federal and state support that
				  the facility could receive during each of the five years; and
(3) an estimate of current taxable property
				  values in the area or areas that the facility would serve under the
				  grant.
Authority:
AS
						18.25.100
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 13 - Assistance for Community Health Facilities › Article 2 - Minimum Requirements › 7 AAC 13.045 - Coordination and nonduplication of services

Current through May 31, 2024
A facility receiving financial assistance under
					 AS
					 18.25.070-18.25.110 shall work with other
					 programs in its service area providing the same kinds of services to assure
					 that delivery of services is coordinated with the other programs, to minimize
					 duplication of services, and to best meet the needs of the service area
					 population. An applicant must describe its work with other people in its
					 application for financial assistance.
Authority:
AS
						18.25.100
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 13 - Assistance for Community Health Facilities › Article 2 - Minimum Requirements › 7 AAC 13.050 - Capital expenditures

Current through May 31, 2024
A facility may not use financial assistance provided under
					 AS
					 18.25.070-18.25.110 to pay any capital cost
					 without express advance approval by the department.
Authority:
AS
						18.25.100
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 13 - Assistance for Community Health Facilities › Article 2 - Minimum Requirements › 7 AAC 13.055 - Matching money

Current through May 31, 2024
A facility may use money granted under 7 AAC 13 to meet
					 requirements for matching money funds to obtain or retain federal grants for
					 operation of health facilities.
Authority:
AS
						18.25.100
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 13 - Assistance for Community Health Facilities › Article 2 - Minimum Requirements › 7 AAC 13.060 - Personnel

Current through May 31, 2024
A facility may use money granted under 7 AAC 13 to pay
					 costs of salaries and other costs of mid-level practitioners if the division
					 finds the salaries to be reasonable in light of salaries paid to other
					 individuals in the region that perform comparable work. A facility may also use
					 money granted under 7 AAC 13 to pay costs of minimum support staff necessary to
					 assure efficient function of the facility.
Authority:
AS
						18.25.100
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 13 - Assistance for Community Health Facilities › Article 3 - Standards for Operation of a Community Health Facility › 7 AAC 13.065 - Organization and administration

Current through May 31, 2024
(a) The governing
				  board of a facility shall provide the division with a table of organization
				  that
(1) identifies all operating units of the
				  program;
(2) defines the roles and
				  responsibilities of all facility staff; and
(3) delineates the interrelationship of the
				  governing board, the program director and all facility administrative and
				  service staff.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 13 - Assistance for Community Health Facilities › Article 3 - Standards for Operation of a Community Health Facility › 7 AAC 13.070 - Policy and procedures manual

Current through May 31, 2024
(a) A facility must
				  have a policy and procedures manual that is approved by the governing board.
				  The governing board shall review the manual annually and revise the manual as
				  necessary. If a facility has an advisory body as defined in
				  7 AAC 13.030(b), adoption, review, and
				  revision of the manual must be based upon recommendations of the advisory
				  board.
(b) Provisions in the policy
				  and procedures manual must be internally consistent and consistent with
				  regulations of the department.
(c)
				  A facility shall maintain written policies and procedures in the following
				  areas:
(1) fiscal administration, including
				  provisions required under
				  7 AAC 13.075;
(2) personnel administration, including
				  provisions required under
				  7 AAC 13.080;
(3) evaluation and research, including the
				  provisions of
				  7 AAC 13.085;
(4) quality assurance and utilization review,
				  including the provisions of
				  7 AAC 13.090;
(5) service delivery to the persons with
				  physical disabilities, including the provisions of
				  7 AAC 13.100;
(6) serving major language and cultural
				  population subgroups, including the provisions of
				  7 AAC 13.100;
(7) 24-hour availability of emergency
				  services according to
				  7 AAC 13.100;
(8) ensuring coordination and continuity of
				  services to clients, including the provisions of
				  7 AAC 13.105;
(9) ensuring privacy in facilities, including
				  the provisions of
				  7 AAC 13.110;
(10) patient records, including the
				  provisions of
				  7 AAC 13.115 -
				  7 AAC 13.120;
(11) rights of patients, including the
				  provisions of
				  7 AAC 13.130 -
				  7 AAC 13.135;
(12) a plan for management of pharmaceuticals
				  stored in the facility; and
(13) a
				  plan for procurement and inventory management.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 13 - Assistance for Community Health Facilities › Article 3 - Standards for Operation of a Community Health Facility › 7 AAC 13.075 - Fiscal administration

Current through May 31, 2024
To maximize revenues and to ensure proper fiscal
					 management, the governing board or the program director of a facility
					 shall
(1) prepare and maintain a
				  formal budget;
(2) maintain fiscal
				  records and provide fiscal reports to the department on forms provided by the
				  department;
(3) provide for an
				  audit at least once every two years;
(4) develop a fee schedule; and
(5) establish procedures within the limits
				  set by 7 AAC 13.100(g) to
				  maximize collection of fees from patients and third-party insurers.
Authority:
AS
						18.25.100
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 13 - Assistance for Community Health Facilities › Article 3 - Standards for Operation of a Community Health Facility › 7 AAC 13.080 - Personnel administration

Current through May 31, 2024
(a) A facility must
				  have written and functioning policies and procedures to ensure consistency in
				  personnel administration and staff competency in carrying out assigned tasks.
				  These policies and procedures must include
(1) job descriptions for paid and volunteer
				  staff members, including, for each position
(A) a description of the duties, specific
				  tasks and responsibilities;
(B) the
				  salary range;
(C) a statement of
				  minimum qualifications describing necessary training, experience, and other
				  qualifications such as licensure; and
(D) the position title of the immediate
				  supervisor of the position;
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 13 - Assistance for Community Health Facilities › Article 3 - Standards for Operation of a Community Health Facility › 7 AAC 13.085 - Program evaluation

Current through May 31, 2024
(a) A facility shall develop procedures
				  necessary to evaluate the program and shall conduct an evaluation
				  annually.
(b) The evaluation must
				  include
(1) information about demographic
				  characteristics;
(2) assessment of
				  community and client reaction to services, which may include questionnaires,
				  surveys, or board reports; and
(3)
				  progress report for the five-year plan for increasing
				  self-sufficiency.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 13 - Assistance for Community Health Facilities › Article 3 - Standards for Operation of a Community Health Facility › 7 AAC 13.090 - Quality assurance

Current through May 31, 2024
(a) A facility shall have systematic
				  procedures for the review of the quality of care and the use of services and
				  facilities.
(b) The governing board
				  of a facility, or its program director, shall maintain written descriptions of
				  current quality-assurance procedures and shall review and revise the
				  description annually.
(c) If a
				  facility employs a mid-level practitioner, the mid-level practitioner's
				  collaborating physician, if any, must perform on-site quality reviews at least
				  quarterly.
Authority:
AS
						18.25.100
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 13 - Assistance for Community Health Facilities › Article 3 - Standards for Operation of a Community Health Facility › 7 AAC 13.095 - Types of services and populations to be served

Current through May 31, 2024
(a) A facility
				  shall serve the following populations, in the following area of priority, to
				  the extent that primary care services are not available to those populations
				  from other providers:
(1) acutely ill and
				  injured persons;
(2) chronically
				  ill and disabled persons;
(3)
				  persons seeking health maintenance, health promotion or preventive
				  services.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 13 - Assistance for Community Health Facilities › Article 3 - Standards for Operation of a Community Health Facility › 7 AAC 13.100 - Availability and accessibility of services

Current through May 31, 2024
(a) A facility
				  shall make services available at times that enable service area residents to
				  use services.
(b) The governing
				  board of a facility or the program director shall, at all times,
(1) maintain written procedures stating how
				  residents will have access to 24-hour emergency services;
(2) assure that the facility provides regular
				  services on evenings and weekends if the need for those services is determined
				  by the governing board; and
(3)
				  make provisions for serving persons that cannot come to the center.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 13 - Assistance for Community Health Facilities › Article 3 - Standards for Operation of a Community Health Facility › 7 AAC 13.105 - Continuity of services

Current through May 31, 2024
The program director of a facility shall document
					 coordination of services within the facility and between community agencies and
					 the facility through such mechanisms as referral agreements and case
					 conferences.
Authority:
AS
						18.25.100
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 13 - Assistance for Community Health Facilities › Article 3 - Standards for Operation of a Community Health Facility › 7 AAC 13.110 - Health and safety requirements

Current through May 31, 2024
A facility shall comply with applicable state and local
					 fire, health, and safety ordinances, regulations, and
					 statutes.
Authority:
AS
						18.25.100
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 13 - Assistance for Community Health Facilities › Article 3 - Standards for Operation of a Community Health Facility › 7 AAC 13.115 - Patient records

Current through May 31, 2024
(a) A facility shall maintain an organized
				  records system that contains the following for each patient:
(1) a description of history, physical
				  findings, and laboratory results for each visit;
(2) an assessment and, where appropriate, a
				  diagnosis;
(3) a treatment plan;
				  and
(4) a record of medications
				  prescribed.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 13 - Assistance for Community Health Facilities › Article 3 - Standards for Operation of a Community Health Facility › 7 AAC 13.120 - Records retention

Current through May 31, 2024
(a) A facility shall retain administrative
				  records in accordance with
				  7 AAC 78.250.
(b) Patient records of the facility must be
				  retained for seven years following the discharge of the patient. However, the
				  records of a patient under 19 years of age shall be kept until at least two
				  years after the patient reaches age 19, or until seven years after the
				  discharge of the patient, whichever is later.
Authority:
AS
						18.20.085
AS
						18.25.100
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 13 - Assistance for Community Health Facilities › Article 3 - Standards for Operation of a Community Health Facility › 7 AAC 13.125 - Waiver of requirements

Current through May 31, 2024
(a) The commissioner of the department will,
				  in his or her discretion, waive a requirement of 7 AAC 13 if a facility
				  establishes an alternative method of satisfying the requirement.
(b) The governing board of a facility shall
				  apply for waiver in writing to the department. The application must include
(1) a statement of the requirement for which
				  a waiver is requested;
(2) an
				  explanation of the reasons why the requirement cannot be satisfied;
				  and
(3) a description of the
				  alternative method proposed to satisfy the requirement for which the waiver is
				  requested.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 13 - Assistance for Community Health Facilities › Article 4 - Patient Rights › 7 AAC 13.130 - Confidentiality

Current through May 31, 2024
(a) All records and information about a
				  patient must be kept confidential by the facility, as provided in (b) of this
				  section, unless the facility obtains a written consent under (c) of this
				  section for release of information.
(b) Information regarding a patient may be
				  released without consent only to
(1) a person
				  authorized by court order;
(2)
				  health care providers if a medical emergency arises;
(3) research projects authorized by the
				  governing board, if provision is made to preserve anonymity in the reported
				  results;
(4) other persons to whom
				  disclosure is required by law.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 13 - Assistance for Community Health Facilities › Article 4 - Patient Rights › 7 AAC 13.135 - Grievance procedures

Current through May 31, 2024
The governing board of a facility shall establish a
					 grievance procedure by which a patient may seek redress of grievances. A
					 facility shall file a copy of the grievance procedure with the department, and
					 conspicuously post a copy at the facility.
Authority:
AS
						18.25.100
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 13 - Assistance for Community Health Facilities › Article 4 - Patient Rights › 7 AAC 13.140 - Compliance

Current through May 31, 2024
Failure to maintain the standards of 7 AAC 13 will, in the
					 discretion of the department, be a basis for suspension or termination of a
					 grant, as described in
					 7 AAC 78.290.
Authority:
AS
						18.25.100
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 13 - Assistance for Community Health Facilities › Article 5 - General Provisions › 7 AAC 13.845 - Criteria for application review

Current through May 31, 2024
In addition to criteria established by
					 7 AAC 78.100, or other law or regulation, the department
					 will use the following criteria in review of an application for assistance
					 under 7 AAC 13:
(1) the feasibility of
				  the applicant's plan for self-sufficiency under
				  7 AAC 13.040;
(2) the number of people in the applicant's
				  service area; and
(3) the
				  sufficiency of the facility's fees for services to minimize the need for
				  assistance.
Authority:
AS
						18.25.100
Alaska Administrative Code › Title 7 - Health and Social Services › Part 1 - Administration › Chapter 13 - Assistance for Community Health Facilities › Article 5 - General Provisions › 7 AAC 13.900 - Definitions

Current through May 31, 2024
As used in this chapter
(1) "community" means a town or village with
				  a governing authority which is a city council, an Indian Reorganization Act
				  (IRA) council or a traditional council;
(2) "department" means the Department of
				  Health and Social Services;
(3)
				  "division" means the division of public health in the department;
(4) "facility" means a community health
				  facility operated by an eligible applicant described in
				  7 AAC 78.030;
(5) "health care provider" means an
				  individual who provides direct patient care services or ancillary care, or is
				  involved in related activities such as health planning, administration, or
				  supplies;
(6) "mid-level
				  practitioner" means a nurse practitioner or physician's assistant;
(7) "operating costs" mean expenses incurred
				  for equipment items costing less than $500, salaries, other employee costs,
				  travel, communications, equipment repairs, contracts, supplies, rents and
				  utilities, staff and board training;
(8) "operational deficit" means that portion
				  of the operating costs of a health facility which cannot be met by revenues of
				  the facility, including fees and all other sources of income except the
				  financial assistance provided under
				  AS
				  18.25.070-18.25.110;
(9) "program director" means the individual
				  responsible for ongoing operation of a facility;
(10) "readily accessible" means reachable
				  within a period of approximately 30 minutes;
(11) "referral services" mean arrangements
				  between the mid-level practitioner at the facility, and the hospitals or
				  physicians to whom patients are sent for consultation or more definitive
				  diagnosis and treatment;
(12)
				  "service area" means the geographic area described by the applicant and
				  approved by the department as the area for which services will be or are being
				  provided.
Authority:
AS
						18.25.100
Alaska Administrative Code › Title 7 - Health and Social Services › Part 2 - Public Health › Chapter 15 - Food, Drugs And Cosmetics (Repealed)

Current through May 31, 2024
The regulations in this chapter which were repealed effective
				  July 1, 1982, Register 82, have been replaced by regulations in 18 AAC 30,
				  effective July 1, 1982, Register 82, pursuant to Executive Order 51, which
				  transferred functions from the Department of Health and Social Services to the
				  Department of Environmental
				  Conservation.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 2 - Public Health › Chapter 16 - Do-Not-Resuscitate Protocol and Identification › 7 AAC 16.010 - Do-not-resuscitate protocol

Current through May 31, 2024
(a) This section,
				and the
Provider Orders for Life Sustaining Treatment (POLST)
				Program
, adopted by reference in
				7 AAC 16.020, establish the do-not-resuscitate (DNR)
				protocol for a health care provider to withhold cardiopulmonary resuscitation
				under AS
				13.52.065. The health care provider
				implementing the protocol shall comply with applicable state and federal laws
				and regulations related to the provision of or withholding of care.
Click
				  here to view image
(b) Unless exempted under (c) of this
				section, a health care provider shall first clearly confirm the identity of
				patient by one of the following methods:
(1)
				the patient communicating the patient's name;
(2) the patient's hospital or other
				institutional identification arm band;
(3) the patient being personally known to the
				physician or other health care provider;
(4) the patient's driver's license or credit
				card;
(5) another person having
				identified the patient.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 2 - Public Health › Chapter 16 - Do-Not-Resuscitate Protocol and Identification › 7 AAC 16.020 - Department-approved DNR Program

Current through May 31, 2024
The department adopts by reference the department's
Provider Orders for Life Sustaining Treatment (POLST)
Program,
				  dated January 4, 2024, as its standards for the department-approved
				  do-not-resuscitate (DNR) protocol.
A copy of the Provider Orders for Life Sustain ins
					 Treatment (POLST) Program, adopted by reference in 7 AAC 16.020, may be
					 accessed online at
https://doh.alaska.gov/dph/Emergency/Pages/ems/programs/Alaska-Provider-Orders-for-Life-Sustaining-Treatment.aspx
,
					 or may be reviewed at the State of Alaska, Department of Health and Social
					 Services, Division of Public Health, Section of Rural and Community Health
					 Systems, 3601 C Street, Suite 424, Anchorage, AK
					 99503.
Authority:
AS
					 13.52.060
AS
					 13.52.065
Alaska Administrative Code › Title 7 - Health and Social Services › Part 2 - Public Health › Chapter 16 - Do-Not-Resuscitate Protocol and Identification › 7 AAC 16.090 - Definitions

Current through May 31, 2024
(1) "CPR" has the
				meaning given "cardiopulmonary resuscitation" in
				AS
				13.52.390;
(2) "department" means the Department of
				Health and Social Services;
(3)
				"DNR order" has the meaning given "do-not-resuscitate order" in
				AS
				13.52.390;
(4) "MOLST" means medical orders for life
				sustaining treatment, including DNR orders and other orders that specify a
				patient's wishes for other life sustaining treatment;
(5) "POLST" means provider orders for life
				sustaining treatment, including DNR orders and other orders that specify a
				patient's wishes for other life sustaining treatment; for purposes of this
				paragraph, "provider" or "health care provider" means a licensed physician,
				advanced practice registered nurse, or attending physician assistant;
(6) "provider" or "health care provider" has
				the meaning given in
				AS
				13.52.390.
Authority:
AS
					 13.52.065
AS 13.52.300
AS
					 13.52.390
Alaska Administrative Code › Title 7 - Health and Social Services › Part 2 - Public Health › Chapter 18 - Radiation Sources and Radiation Protection › Article 1 - Radioactive Materials › 7 AAC 18.010 - Production of radioactive materials

Current through May 31, 2024
(a) To operate in
				  this state a device, machine, or process that produces a radioactive material,
				  directly or as a byproduct, a person must obtain the approval of the department
				  under this section.
(b) A person
				  seeking an approval under this section must submit a written application that
(1) provides the applicant's
(A) name;
(B) physical address;
(C) mailing address, if different from the
				  applicant's physical address;
(D)
				  telephone number;
(E) facsimile
				  number, if any; and
(F) electronic
				  mail address, if any;
Alaska Administrative Code › Title 7 - Health and Social Services › Part 2 - Public Health › Chapter 18 - Radiation Sources and Radiation Protection › Article 2 - Registration and Use of Ionizing Radiation Sources › 7 AAC 18.105 - Applicability of 7 AAC 18.110 - 7 AAC 18.990

Current through May 31, 2024
(a) Except as
				  otherwise specified in
				  AS
				  18.60.525, the provisions of
				  7 AAC 18.110 -
				  7 AAC 18.990 apply to a person in this state who
				  receives, possesses, uses, transfers, owns, or acquires a radiation
				  source.
(b) The provisions of
				  7 AAC 18.110 -
				  7 AAC 18.990 may not be construed to limit the dose of
				  radiation that is intentionally applied to a patient for healthcare purposes
				  by, or under the direction of, a practitioner of the healing arts licensed in
				  this state, except that
(1) registrants and
				  operators shall apply the principles of ALARA (as low as is reasonably
				  achievable) to ensure that patients are exposed to the lowest amount of
				  ionizing radiation necessary to obtain the clinically intended result;
				  and
(2) in the course of
				  intentionally applying radiation to a patient for healthcare purposes,
				  operators and registrants shall ensure that exposures to the general public do
				  not exceed the limits specified in
				  7 AAC 18.240.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 2 - Public Health › Chapter 18 - Radiation Sources and Radiation Protection › Article 2 - Registration and Use of Ionizing Radiation Sources › 7 AAC 18.110 - Registration requirement

Current through May 31, 2024
(a) A person that
				  receives, possesses, uses, transfers, owns, or acquires an ionizing radiation
				  source, except a source regulated by the United States Nuclear Regulatory
				  Commission or a source specifically exempted in
				  AS
				  18.60.525 and
				  7 AAC 18.125, shall register by submitting to the
				  department an application, including all applicable fees, on a registration
				  form prescribed and provided by the department.
(b) An applicant to become a registrant, or
				  who is renewing a registration, of an ionizing radiation source shall identify
				  on the registration form the
(1) name,
				  address, and telephone number of the owner or facility;
(2) name, address, and telephone and
				  facsimile numbers of the site of operation;
(3) name, title, and electronic mail address
				  of the individual responsible for radiation protection;
(4) ionizing radiation source type;
				  and
(5) total number of x-ray
				  tubes.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 2 - Public Health › Chapter 18 - Radiation Sources and Radiation Protection › Article 2 - Registration and Use of Ionizing Radiation Sources › 7 AAC 18.115 - Registration procedure

Current through May 31, 2024
(a) Not later than 30 days after a person,
				  subject to this chapter acquires an ionizing radiation source, the person shall
				  register the ionizing radiation source with the department.
(b) An application for an initial
				  registration and renewal of registration shall be submitted on a form
				  prescribed and provided by the department, and include all applicable fees. The
				  applicant shall provide all information necessary to complete the form and any
				  other applicable information that the department may request.
(c) An applicant under this section shall
				  complete a separate form for each ionizing radiation source acquired by the
				  applicant.
(d) A registration
				  issued under this section expires on January 1 of the calendar year that is
				  after the date of issuance, except that an initial registration and renewal of
				  a registration that is issued on or after October 15 of a calendar year is
				  valid until January 1 of the calendar year that is after the calendar year that
				  follows the date of issuance.
(e)
				  Before a registrant's registration expires under this section, the registrant
				  shall renew the registration with the department by submitting an application
				  for renewal on a form prescribed and provided by the department, including all
				  applicable fees.
(f) No later than
				  30 days after any change in the information required for registration of an
				  ionizing radiation source under this section, a registrant shall notify the
				  department in writing of the change to ensure that all information regarding
				  the ionizing radiation source registered with the department is current and
				  accurate.
(g) No later than 30 days
				  after the discontinuance of use or permanent disposal of a registered ionizing
				  radiation source, a registrant, or the personal representative of the
				  registrant's estate, shall notify the department in writing of the
				  discontinuance of use or permanent disposal of each registered ionizing
				  radiation source. If an ionizing radiation source is transferred to a new owner
				  or owners, the notification to the department must include the name and address
				  of each transferee.
Authority:
AS
						18.60.475
AS 18.60.485
AS
						18.60.525
Alaska Administrative Code › Title 7 - Health and Social Services › Part 2 - Public Health › Chapter 18 - Radiation Sources and Radiation Protection › Article 2 - Registration and Use of Ionizing Radiation Sources › 7 AAC 18.120 - Authorization to operate

Current through May 31, 2024
(a) Before the
				  initial operation of a device or source capable of producing radioactive
				  material or radiation fields in excess of 200 millisieverts or 20 rems per
				  minute, a registrant shall apply, by submitting an application prescribed and
				  provided by the department, including all applicable fees, for an authorization
				  to operate. The department will issue an authorization to operate only after
				  inspecting the device or radiation source in the location of operation and the
				  department determines that the device or radiation source and the environment
				  meet the requirements necessary for safe operation as specified in
				  7 AAC 18.110 -
				  7 AAC 18.990.
(b) An authorization to operate issued by the
				  department under this section may include special conditions if, upon
				  inspection, the department determines that specific requirements are necessary
				  to reduce radiation hazards and assure safe operation.
(c) Before installing or operating a device
				  or before the receipt of radioactive material, a registrant must submit to the
				  department a decommissioning plan that the United States Nuclear Regulatory
				  Commission has approved under  10 C.F.R. Part 20, Subpart E, if the registrant
				  installs, intends to install, operates, or intends to operate a device
(1) containing radioactive material with a
				  half-life greater than 120 days, other than imaging device calibration sources
				  or clinical markers; or
(2) capable
				  of inducing nuclear instability of any portion of
(A) the building structure;
(B) the device itself; or
(C) any quantity of material that could
				  exceed a quantity exempted in  10 C.F.R. 30 . 71, Schedule
				  B.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 2 - Public Health › Chapter 18 - Radiation Sources and Radiation Protection › Article 2 - Registration and Use of Ionizing Radiation Sources › 7 AAC 18.125 - Exemptions

Current through May 31, 2024
(a) The ionizing radiation sources described
				  in AS
				  18.60.525(b) - (e) are
				  exempt from the requirements of this chapter.
(b) In addition to the ionizing radiation
				  sources described in (a) of this section, the following sources of ionizing
				  radiation are exempt from the requirements of this chapter:
(1) source material in a chemical mixture,
				  compound, solution, or alloy in which the source material is by weight less
				  than 0.05 percent of the mixture, compound, solution, or alloy;
(2) unrefined and unprocessed ore containing
				  source material;
(3) Repealed
				  7/1/2015;
(4) hands or dials of
				  timepieces and other instruments containing luminous radioactive
				  material;
(5) a domestic television
				  receiver, if the dose rate at five centimeters from any outer surface is less
				  than 0.5 millirem per hour;
(6)
				  electrical equipment, except a domestic television receiver, that emits
				  radiation incidental to the equipment's operation for other purposes, if the
				  dose rate to the whole body at the point of nearest approach to the equipment
				  when any external shielding is removed does not exceed 0.5 rem per
				  year;
(7) a disabled ionizing
				  radiation machine while in storage or transit; and
(8) radioactive material subject to effective
				  registration requirements and control by the United States Nuclear Regulatory
				  Commission under regulations established under 42 U.S.C. and
				  P.L.
				  109-58 (Energy Policy Act of 2005).
Alaska Administrative Code › Title 7 - Health and Social Services › Part 2 - Public Health › Chapter 18 - Radiation Sources and Radiation Protection › Article 2 - Registration and Use of Ionizing Radiation Sources › 7 AAC 18.130 - Vendor registration; notice of transfer

Current through May 31, 2024
(a) Before a
				  distributor, retailer, qualified expert, or other agent sells, leases,
				  services, calibrates, installs, repairs, or in any other manner transfers or
				  verifies accurate functioning of an ionizing radiation source requiring
				  registration under
				  7 AAC 18.110, that person shall register with the
				  department by submitting a form prescribed and provided by the department,
				  including all applicable fees.
(b)
				  No later than 30 days after the sale, lease, or other transfer of an ionizing
				  radiation source requiring registration under
				  7 AAC 18.110, a distributor, retailer, or other agent
				  who sells, leases, or in any other manner transfers the source shall notify the
				  department in writing, identifying each ionizing radiation source, the name and
				  address of each person receiving each source, and the date of each
				  transfer.
Authority:
AS
						18.60.475
AS
						18.60.485
Alaska Administrative Code › Title 7 - Health and Social Services › Part 2 - Public Health › Chapter 18 - Radiation Sources and Radiation Protection › Article 2 - Registration and Use of Ionizing Radiation Sources › 7 AAC 18.140 - Radiation sources from out of state

Current through May 31, 2024
(a) Except as
				  specified in (c) of this section, a person proposing to bring an ionizing
				  radiation source into this state from out of state for any temporary use shall
				  give written notice to the department at least 15 days before bringing the
				  source into the state. The notice must include the type of source, the
				  potential energy of the machine or materials, the proposed nature, duration and
				  scope of use, and the exact location of use within this state. The department
				  may grant permission to a person to bring an ionizing radiation source into
				  this state with less than 15 days notice, if the department determines that the
				  15-day notification required under this subsection imposes an undue hardship on
				  the person.
(b) A person using an
				  out-of-state ionizing radiation source within this state must
(1) comply with all applicable law, including
				  regulations of the department; and
(2) supply the department with any
				  information required in this chapter upon request.
Alaska Administrative Code › Title 7 - Health and Social Services › Part 2 - Public Health › Chapter 18 - Radiation Sources and Radiation Protection › Article 2 - Registration and Use of Ionizing Radiation Sources › 7 AAC 18.150 - Maintenance of records

Current through May 31, 2024
A registrant of an ionizing radiation source or radioactive
					 material shall keep records of
(1) the
				  receipt, transfer, or disposal of each ionizing radiation source for at least
				  three years following the event; and
(2) exposure incidents or excessive
				  concentrations of ionizing radiation for at least three years from the date of
				  occurrence.
Authority:
AS
						18.60.475
AS
						18.60.485