reglab/statecodes huggingface dataset:
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 72 - STATE COMPREHENSIVE EMERGENCY MEDICAL SERVICES SYSTEM › Subchapter 4 - AMBULANCE SERVICES › Section 11-72-29 - Staffing

Current through June, 2024
a. The minimum staff for responding to an
				  emergency ambulance call shall be one mobile intensive care technician and one
				  emergency medical technician for advanced life support;
b. The minimum staff for responding to an
				  emergency ambulance call shall be two emergency medical technicians for basic
				  life support, except hospital-based ambulance service shall be one emergency
				  medical technician and one registered nurse licensed in the State of Hawaii,
				  provided that:
1. The nurse has
				  satisfactorily completed the department of health's prehospital emergency care
				  nursing course; and
2. A written
				  exemption to the ambulance service licensing requirements specified in this
				  part be granted by the director of health.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 72 - STATE COMPREHENSIVE EMERGENCY MEDICAL SERVICES SYSTEM › Subchapter 4 - AMBULANCE SERVICES › Section 11-72-30 - Licensing and Certification

Current through June, 2024
Each advanced life support and basic life support unit,
					 and all vehicles and equipment used, shall be in compliance with the ambulance
					 licensing and personnel certification standards as prescribed by this
					 chapter.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 72 - STATE COMPREHENSIVE EMERGENCY MEDICAL SERVICES SYSTEM › Subchapter 4 - AMBULANCE SERVICES › Section 11-72-31.5 - Fees for treat/no transport, transport to an alternative destination, and community paramedic visits

Current through June, 2024
(a) The fee for
				  treat/no transport shall be as follows:
(1)
				  For advanced life support services: $1,53 0.00; and
(2) For basic life support services:
				  $1,363.00.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 72 - STATE COMPREHENSIVE EMERGENCY MEDICAL SERVICES SYSTEM › Subchapter 4 - AMBULANCE SERVICES › Section 11-72-31 - Fees

Current through June, 2024
A. Effective upon adoption of this section,
				  the fee for emergency ambulance services for each patient treated and
				  transported to a medical facility or to a location for aeromedical transport,
				  including but not limited to airports helipads or helicopter landing sites,
				  shall be according to the following schedule.
Ambulance service fee schedule:
Advanced life support (ALS) emergency transport, no
								specialized ALS services rendered, all inclusive (mileage and supplies);
$400
ALS ground emergency transport, specialized ALS
								services rendered, all inclusive (mileage and supplies);
$450
Basic life support (BLS) ground emergency transport,
								no specialized ALS services rendered, all inclusive (mileage and supplies);
								and
$375
ALS emergency aeromedical helicopter transport for
								the island of Hawaii, all inclusive (mileage and supplies).
$2,250
B.
				  The fee schedule set forth in subsection (a) may be increased on July 1 of each
				  year. Fees, however, may not be increased more than ten percent each year. The
				  fee increase shall be based upon projected revenue collected to equal no less
				  than fifty percent of the preceding fiscal year's ambulance service direct
				  contract cost.
C. Fees for
				  emergency ambulance services shall be collected by the director of health or by
				  a county or other agency under contract with the department of health. The
				  revenue collected shall be deposited by a county or other authorized agency
				  into the state general fund, except amounts necessary to provide for collection
				  services for bad debt accounts."
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 72 - STATE COMPREHENSIVE EMERGENCY MEDICAL SERVICES SYSTEM › Subchapter 4 - AMBULANCE SERVICES › Section 11-72-32 - Determination of Ability to Pay

Current through June, 2024
A. No emergency
				  medical services provided by or under contract with the department of health
				  shall be denied to any person on the basis of the ability of the person to pay
				  therefor or because of the lack of prepaid health care coverage or proof of
				  such ability or coverage.
B. The
				  department of health or its designate shall make every reasonable effort to
				  collect any fee for emergency ambulance service assessed under Section
				  11-72-31.
				  In the event of nonpayment of any fee assessed under Section
				  11-72-31,
				  the department of health or its designate shall determine whether that person
				  is financially able to pay such fee. The county or other entity or agency that
				  provided the emergency medical services shall forward records relating to
				  services to the department of health or its designate. If the department of
				  health or its designate finds that a person is financially able to pay, the
				  department of health or its designate shall continue every reasonable effort to
				  collect such fees or, if the cost of the provided services were borne by the
				  county or other entity or agency, the department of health or its designate
				  shall notify the county or other entity or agency that it may proceed to
				  collect the unpaid fee. If the department of health or its designate finds that
				  a recipient of services is without sufficient resources to pay for the service,
				  further action to collect the fees may be terminated.
C. The department of health or its designate
				  shall determine ability to pay by using criteria based on the 1985 income
				  poverty guidelines for Hawaii and established by the U.S. Department of Health
				  and Human Services, which are published annually in the Federal
				  Register.
D. The department of
				  health shall determine that a recipient of services is without sufficient
				  resources to pay fees if the recipient's annual family income is at or below
				  the appropriate maximum family income specified in subsection (c) when
				  calculated by either of the following methods:
1. Multiplying by four the recipient's family
				  income for the three months preceding the determination of ability to pay;
				  or
2. Using the recipient's actual
				  family income for the twelve months preceding the determination of ability to
				  pay.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 72 - STATE COMPREHENSIVE EMERGENCY MEDICAL SERVICES SYSTEM › Subchapter 5 - CONTRACTS FOR SERVICES › Section 11-72-37 - Ambulance Services

Current through June, 2024
A. The director of
				  health may contract for the provision of emergency medical ambulance services
				  with a county which applies to the director for direct operation of such
				  services provided that the county:
1.
				  Develops a detailed budget including a line item description of services to be
				  funded and other related costs for review and analysis;
2. Provides evidence that the county will
				  satisfactorily provide this required level of emergency ambulance services,
				  will plan, coordinate, and facilitate the development of components in the EMS
				  service area;
3. Provides evidence
				  of administrative capability and supporting resources for the provision of
				  emergency medical ambulance services;
4. Permits an annual audit and evaluation of
				  expenditures, procedures, calls, and operations in order to determine the
				  adequacy and cost effectiveness of services rendered; and
5. Provides a description of existing
				  emergency ambulance units, locations, personnel, and level of personnel,
				  including an inventory of vehicles, medical and non medical equipment and
				  supplies.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 72 - STATE COMPREHENSIVE EMERGENCY MEDICAL SERVICES SYSTEM › Subchapter 5 - CONTRACTS FOR SERVICES › Section 11-72-38 - Other System Components

Current through June, 2024
The director of health may contract for the provision of
					 emergency medical services or any necessary component of an emergency medical
					 services system in a county.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 72 - STATE COMPREHENSIVE EMERGENCY MEDICAL SERVICES SYSTEM › Subchapter 6 - AMBULANCE SERVICES › Section 11-72-43 - License Required to Operate Ambulance Services

Current through June, 2024
A.
				  No person, either as owner, agent, or otherwise shall furnish, operate,
				  conduct, maintain, advertise, or otherwise be engaged in or profess to be
				  engaged in ambulance service in the state without holding a valid ambulance
				  service license issued pursuant to these regulations.
B. No ambulance shall be operated for
				  ambulance services and no individual shall drive, ride in, or permit it to be
				  operated for such purposes in the state unless it is operated under a valid
				  ambulance service license and staffed at least by 2 primary crew
				  members.
C. This section does not
				  apply to:
1. The operation of a fire
				  department rescue vehicle with minimum staffing required when it is used during
				  a period of non-availability of an ambulance.
2. The operation of any vehicle, when, during
				  a period of non-availability of an ambulance or when, under conditions making a
				  patient inaccessible to an ambulance, the vehicle is used for the extrication
				  or transportation of a patient.
3.
				  Assistance rendered to a licensed ambulance service or certified BLS or ALS
				  personnel in the case of:
a. A major
				  catastrophe or disaster beyond the capabilities of the available licensed
				  ambulance services; or
b. An
				  emergency declared by the director to ensure that patient transportation
				  services are not interrupted or seriously deficient.
4 Ambulance service insufficiency in areas in
				  regard to sufficient emergency ambulance calls to support full staffing of
				  conforming ambulances and equipment as determined by the director. Exceptions
				  under this paragraph may be granted by the director after full consideration of
				  written and oral submissions respecting the proposed
				  exception.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 72 - STATE COMPREHENSIVE EMERGENCY MEDICAL SERVICES SYSTEM › Subchapter 6 - AMBULANCE SERVICES › Section 11-72-44 - Applications for Ambulance Service Licenses; Application Fee

Current through June, 2024
A. Applications for an ambulance service
				  license shall be made upon forms, prepared and prescribed by the
				  director.
B. Each application for
				  an ambulance service license shall be accompanied by a nonrefundable fee of
				  $10.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 72 - STATE COMPREHENSIVE EMERGENCY MEDICAL SERVICES SYSTEM › Subchapter 6 - AMBULANCE SERVICES › Section 11-72-45 - Standards of Licensed Ambulance Services; Ambulances

Current through June, 2024
A.
				  Each licensed ambulance service ambulance shall, at all times when in, use as
				  such:
1. Be suitable for the transportation
				  of patients with respect to health, sanitation, and safety;
2. In the case of ground motor ambulance,
				  conform to the document entitled Motor Vehicle Ambulance Design and Performance
				  Standards, dated July 15, 1985 and available from the department. In the case
				  of aircraft, conform to the document entitled Essential Equipment and
				  Requirements for Air Ambulance Services, dated July 15, 1985 and available from
				  the department;
3. Have a
				  state-licensed physician medical director and be staffed by primary crew
				  members;
4. Contain equipment
				  conforming with the standards, requirements, and regulations prescribed in
				  Section
				  11-71-55;
5. Conform with all applicable laws relating
				  to health, sanitation, and safety;
6. Be maintained in suitable premises with
				  facilities for washing and disinfecting equipment; handling linen and supplies;
				  storing supplies in a clean, dry location; storing personal effects and
				  maintaining cleanliness and orderliness of premises, and disposing of wastes in
				  an acceptable manner.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 72 - STATE COMPREHENSIVE EMERGENCY MEDICAL SERVICES SYSTEM › Subchapter 6 - AMBULANCE SERVICES › Section 11-72-46 - Standards for Ambulance Services; Liability Insurance

Current through June, 2024
a.
				  No ambulance shall be operated in the State of Hawaii unless there is at all
				  times in force and in effect insurance coverage, issued by an insurance company
				  licensed to do business in the State of Hawaii, for each and every ambulance
				  owned or operated by or for the applicant licensee providing for the payment of
				  benefits and including, but not limited to, the following:
1. No-fault insurance policy (motor vehicle):
a. No-fault benefits, as defined in Chapter
				  294-2, Hawaii Revised Statutes with respect to any accidental harm arising out
				  of a motor vehicle accident.
b.
				  Liability coverage for all damages arising out of bodily injury to or death of
				  any one person as a result of any one motor vehicle accident.
c. Liability coverage for all damages arising
				  out of injury to or destruction of property, including motor vehicles and
				  including the loss of use thereof, as a result of any one motor vehicle
				  accident.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 72 - STATE COMPREHENSIVE EMERGENCY MEDICAL SERVICES SYSTEM › Subchapter 6 - AMBULANCE SERVICES › Section 11-72-47 - Licensing Duties of Director; Licensing Fee

Current through June, 2024
A. Within
				  thirty days after receipt of an application for an ambulance service license,
				  an investigation will be made of the applicant and the proposed
				  operations;
B. Prior to issuance or
				  denial of an ambulance service license, an inspection will be made of the
				  ambulances, equipment and supplies, and premises designated in the
				  application;
C. A non-transferable
				  license or denial of the application will be issued not later than sixty days
				  of receipt of an application; each license issued to an ambulance service shall
				  specify the ambulances authorized to be operated under the license and shall be
				  valid for a period of one year unless earlier amended, suspended, revoked, or
				  terminated;
D. The ambulance
				  service license not shall be transferable nor assignable;
E. A license will be issued upon receipt of
				  an initial licensing fee of $ 25 after finding that:
1. When required under Chapter 323D, Hawaii
				  Revised Statutes, finding that a certificate of need has been issued.
2. Each such ambulance and its required
				  equipment and the premises designated in the application meet the standards of
				  these regulations;
3. Only state
				  certified drivers, basic life support personnel, advanced life support
				  personnel, and prehospital registered nurses are employed in such capacities;
				  and
4. All the requirements of
				  these regulations and all other applicable laws and ordinances have been
				  met.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 72 - STATE COMPREHENSIVE EMERGENCY MEDICAL SERVICES SYSTEM › Subchapter 6 - AMBULANCE SERVICES › Section 11-72-48 - Renewal of Ambulance Service License; Fee

Current through June, 2024
A. Annual renewal
				  of an ambulance service license shall be obtained prior to
				  expiration.
B. The annual renewal
				  fee for a license that has not expired or been suspended or revoked shall be
				  $20.
C. The annual renewal fee for
				  a license that has expired for one to fifty-nine days shall be $25.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 72 - STATE COMPREHENSIVE EMERGENCY MEDICAL SERVICES SYSTEM › Subchapter 6 - AMBULANCE SERVICES › Section 11-72-49 - Revocation of Ambulance Service License

Current through June, 2024
A. The director may
				  suspend or revoke an ambulance service license for failure of a licensee to
				  comply and to maintain compliance with, or for violation of, an applicable
				  provision, standard, or requirement of these regulations or of any other
				  applicable law or ordinance or regulation promulgated thereunder, but only in
				  compliance with the procedures and requirements of Chapter 91, Hawaii Revised
				  Statutes.
B. Upon suspension,
				  revocation, or termination of an ambulance service license the ambulance
				  service shall cease operations as such and no person shall permit the ambulance
				  service to continue operations.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 72 - STATE COMPREHENSIVE EMERGENCY MEDICAL SERVICES SYSTEM › Subchapter 7 - AMBULANCE EQUIPMENT AND SUPPLIES › Section 11-72-55 - Standards for Ambulance Equipment and Supplies

Current through June, 2024
A. Required
				  equipment in each licensed ambulance in use as such shall include:
1. Telecommunications equipment for
				  communications with a dispatch center;
2. Telecommunications equipment capable of
				  providing communication with emergency medical facilities or emergency medical
				  physicians;
3. Equipment for light
				  rescue and extrication is required unless a fully-equipped rescue service is
				  able to correspond with the ambulance on a call for which those materials are
				  needed;
4. Medical equipment and
				  supplies including, but not limited to, the equipment and supplies prescribed
				  in the documents-entitled Essential Equipment for Basic Life Support Ambulance
				  Service Standards dated July 15, 1985 and Essential Equipment for Advanced Life
				  Support Ambulance Service Standards dated July 15, 1985 and available from the
				  department; and
5. In the event of
				  an emergency declared by the director, or a disaster, or a catastrophe, a
				  readily accessible source of additional supplies, as delineated by the
				  director. (b) The director shall enforce the equipment and supplies
				  requirements set forth in Section
				  11-72-45(a).
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 72 - STATE COMPREHENSIVE EMERGENCY MEDICAL SERVICES SYSTEM › Subchapter 8 - AMBULANCE PERSONNEL › Section 11-72-60 - Application for Prehospital Registered Nurses Certificates by the Application Fees

Current through June, 2024
a. Application for certificates by the
				  department for prehospital registered nurse shall be made upon forms prepared
				  for such by the department.
b. The
				  application forms shall request the following information:
1. Applicant's name, mailing address, home
				  address, telephone number, age, sex, color of eyes, color of hair;
2. Verification that applicant age is 21
				  years or older;
3. Such other
				  information as the director requires for the purposes of these
				  regulations.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 72 - STATE COMPREHENSIVE EMERGENCY MEDICAL SERVICES SYSTEM › Subchapter 8 - AMBULANCE PERSONNEL › Section 11-72-61 - Standards for Prehospital Registered Nurse Certification; Initial Certificate Fees

Current through June, 2024
A. Within thirty days after a completed
				  written application form is filed with the department, an investigation will he
				  made of the applicant for certification.
B. A certificate will be issued or the
				  application denied not later than sixty days of receipt of an application
				  unless earlier suspended, revoked, or terminated.
C. A certificate shall be issued after
				  finding that the applicant:
1. Is not
				  addicted to intoxicating liquors or any drugs;
2. Is able to speak, read, and write the
				  English language;
3. Has been found
				  by a licensed physician upon examination attested to on a physical examination
				  form approved by the director to be suitable for the work;
4. Has duly completed all other
				  requirements.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 72 - STATE COMPREHENSIVE EMERGENCY MEDICAL SERVICES SYSTEM › Subchapter 8 - AMBULANCE PERSONNEL › Section 11-72-62 - Renewal of Prehospital Registered Nurse Certificates; Fees

Current through June, 2024
a. Renewal of any prehospital registered
				  nurse certificate by the state department of health, except for reasons of
				  suspension, revocation, or expiration of more than sixty days, shall require
				  presentation of the following, 60 days prior to the expiration of the
				  certificate:
1. A current valid State of
				  Hawaii registered nurse license and prehospital registered nurse refresher
				  training, as approved by the director.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 72 - STATE COMPREHENSIVE EMERGENCY MEDICAL SERVICES SYSTEM › Subchapter 8 - AMBULANCE PERSONNEL › Section 11-72-63 - Revocation or Suspension of Prehospital Registered Nurse Certificate

Current through June, 2024
A. The director may, subject to Chapter 91,
				  Hawaii Revised Statutes, suspend or revoke a prehospital registered nurse
				  certificate provided by the department for:
1. Failure of the certificate holder to
				  comply and to maintain compliance with, or for his violation of the provisions
				  of this section or any other applicable law, ordinances, or
				  regulation.
2. Being habituated to
				  the excessive use of drugs or alcohol; or being addicted to, dependent on, or a
				  habitual user of a narcotic, barbiturate, amphetamine, hallucinogen, or other
				  drug having similar effects.
3.
				  Providing services while the ability to practice is impaired by alcohol, drugs,
				  physical disability, or mental instability.
4. Professional misconduct or gross
				  carelessness or manifest incapacity in the provison of services.
5. Conduct or practice contrary to recognized
				  standards of ethics of the occupation.
6. Violation of the conditions or limitations
				  upon which a certificate is issued.
7. Fraudulent obtaining of
				  certificate.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 72 - STATE COMPREHENSIVE EMERGENCY MEDICAL SERVICES SYSTEM › Subchapter 9 - DESIGNATION OF ALTERNATIVE DESTINATIONS › Section 11-72-70 - Designation of alternative destinations; methods

Current through June, 2024
(a) The
				  department of health may designate an alternative destination pursuant to an
				  application for designation by an applicant that meets the requirements of
				  sections
				  11-72-71 and
				  11-72-72, or it may
				  directly designate a State-operated or State-contracted health care facility as
				  defined in section
				  323D-2, HRS, or a
				  Federally Qualified Health Center with a freestanding emergency department that
				  it determines meets the minimum requirements under section
				  11-72-72.
(b) The department of health may engage in
				  discussions with potential applicants for the purpose of understanding the
				  availability of services and facilities; provided that the department of health
				  shall not engage in any activity that may give an applicant a competitive
				  advantage over another.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 72 - STATE COMPREHENSIVE EMERGENCY MEDICAL SERVICES SYSTEM › Subchapter 9 - DESIGNATION OF ALTERNATIVE DESTINATIONS › Section 11-72-71 - Application for designation

Current through June, 2024
(a) For the
				  purposes of this subchapter, "applicant" shall mean a person or entity
				  submitting an application for designation as an alternative destination under
				  this subchapter.
(b) Upon
				  determining a need for an alternative destination, the department of health
				  shall establish an open application period for the designation of the
				  alternative destination.
(c) An
				  open application period shall not be less than thirty calendar days.
(d) At least thirty calendar days prior to
				  the start of an open application period, the department of health shall publish
				  a public notice of the open application period at least once in a daily
				  newspaper of statewide circulation and shall post the public notice on the
				  department's website. The public notice shall include, at a minimum, the
				  following information:
(1) A brief description
				  of the alternative destination type and services desired for designation,
				  including the geographic area to be served;
(2) The maximum number of alternative
				  destination sites the department of health intends to designate by geographic
				  area;
(3) The target population to
				  be served in terms of the estimated number of patients and the patients' health
				  needs within the geographic area to be served;
(4) The date and time the open application
				  period begins and ends;
(5) Where
				  and how to obtain an application form;
(6) Where and how to submit an application
				  form;
(7) The date, time, and place
				  of a pre-application meeting to be held, if any;
(8) The name, phone number, or electronic
				  mail address of the contact person to whom inquiries may be addressed;
				  and
(9) Any other information the
				  department of health deems appropriate.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 72 - STATE COMPREHENSIVE EMERGENCY MEDICAL SERVICES SYSTEM › Subchapter 9 - DESIGNATION OF ALTERNATIVE DESTINATIONS › Section 11-72-73 - Review of applications; rejection

Current through June, 2024
(a) The department
				  of health shall review applications for completeness and may reject an
				  application for any of the following reasons:
(1) The application is submitted after the
				  end of the open application period;
(2) The application is deemed incomplete by
				  the department of health; provided that an application that contains errors
				  determined to be non-substantive by the department of health may be deemed
				  complete;
(3) The application does
				  not meet the requirements of section
				  11-72-72;
(4) The provision of misleading, incorrect,
				  false, or fraudulent information or the withholding or omission of information
				  that is material to an application;
(5) Refusal by an applicant to allow a site
				  visit or to provide any information reasonably requested or required by the
				  department of health in the evaluation of an application; or
(6) Any other reason that serves the purposes
				  of this subchapter.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 72 - STATE COMPREHENSIVE EMERGENCY MEDICAL SERVICES SYSTEM › Subchapter 9 - DESIGNATION OF ALTERNATIVE DESTINATIONS › Section 11-72-74 - Cancellation of open application period

Current through June, 2024
(a) The department
				  of health may cancel an open application period at any time prior to
				  designation when the department finds it is in the public interest.
(b) The department of health shall publish a
				  public notice of the cancellation of an open application period in a daily
				  newspaper of statewide circulation and shall post the public notice on the
				  department's website. The department of health shall send written notice of a
				  cancellation to any applicants who submitted an application.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 72 - STATE COMPREHENSIVE EMERGENCY MEDICAL SERVICES SYSTEM › Subchapter 9 - DESIGNATION OF ALTERNATIVE DESTINATIONS › Section 11-72-75 - Evaluation of applications

Current through June, 2024
(a) When evaluating
				  applications, the department of health may conduct discussions with applicants
				  or conduct site visits for the purposes of:
(1) Verifying information provided in an
				  application;
(2) Promoting
				  understanding of the minimum requirements pursuant to section
				  11-72-72; or
(3) Clarifying elements of an applicant's
				  application, qualifications, or ability to meet the minimum requirements;
				  provided that applications may be accepted and evaluated without discussions or
				  site visits.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 72 - STATE COMPREHENSIVE EMERGENCY MEDICAL SERVICES SYSTEM › Subchapter 9 - DESIGNATION OF ALTERNATIVE DESTINATIONS › Section 11-72-76 - Granting of designation

Current through June, 2024
(a) The department
				  of health shall grant designation to an application that has been evaluated as
				  meeting the minimum requirements of section
				  11-72-72, except when
				  the number of applications evaluated as meeting the minimum requirements
				  exceeds the maximum number of alternative destination sites to be designated as
				  established in the public notice under section
				  11-72-71(d), in which
				  case subsection (b) shall apply.
(b) When the number of applications evaluated
				  as meeting the minimum requirements exceeds the maximum number of alternative
				  destination sites to be designated for a geographic area, the department of
				  health may:
(1) Grant designation to all
				  applications regardless of the maximum number of alternative destination sites
				  established in the public notice for the geographic area; or
(2) Grant designation to the application or
				  applications that the department of health determines to be the most
				  advantageous to the State in meeting the maximum number of alternative
				  destination sites established in the public notice for the geographic area;
				  provided that a justification of this determination shall be included in each
				  applicant's written evaluation.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 72 - STATE COMPREHENSIVE EMERGENCY MEDICAL SERVICES SYSTEM › Subchapter 9 - DESIGNATION OF ALTERNATIVE DESTINATIONS › Section 11-72-77 - Designation; term and extensions

Current through June, 2024
(a) The term of
				  designation granted by the department of health shall be three years unless
				  suspended or revoked by the department of health or surrendered by the
				  alternative destination.
(b) The
				  department of health may extend the term of a designation one time if the
				  department determines that the alternative destination is still needed, an
				  extension is in the interest of public health and safety, and the alternative
				  destination continues to comply with this subchapter.
(c) To obtain an extension of term, an
				  alternative destination shall submit an updated application to the department
				  of health on a form and in a manner prescribed by the department of
				  health.
(d) In determining whether
				  the alternative destination continues to comply with this subchapter, the
				  department of health shall evaluate an application for extension in accordance
				  with section
				  11-72-75 and shall
				  review any instance of noncompliance with this subchapter during the
				  alternative destination's original term of designation.
(e) The extended term of designation may be
				  granted by the department of health and shall not exceed three years.
(f) The department of health shall send a
				  written notice notifying an alternative destination of the department's
				  decision to extend the designation term.
(g) An alternative destination aggrieved by a
				  decision made pursuant to this section may request an appeal pursuant to
				  section
				  11-72-81.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 72 - STATE COMPREHENSIVE EMERGENCY MEDICAL SERVICES SYSTEM › Subchapter 9 - DESIGNATION OF ALTERNATIVE DESTINATIONS › Section 11-72-78 - Designation; transferability

Current through June, 2024
No designation shall be assigned or otherwise transferred
					 except with the prior written approval of the department of health. The
					 department of health shall approve an assignment or transfer based on its
					 determination that the assignment or transfer will not adversely impact the
					 alternative destination's ability to comply with the requirements of this
					 subchapter and its determination that the assignee or transferee meets the
					 requirements of section
					 11-72-72.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 72 - STATE COMPREHENSIVE EMERGENCY MEDICAL SERVICES SYSTEM › Subchapter 9 - DESIGNATION OF ALTERNATIVE DESTINATIONS › Section 11-72-79 - Operating requirements for alternative destinations

Current through June, 2024
An alternative destination shall:
(1) Comply with the provisions of this
				  subchapter and all other applicable laws and all department of health policies,
				  procedures, and protocols;
(2)
				  Comply with the requirements of section
				  11-72-72 and the
				  requirements specified by the department of health in the application under
				  which the alternative designation was designated;
(3) Decline a patient from emergency medical
				  services personnel only when the alternative destination has made a medical
				  determination that the alternative destination cannot treat the patient safely
				  and appropriately; provided that the alternative destination shall document the
				  specific reasons why a patient was declined for treatment;
(4) Comply with all requirements imposed by
				  federal, State, and private health insurers;
(5) Maintain malpractice insurance and
				  commercial general liability insurance in accordance with coverage limits
				  established by the department of health;
(6) Collect and submit patient data to the
				  department of health in accordance with forms and instructions prescribed by
				  the department of health, which may include the use of department of
				  health-approved software;
(7)
				  Maintain adequate records and documentation to demonstrate the alternative
				  destination's compliance with this subchapter;
(8) Within five working days, notify the
				  department of health in writing of any inability to meet any of the
				  requirements of this subchapter that is expected to last for more than five
				  consecutive days or any change to the operations that may affect the
				  alternative destination's performance under this subchapter;
(9) Notwithstanding paragraph (8),
				  immediately notify the department of health if the alternative destination is
				  not able to accept patients from emergency medical services personnel, the
				  reason therefor, and the estimated length of time these circumstances will
				  continue; and upon remedying these circumstances, immediately notify the
				  department of health the alternative destination is able to accept
				  patients;
(10) Notify the
				  department of health in writing no later than ninety days prior to voluntarily
				  surrendering its designation;
(11)
				  Upon reasonable notice, provide the department of health access to inspect its
				  facility, interview personnel, or review, inspect, evaluate, and audit records
				  and documents related to the provision of care as an alternative destination to
				  verify compliance with this subchapter; and
(12) Comply with any other operating
				  requirements established by the department of health to ensure safe and
				  appropriate care.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 72 - STATE COMPREHENSIVE EMERGENCY MEDICAL SERVICES SYSTEM › Subchapter 9 - DESIGNATION OF ALTERNATIVE DESTINATIONS › Section 11-72-80 - Suspension or revocation of designation

Current through June, 2024
(a) The department
				  of health may suspend or revoke a designation for any of the following reasons:
(1) Failure to comply with any provision of
				  this subchapter or any other applicable law;
(2) Submission of misleading, incorrect,
				  false, or fraudulent information to the department of health; or
(3) Any attempt to prevent, interfere with,
				  or impede in any way, the work of the department of health in the lawful
				  enforcement of this subchapter or any other applicable State
				  law.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 72 - STATE COMPREHENSIVE EMERGENCY MEDICAL SERVICES SYSTEM › Subchapter 9 - DESIGNATION OF ALTERNATIVE DESTINATIONS › Section 11-72-81 - Appeals

Current through June, 2024
(a) An alternative destination aggrieved by a
				  decision made pursuant section
				  11-72-73,
				  11-72-76,
				  11-72-77, or
				  11-72-80 may appeal
				  the decision by filing a written complaint to the department of health in
				  accordance with section
				  11-1-22 not later
				  than fourteen calendar days from the date of notification. For the purposes of
				  this subsection, "date of notification" shall mean the date the department of
				  health sent an electronic mail of the department's decision to the aggrieved
				  party or three working days after the department of health mailed a letter of
				  the department's decision to the aggrieved party.
(b) An appeal hearing shall be conducted in
				  accordance with chapter
				  91, HRS, and chapter
				  11-1.
(c) Filing of an appeal shall not operate as
				  a stay of a decision made pursuant to section
				  11-72-73,
				  11-72-76,
				  11-72-77, or
				  11-72-80.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 72 - STATE COMPREHENSIVE EMERGENCY MEDICAL SERVICES SYSTEM › Subchapter 9 - DESIGNATION OF ALTERNATIVE DESTINATIONS › Section 11-72-82 - Disclosure of information

Current through June, 2024
(a) The department
				  of health shall not disclose information in any application or related to the
				  number or names of persons or entities that obtained an application, attended a
				  pre-application meeting, or submitted an application until after the granting
				  of designation.
(b) All
				  applications shall be available for public inspection in accordance with
				  existing law governing information practices after the granting of designation,
				  except those portions an applicant indicates in writing as trade secrets or
				  other proprietary data that are to remain confidential.
(c) All information received by the
				  department of health from an applicant or alternative destination shall be
				  subject to federal and State laws relating to privacy and information
				  practices.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 79 - LICENSING OF DIETITIANS › Subchapter 1 - GENERAL PROVISIONS › Section 11-79-2 - Definitions

Current through June, 2024
As used in this chapter: "American Dietetic Association"
					 means the national professional association for dietitians that develop
					 Standards of practice and training opportunities for members.
"Commission on Dietetic Registration" means the
					 credentialing agency for the American Dietetic Association.
"Committee" means an advisory committee of licensed
					 dietitians appointed by the director of health to assist with implementation of
					 the licensure program.
"Department" means the department of health, State of
					 Hawaii.
"Dietitian" means a person who is registered as a
					 dietitian by the Commission on Dietetic Registration.
"Director of health" or "director" means the director of
					 department of health, State of Hawaii, or the director's designee.
"Hawaii Dietetic Association" or "HDA" means the
					 state-affiliate of the American Dietetic Association.
"Licensed dietitian" means a person who has a valid
					 license to practice dietetics in the State of Hawaii under this chapter.
"Respondent" means a person who is alleged to have
					 violated this chapter or chapter 448B, HRS, and is expected or disposed to
					 respond to those allegations.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 79 - LICENSING OF DIETITIANS › Subchapter 1 - GENERAL PROVISIONS › Section 11-79-3 - Advisory committee

Current through June, 2024
(a) The director
				  shall appoint five licensed dietitians to serve on the dietitian licensure
				  advisory committee from a list of candidates nominated. Committee candidates
				  may include, but are not limited to the following:
(1) Health care facilities;
(2) Higher education;
(3) Department of health;
(4) Private Consultant or practitioner,-
				  and
(5) Community member.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 79 - LICENSING OF DIETITIANS › Subchapter 2 - REQUIREMENTS FOR LICENSURE › Section 11-79-11 - Qualifications for licensure

Current through June, 2024
(a) To be licensed,
				  applicants shall meet the licensure requirements in section
				  448B-5,
				  HRS, in addition to the requirements of this chapter.
(b) An individual who provides evidence of
				  current registration with the Commission on Dietetic Registration shall be
				  deemed to have met the requirements of this chapter, provided that the
				  individual shall submit a report of any disciplinary action relating to
				  dietetics practice taken against the applicant in another
				  Jurisdiction.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 79 - LICENSING OF DIETITIANS › Subchapter 2 - REQUIREMENTS FOR LICENSURE › Section 11-79-12 - Application

Current through June, 2024
(a) Applications for licensure as a dietitian
				  shall be submitted to the department on forms provided by the department. An
				  applicant shall provide the following Information:
(1) The applicant's legal name;
(2) Affirmation that the applicant is beyond
				  the age of majority;
(3) The
				  applicant's current residence, business and mailing addresses, and telephone
				  numbers;
(4) Current driver's
				  license or State identification card;
(5) Current dietetic registration with the
				  Commission on Dietetic Registration;
(6) The date and place of any conviction of a
				  criminal offense related to the applicant's possible Performance of the
				  practice of dietetics, unless the conviction has been expunged or annulled, or
				  is otherwise precluded from consideration by section
				  831-3.1,
				  HRS;
(7) Proof that the applicant
				  is a United States Citizen, a United States national, or an alien authorized to
				  work in the United States;
(8)
				  Disclosure of similar licensure in any State or territory;
(9) Disclosure of disciplinary action by any
				  State or territory against any license held by the applicant; and
(10) Any other Information the department may
				  require to investigate the applicant's qualifications for licensure.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 79 - LICENSING OF DIETITIANS › Subchapter 2 - REQUIREMENTS FOR LICENSURE › Section 11-79-13 - Licensure by endorsement

Current through June, 2024
The director shall grant, upon application and payment of
					 the fee established in section
					 11-79-17, licensure to a person
					 who at the time of application holds a valid license as a dietitian issued by
					 another State, territory, or Jurisdiction if the requirements for that
					 certificate or license are equal to, or greater than, the requirements of this
					 chapter. When the out-of-State license expires, the dietitian holding the
					 license shall thereafter pay the Hawaii triennial licensure fee.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 79 - LICENSING OF DIETITIANS › Subchapter 2 - REQUIREMENTS FOR LICENSURE › Section 11-79-14 - Timely processing

Current through June, 2024
(a) The director
				  shall approve, approve with conditions, or deny a complete application and
				  notify the applicant accordingly within sixty calendar days after the receipt
				  of the completed application and fees. Otherwise, the application is deemed
				  automatically approved on the sixty-first calendar day and license shall be
				  issued.
(b) The director shall
				  determine and notify an applicant of any deficiencies of an application covered
				  by this section, including payment of required fees, within forty-five calendar
				  days after receipt of the application.
(1)
				  Failure by the applicant to provide a complete application with all required
				  documents or pay the fees required shall result in the Suspension or
				  termination of review of the application, and the application will be returned
				  to the applicant.
(2) Upon receipt
				  of a revised complete application, determine and notify an applicant of the
				  completeness of a revised application, including payment of required fees,
				  within thirty calendar days after receipt of the revised completed application,
				  the director shall proceed with processing of the application. No additional
				  fee will be required.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 79 - LICENSING OF DIETITIANS › Subchapter 2 - REQUIREMENTS FOR LICENSURE › Section 11-79-15 - Renewal of license

Current through June, 2024
(a) A renewal
				  application shall be submitted to the department on a form provided by the
				  department with required fees submitted at minimum thirty days prior to license
				  expiration.
(b) Current dietetic
				  registration with the Commission on Dietetic Registration shall be provided
				  with the renewal application.
(c)
				  Incomplete renewal applications shall be returned to the applicant for
				  completion and provided a deadline for submittal. Failure to comply with the
				  deadline established may affect timely re-licensure and a late renewal fee may
				  be applied.
(d) Failure to renew a
				  license shall result in forfeiture of the license.
(1) Licenses that have been so forfeited may
				  be restored within one year of the expiration date upon payment of renewal and
				  late fees.
(2) Failure to restore a
				  forfeited license within one year of the date of its expiration shall result in
				  the automatic termination of the license, and relicensure may require the
				  person to apply as a new applicant and satisfy all licensure requirements as
				  per § 11-79-11.
Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 79 - LICENSING OF DIETITIANS › Subchapter 2 - REQUIREMENTS FOR LICENSURE › Section 11-79-16 - Period of licensure

Current through June, 2024
Licensure shall be granted for a period of three years to
					 an individual who satisfactorily meets all of the requirements of this chapter
					 and has submitted all applicable fees with the application.