4. COMPLIES WITH THE OPERATING STANDARDS PROVIDED
IN REGULATIONS ADOPTED BY THE SECRETARY UNDER § 19-307.1 OF THIS TITLE.

(2) The Secretary may set, by rule or regulation, other, reasonable
classifications for hospitals.

19-307.1.

A CRITICAL ACCESS HOSPITAL SHALL MEET THE FOLLOWING OPERATING
STANDARDS. THE DEPARTMENT SHALL ADOPT REGULATIONS" FOR A LIMITED
SERVICE HOSPITAL THAT INCLUDES INCLUDE THE FOLLOWING STANDARDS:

(1) THE CRITICAL ACCESS LIMITED SERVICE HOSPITAL SHALL BE OPEN
24 HOURS A DAY, 7 DAYS A WEEK;

(2) THERE SHALL BE AT LEAST ' ONE PHYSICIAN TRAINED
CREDENTIALED IN EMERGENCY MEDICINE AT THE CRITICAL ACCESS LIMITED
SERVICE HOSPITAL AT ALL TIMES;

(3) A SUFFICIENT NUMBER OF REGISTERED NURSES AND OTHER
HEALTH PROFESSIONALS SHALL BE AVAILABLE AT THE CRITICAL ACCESS LIMITED
SERVICE HOSPITAL TO PROVIDE ADVANCED LIFE SUPPORT;

(4) BASIC X-RAY AND LABORATORY FACILITIES SHALL BE AVAILABLE AT
THE CRITICAL ACCESS LIMITED SERVICE HOSPITAL AND OPERABLE AT ALL TIMES BY
ONE RADIOLOGY TECHNICIAN AND ONE LABORATORY TECHNICIAN;

(5) RESUSCITATION EQUIPMENT, INCLUDING MONITOR,
DEFIBRILLATOR, CARDIAC . MEDICATIONS, INTUBATION EQUIPMENT, AND
INTRAVENOUS LINE EQUIPMENT SHALL BE AVAILABLE AT THE CRITICAL ACCESS
LIMITED SERVICE HOSPITAL AND OPERABLE AT ALL TIMES:

(6) STANDARD PROCEDURES IN ACCORDANCE WITH THE STATE
EMERGENCY MEDICAL SERVICES PLAN SHALL EXIST FOR THE IMMEDIATE
TRANSPORT OF INDIVIDUALS IN NEED OF HOSPITALIZATION OR OTHER MORE
DEFINITIVE CARE;

(7) A SPECIFIC DEFINED ROLE IN THE EMERGENCY MEDICAL SERVICES
SYSTEM WITH APPROPRIATE TELEPHONE COMMUNICATION SHALL EXIST;

(8) EMERGENCY SERVICES SHALL BE AVAILABLE TO ALL PERSONS
REGARDLESS OF ABILITY TO PAY; AND

(9) ADOPTION, IMPLEMENTATION, AND ENFORCEMENT OF A POLICY
SHALL EXIST THAT REQUIRES, EXCEPT IN AN EMERGENCY LIFE-THREATENING
SITUATION WHERE IT IS NOT FEASIBLE OR PRACTICABLE, COMPLIANCE BY ALL
EMPLOYEES AND MEDICAL STAFF INVOLVED IN PATENT CARE SERVICES WITH THE
CENTERS FOR DISEASE CONTROL'S GUIDELINES ON UNIVERSAL PRECAUTIONS; AND

(10) ANY OTHER STANDARD THAT THE SECRETARY DEEMS NECESSARY
TO ENSURE THE QUALITY OF THE SERVICES PROVIDED BY LIMITED LICENSE
HOSPITALS A LIMITED SERVICE HOSPITAL.