Chapter IV – General Hospitals
Instructions:  Insert the following in 6 CCR 1011-1, Chapter IV – General Hospitals, after Section 32.2.5 (e).
{Notice of Future Technical Change:  In September 2007, the Board adopted revisions to Chapter IV effective May 15, 2008, including renumbering of  the entire Chapter.  In the version of Chapter IV that becomes effective on May 15, 2008, this section 33 – Licensure, including internal references, will be renumbered to section 2.202  in conformance with the new numbering sequence effective May 15, 2008 – see below*} 

33	LICENSURE FEES
Fees shall be submitted to the Department as specified below.  
33.1	Initial license (when such initial licensure is not a change of ownership).  A license applicant shall submit a nonrefundable fee with an application for licensure as follows:
33.1.1	See table below.  
Number of Beds	Fee	
1-25 beds	$8,000	
26-50 beds	$10,000	
51-100 beds	$12,500	
101+ beds	Base:  $9,800
Per bed:  $50
Cap:  $20,000	
33.1.2	Notwithstanding the provisions of Section 33.1.1, the initial fee for facilities to be licensed as general hospitals but certified as long term hospitals pursuant to 42 CFR 482 et seq. shall submit:  a base fee of $5,700 and a per bed fee of $50.  The initial licensure fee for long term hospitals shall not exceed $10,500.
33.2	Renewal license.  A license applicant shall submit a nonrefundable fee with an application for licensure as shown in the following table.  The renewal fee shall not exceed $8,000.
Number of Beds	Fee	
1-50 beds	Base:  $900
Per bed: $ 12	
51 – 150 beds	Base:  $1,400
Per bed:  $12	
151+ beds	Base:  $2,000
Per bed:  $12	
33.3	Change of ownership.  A license applicant shall submit a nonrefundable fee of $2,500 with an application for licensure.
33.4	Provisional License.  The license applicant may be issued a provisional license upon submittal of a nonrefundable fee of $2,500.  If a provisional license is issued, the provisional license fee shall be in addition to the initial license fee.
33.5	Conditional License.  A facility that is issued a conditional license by the Department shall submit a nonrefundable fee ranging from 10 to 25 percent of its applicable renewal fee.  The percentage shall be determined by the Department.  If the conditional license is issued concurrent with the initial or renewal license, the conditional license fee shall be in addition to the initial or renewal license fee.
33.6	Other regulatory Functions.  If a facility requests an onsite inspection for a regulatory oversight function other than those listed in Sections 33.1 through 33.5 and Section 32.2 Plan Review, the Department may conduct such onsite inspection upon notification to the facility of the fee in advance and payment thereof.  The fee shall be calculated solely on the basis of the cost of conducting such survey.  A detailed justification of the basis of the fee shall be provided to the facility upon request.  

*Instructions   In the version of 6 CCR 1011-1, Chapter IV – General Hospitals that becomes effective on May 15, 2008, strike Section “2.202 LICENSURE FEES.  Reserved.” and replace with the following.
2.202	LICENSURE FEES.  Fees shall be submitted to the Department as specified below.  
(1)	Initial license (when such initial licensure is not a change of ownership).  A license applicant shall submit a nonrefundable fee with an application for licensure as follows:
(a)	See table below.  
Number of Beds	Fee	
1-25 beds	$8,000	
26-50 beds	$10,000	
51-100 beds	$12,500	
101+ beds	Base:  $9,800
Per bed:  $50
Cap:  $20,000	
(b)	Notwithstanding the provisions of Section 2.202 (1)(a), the initial fee for facilities to be licensed as general hospitals but certified as long term hospitals pursuant to 42 CFR 482 et seq. shall submit:  a base fee of $5,700 and a per bed fee of $50.  The initial licensure fee for long term hospitals shall not exceed $10,500.
(2)	Renewal license.  A license applicant shall submit a nonrefundable fee with an application for licensure as shown in the following table.  The renewal fee shall not exceed $8,000.
Number of Beds	Fee	
1-50 beds	Base:  $900
Per bed: $ 12	
51 – 150 beds	Base:  $1,400
Per bed:  $12	
151+ beds	Base:  $2,000
Per bed:  $12	
(3)	Change of ownership.  A license applicant shall submit a nonrefundable fee of $2,500 with an application for licensure.
(4)	Provisional License.  The license applicant may be issued a provisional license upon submittal of a nonrefundable fee of $2,500.  If a provisional license is issued, the provisional license fee shall be in addition to the initial license fee.
(5)	Conditional License.  A facility that is issued a conditional license by the Department shall submit a nonrefundable fee ranging from 10 to 25 percent of its applicable renewal fee.  The percentage shall be determined by the Department.  If the conditional license is issued concurrent with the initial or renewal license, the conditional license fee shall be in addition to the initial or renewal license fee.
(6)	Other regulatory Functions.  If a facility requests an onsite inspection for a regulatory oversight function other than those listed in Sections 2.202 (1) through (3) and Section 2.203 Plan Review, the Department may conduct such onsite inspection upon notification to the facility of the fee in advance and payment thereof.  The fee shall be calculated solely on the basis of the cost of conducting such survey.  A detailed justification of the basis of the fee shall be provided to the facility upon request.