This amendment adjusts timelines for corrective action plan submissions and restructures civil penalties by hospital category based on offense frequency.
- Adds a 30-day deadline for facilities to submit a corrective action plan after receiving a material violation notice from the department. (Page 17, line 14)
- Removes language referencing payor-specific negotiated charges from the corrective action plan section. (Page 18, lines 5-7)
- Adds a 30-day deadline for the department to review and approve a submitted corrective action plan. (Page 18, line 8)
- Replaces the flat $1,000 per day penalty structure with a tiered penalty system that differentiates between critical access hospitals and all other facilities, with critical access hospitals subject to lower penalties for first and second offenses ($100 and $500 per day respectively) and escalating to $1,000 per day for third or subsequent offenses, while all other facilities face $1,000 per day for any violation. (Page 20, lines 9-11)
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