Pennsylvania Code & Bulletin
COMMONWEALTH OF PENNSYLVANIA

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The Pennsylvania Code website reflects the Pennsylvania Code changes effective through 53 Pa.B. 8238 (December 30, 2023).

28 Pa. Code § 301.2. Definitions.

§ 301.2. Definitions.

 The following words and terms, when used in this chapter, have the following meanings, unless the context clearly indicates otherwise:

   Act—The Social Security Act, 42 U.S.C.A. § §  201—7706.

   Applicant—A person proposing a capital expenditure.

   Designated planning agency or DPA or Department—The Department of Health.

   HHS—The United States Department of Health and Human Services.

   Health care facility—The term includes hospitals, psychiatric hospitals, tuberculosis hospitals, skilled nursing facilities, kidney disease treatment centers, including freestanding hemodialysis units, intermediate care facilities and ambulatory surgical facilities, but does not include Christian Science sanatoriums operated, or listed and certified, by the First Church of Christ, Scientist, Boston, Massachusetts. For purposes of this definition:

     (i)   Hospital. An institution which is primarily engaged in providing to inpatients, by or under supervision of physicians, diagnostic services and therapeutic services for medical diagnosis, treatment and care of injured, disabled or sick persons, or rehabilitation services for the rehabilitation of injured, disabled or sick persons. The term does not include psychiatric and tuberculosis hospitals.

     (ii)   Psychiatric hospital. An institution which is primarily engaged in providing to inpatients, by or under the supervision of a physician psychiatric services for the diagnosis and treatment of mentally ill persons.

     (iii)   Tuberculosis hospital. An institution which is primarily engaged in providing to inpatients, by or under the supervision of a physician, medical services for the diagnosis and treatment of tuberculosis.

     (iv)   Skilled nursing facility. An institution or a distinct part of an institution which is primarily engaged in providing to inpatients skilled nursing care and related services for patients who require medical or nursing care, or rehabilitation services for the rehabilitation of injured, disabled or sick persons.

     (v)   Intermediate care facility. An institution which provides, on a regular basis, health-related care and services to individuals who do not require the degree of care and treatment which a hospital or skilled nursing facility is designed to provide, but who because of their mental or physical condition require health-related care and services (above the level of room and board).

     (vi)   Ambulatory surgical facility. A facility, not a part of a hospital, which provides surgical treatment to patients not requiring hospitalization. The term does not include the offices of private physicians or dentists, whether for individual or group practice.

   Health maintenance organization—A public or private organization, organized under the laws of a state, which:

     (i)   Provides or otherwise makes available to enrolled participants health care services, including at least the following basic health care services: Usual physician services, hospitalization, laboratory, X-ray, emergency and preventive services and out-of-area coverage.

     (ii)   Is compensated, except for co-payments, for the provision of the basic health care services listed in subparagraph (i) of this definition to enrolled participants on a predetermined periodic rate basis.

     (iii)   Provides physicians’ services primarily directly through physicians who are either employes or partners of the organization or through contracts or other arrangements with individual physicians or one or more groups of physicians organized on a group practice or individual practice basis.

   Health systems agency or HSA—An entity performing regional health planning and regulatory functions and duly designated by the Secretary of HHS under provisions of the Public Health Service Act (42 U.S.C.A. § §  201—300cc-15).

   Person—An individual, a trust or estate, partnership, a corporation, including associations, joint-stock companies and insurance companies, the Commonwealth, or a political subdivision or instrumentality, including a municipal corporation, of the Commonwealth.

Source

   The provisions of this §  301.2 amended through October 26, 1979, effective October 27, 1979, 9 Pa.B. 4164.



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