Hospital and Ambulatory Surgical Facility Rules

The proposed amendments to rules in Subchapters 10A NCAC 13B Licensing of Hospitals and 10A NCAC 13C Licensing of Ambulatory Surgical Facilities are in response to enactment of Session Law 2015-241, HB97, s.12A.15(a), Health Care Cost Reduction and Transparency Act Revisions, which became effective on September 18, 2015. The intent of this Act is to improve transparency in the cost of health care provided by hospitals and ambulatory surgical facilities by disclosing the prices for the most frequently reported DRG's, CPT codes and HCPCs codes. Due to the revision of statute 131E-214.13 from the session law, reporting of the data is required annually. Temporary rules implementing these statute changes became effective 3/31/16. These proposed amendments will make the temporary rules permanent and will also require data to be submitted to the Department of Health and Human Services annually in a uniform manner so the public can obtain information on health care pricing and make better informed health care decisions.