§ 144.563 — Nursing Services Provided in a Hospital; Prohibited Practices
Plain-Language Summary
Limits how a hospital that holds a swing bed license condition under section 144.562 or 144.5621 may provide nursing-facility-type care to patients who are not reimbursed by Medicare or medical assistance. For those patients, the hospital may provide skilled nursing facility or intermediate care facility services for no more than 42 days, and only for patients who have been hospitalized and no longer need acute-level care. The commissioner may grant an extension of the length of stay if the physician requests it at least ten days before the maximum stay ends.
144.563 NURSING SERVICES PROVIDED IN A HOSPITAL; PROHIBITED PRACTICES.
A hospital that has been granted a license condition under section 144.562 or 144.5621 must not provide to patients not reimbursed by Medicare or medical assistance the types of services that would be usually and customarily provided and reimbursed under medical assistance or Medicare as services of a skilled nursing facility or intermediate care facility for more than 42 days and only for patients who have been hospitalized and no longer require an acute level of care. Permission to extend a patient’s length of stay may be granted by the commissioner if requested by the physician at least ten days prior to the end of the maximum length of stay.
History:
1Sp1985 c 3 s 4; 1Sp2025 c 3 art 1 s 55
**NOTE: **The amendment to this section by Laws 2025, First Special Session chapter 3, article 1, section 55, is effective January 1, 2026, or upon federal approval, whichever is later. The commissioners of health and human services shall inform the revisor of statutes when federal approval is obtained. Laws 2025, First Special Session chapter 3, article 1, section 55, the effective date.
History: History: 1Sp1985 c 3 s 4; 1Sp2025 c 3 art 1 s 55