HB 1263 Summary

• Expands the Health Care Clinic Act to include "specialty clinics" that provide infusion therapy services for HIV/AIDS treatment, requiring licensure and oversight by the Agency for Health Care Administration.

• Imposes enhanced background screening and ownership disclosure requirements for specialty clinic applicants, including criminal history checks and financial source documentation for owners with 5% or more ownership interest or $5,000+ pecuniary interest.

• Establishes new grounds for denying or revoking specialty clinic licenses, including felonies involving dishonesty within 10 years and prior involvement in facilities with revoked licenses.

• Creates a complaint process requiring sworn affidavits for billing fraud allegations and directs the Department of Financial Services' Office of Fiscal Integrity to investigate and refer cases to prosecutors; makes false fraud complaints a first-degree misdemeanor.

• Requires specialty clinics to file annual audited financial reports detailing patient numbers, operating expenses, and payor categories; authorizes the agency to assess fees for investigations and allows emergency license suspension for failure to provide access to premises and records.