P.R. Laws tit. 24, § 334d
A health facility or part thereof, or highly-specialized medical equipment, which has been granted an exemption, and a health facility leased by a health maintenance organization that is subsequently sold or leased, cannot continue operating as such, or being used, unless the Secretary issues a certificate of necessity and convenience approving the same, or once again grants the exemption, upon complying with the requirements of § 334c of this title.
The Secretary may revoke or not approve the certificate of necessity and convenience to health maintenance organizations or medical facilities that do not cover the cost of services in emergency rooms for the patient that arrives with a real condition, or with the firm belief that they have a real condition that he/she deems needs to receive medical attention. The services rendered to the patient shall be compensated by the health services plan, if the patient has one.
History —Nov. 7, 1975, No. 2, p. 922, added as § 5 on Sept. 19, 1983, No. 16, p. 385, § 7; Aug. 25, 2000, No. 200, § 1, eff. 90 days after Aug. 25, 2000.