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CMS Emergency Preparedness Rule References 3 NFPA Standards

who the rule applies to

the rule applies to the six inpatient providers and ambulatory surgery centers providing inpatient services

CMS Fire Safety Requirements

about the fire safety rule

the rule makes certain nfpa standards and codes conditions of participation

CMS Life Safety Code Cover Image

On May 4, 2016, CMS published, Medicare and Medicaid Programs; Fire Safety Requirements for Certain Health Care Facilities; Final Rule. The long-awaited update became effective July 5, 2016.

This final rule amends the fire safety standards for Medicare- and Medicaid-participating hospitals, critical access hospitals (CAHs), long-term care facilities, intermediate care facilities for individuals with intellectual disabilities (ICFs/IIDs), ambulatory surgery centers (ASCs), hospices which provide inpatient services, religious non-medical health care institutions (RNHCIs), and programs of all-inclusive care for the elderly (PACE) facilities.

Further, the rule adopts the 2012 edition of the Life Safety Code (LSC) and eliminates references in our regulations to all earlier editions of the Life Safety Code. It also adopts the 2012 edition of the Health Care Facilities Code, with some exceptions.

The Life Safety Code (LSC) is a compilation of fire safety requirements for new and existing buildings and is updated and published every 3 years by the National Fire Protection Association (NFPA). The Medicare and Medicaid regulations have historically incorporated these requirements by reference.

In this final rule, we are incorporating by reference the NFPA 101® 2012 edition of the LSC, issued August 11, 2011, and all Tentative Interim Amendments issued prior to April 16, 2014; and the NFPA 99®2012 edition of the Health Care Facilities Code, issued August 11, 2011, and all Tentative Interim Amendments issued prior to April 16, 2014:

​NFPA 101, Life Safety Code, 2012 edition, issued August 11, 2011:

  • TIA 12–1 to NFPA 101, issued August 11, 2011
  • TIA 12–2 to NFPA 101, issued October 30, 2012
  • TIA 12–3 to NFPA 101, issued October 22, 2013
  • TIA 12–4 to NFPA 101, issued October 22, 2013

NFPA 99, Standards for Health Care Facilities Code of the National Fire Protection Association 99, 2012 edition, issued August 11, 2011:

  • TIA 12–2 to NFPA 99, issued August 11, 2011.
  • TIA 12–3 to NFPA 99, issued August 9, 2012.
  • TIA 12–4 to NFPA 99, issued March 7, 2013.
  • TIA 12–5 to NFPA 99, issued August 1, 2013.
  • TIA 12–6 to NFPA 99, issued March 3, 2014.

The NFPA 101®2012 edition of the LSC (including the TIAs) provides minimum requirements, with due regard to function, for the design, operation, and maintenance of buildings and structures for safety to life from fire. Its provisions also aid life safety in
similar emergencies.

The NFPA 99® 2012 edition of the Health Care Facilities Code (including the TIAs) provides minimum requirements for health care facilities for the installation, inspection, testing, maintenance, performance, and safe practices for facilities, material, equipment, and appliances, including other hazards associated with the primary hazards.

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