1. (a) Any renovation, expansion, or new construction of a frontier extended stay clinic must comply with

   1. (1) AS 18.60.580 - 18.60.660;
   2. (2) AS 18.60.705 - 18.60.740;
   3. (3) the International Building Code, as adopted by reference in, and revised under, 13 AAC 50.020; and
   4. (4) the International Mechanical Code, as adopted by reference in, and revised under, 13 ACC 50.023.

2. (b) A clinic must comply with

   1. (1) municipal fire safety regulations;
   2. (2) 13 AAC 50 - 13 AAC 55; and

   3. (3) applicable National Fire Protection Association (NFPA) standards, as follows, which are adopted by reference:

      1. (A) NFPA 13: Standard for the Installation of Sprinkler Systems, 2002 edition;
      2. (B) NFPA 25: Standard for the Inspection, Testing and Maintenance of Water-Based Fire Protection Systems, 2002 edition;
      3. (C) NFPA 10: Standard for Portable Fire Extinguishers, 2002 edition;
      4. (D) NFPA 99: Standard for Health Care Facilities, 2005 edition;
      5. (E) NFPA 101: Life Safety Code, 2000 edition; if a waiver is issued by the Centers for Medicare and Medicaid Services for a requirement of NFPA 101, the waiver will be considered a waiver of that requirement for purposes of this paragraph.

3. (c) The department may waive compliance with a requirement of this section if the commissioner determines that an equivalent alternative is provided and the safety and well-being of patients is assured. To obtain a waiver from the department, the owner or governing body of a clinic must apply in writing to the commissioner and must include in the application

   1. (1) justification for the waiver;
   2. (2) an explanation of why the particular requirement cannot be satisfied;
   3. (3) a description of the equivalent alternative proposed; and
   4. (4) if the application for waiver involves fire safety or other municipal or state requirements, evidence that it has been reviewed by each appropriate municipal or state authority.

(Eff. 12/3/2006, Register 180)