105 C.M.R. 145.125
The medical staff must operate pursuant to by-laws and rules approved by the governing body. The by-laws must describe the organization of the medical staff and set forth rules for its operation. The by-laws must describe the procedure for applying for medical staff privileges, and the qualifications to be met by a candidate in order for the candidate to be appointed and/or reappointed to the medical staff by the governing body.