1. (1)(a) A licensee may provide inpatient or outpatient substance use disorder rehabilitation services. A licensee that provides substance use disorder rehabilitation services shall staff the hospital to meet the needs of the patients or clients.

   1. (b) An individual appointed and authorized by the hospital administrator shall provide administrative direction.
   2. (c) A qualified physician who is a member of the medical staff shall provide and define, in writing, medical direction.
   3. (d) The licensee shall ensure nursing services are under the direction of a full-time registered nurse.
   4. (e) The licensee shall ensure substance use disorder counseling is under the direction of a licensed mental health therapist.
   5. (f) A licensed substance use disorder counselor may serve as the primary therapist under the direction of an individual licensed under Title 58, Chapter 60, Mental Health Professional Practice Act.
   6. (g) An interdisciplinary team including the physician, registered nurse, licensed mental health therapist, and substance use disorder counselor is responsible for program and treatment services. The patient or client may be included as a member of the interdisciplinary team.

2. (2) The licensee shall ensure that substance use disorder rehabilitation services include:

   1. (a) a referral process where a counselor may refer any client or patient to public or private agencies for substance rehabilitation, and employment and a social assessment;
   2. (b) comprehensive assessment that is documented and includes a physical examination, a psychiatric and psychosocial assessment, and a social assessment;
   3. (c) detoxification care, available for the systematic reduction or elimination of a toxic agent in the body by use of rest, fluids, medication, counseling, or nursing care;
   4. (d) educational, employment, or other counseling, available as needed;
   5. (e) individual, group, or family counseling; and
   6. (f) treatment services coordinated with other hospital and community services to assure continuity of care through discharge planning and aftercare referrals.
3. (3) The licensee shall maintain the confidentiality of medical records of substance use disorder patients and clients according to the federal guidelines in 42 CFR 2 (2024).
4. (4) The medical director or designee may direct the residential treatment services. Residential treatment services shall comply with Section R432-101-22.

KEY: health care facilities

Date of Last Change: June 5, 2026

Notice of Continuation: August 22, 2025

Authorizing, and Implemented or Interpreted Law: 26B-1-202; 26B-2-202; 26B-2-203