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No license shall be granted to any institution having the capacity to accommodate more than ten (10) patients unless there has been installed in the interior thereof a fire alarm system approved by the fire marshal. Institutions with an approved type sprinkler system are excepted from this section. (Mont. Co. Code 1965, § 89-54.)
After May 1, 1964, no license shall be granted to any institution located in a class C non-fire-resistive structure of more than one (1) story with a capacity of fifteen (15) beds or more unless such structure is equipped with an automatic sprinkler system approved by the fire marshal. (Mont. Co. Code 1965, § 89-55.)
The county executive, with the advice of the county health officer, is hereby authorized at any time and from time to time to negotiate and contract with any hospital accredited by the American Hospital Association and the American College of Surgeons for the care in such hospitals of indigent and medically indigent residents of the county who are certified by the county welfare board as eligible for payment of cost of care by the county, pursuant to rule 900 of the manual of the state department of public welfare. (Mont. Co. Code 1965, § 89-56; 1970 L.M.C., ch. 25, § 1; 1972 L.M.C., ch. 16, § 13.)
Under contracts as authorized by the preceding section, the rate of payment per patient day to be paid by the county to any hospital, receiving state aid under the hospital in-patient program of the state health department, shall be established at a computed rate of twenty (20) percent of the average patient day cost to the hospital for care as such cost is computed anddetermined by audit procedures approved by the state department of health; provided, that the liability of the county for cost of care shall not exceed the above twenty (20) percent of such patient day cost whether or not the hospital is paid by the state or other source for the remaining eighty (80) percent of care cost. (Mont. Co. Code 1965, § 89-57.)
The rate per patient day to be paid by the county under contract to any hospital not eligible for the state aid program shall not exceed the hospital's audited cost per patient day for the last succeeding audit year; provided, that in no event shall payment by the county to such contract hospital exceed thirty-eight dollars and fifty cents ($38.50) per patient day. (Mont. Co. Code 1965, § 89-58.)
The county is further authorized from time to time to pay cost of care or residents of the county eligible under section 25-58 at hospitals with which the county does not have a contract for care, for emergency admissions, for treatment not obtainable at a contract hospital or for other necessary reasons; provided, that such payment shall not exceed the hospital's audited cost per patient day; provided further, that such payment shall in no event be more than seventeen dollars ($17.00) per patient day. (Mont. Co. Code 1965, § 89-59; 1970 L.M.C., ch. 25, § 2.)
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