Alaska Administrative Code
Title 7 - Health and Social Services
Part 1 - Administration
Chapter 12 - Facilities and Local Units
Article 10 - Frontier Extended Stay Clinics
7 AAC 12.450 - Determination of a frontier extended stay clinic

(A) at least 75 miles by public highway from the nearest hospital; or

(B) in an area where the nearest hospital is inaccessible by public highway; and

(A) are seriously ill, critically ill, or seriously injured and who cannot be transferred to a general acute care hospital, rural primary care hospital, or critical access hospital because of adverse weather conditions, unavailability of a transport vehicle, or another similar unavoidable circumstance;

(B) are seriously ill, critically ill, or seriously injured and require transfer to a general acute care hospital, rural primary care hospital, or critical access hospital but exercise the right, against the medical advice of the attending practitioner, not to be transferred, and elect to receive extended stay services appropriate to manage the individual's illness or injuries to the extent possible within the clinic's capability; or

(C) are not in obvious need of medical transport, but require an extended stay for monitoring and observation.