173. In addition to the other regulatory powers assigned to it by this Act, the Government may make regulations to:(a) establish, within each category of establishments fixed by this Act, classes of establishments and, within each of those classes, kinds of establishments, and determine the activities that each of such classes or kinds of establishments may carry on and prescribe the by-laws which a regional council or an establishment may or must make;
(a.1) establish categories of foster families and determine the activities they may carry on;
(a.2) determine the activities a pavilion and group home may carry on;
(b) rule on the establishment of the records of beneficiaries, the essential elements and documents of these records, their examination and their photographic reproduction;
(c) determine the modalities of registration for hospitalization or for diagnostic purposes, admission, transfer and discharge of beneficiaries in an establishment or of their taking in charge by a foster family, depending, if necessary, on the category, class or kind of establishment or the category of the foster family and the necessity of establishing a program of intervention;
(c.1) provide for the creation of admissions committees by regional establishments and councils and establish their function and minimum composition requirements;
(d) determine the criteria relating to the residence of beneficiaries;
(e) determine for an establishment or a foster family in matters of hygiene, sanitation and safety,i. the minimum conditions to be complied with;
ii. the cases and circumstances in which measures must be taken;
iii. those measures, where required;
(f) rule on the content and form of the liability insurance contemplated in section 128 and the fire and explosion insurance as well as the civil liability insurance to be taken out by establishments and the minimum amount of such insurance;
(g) determine the form and content of the application for issuing or renewing permits, the qualifications required of a person applying for a permit or its renewal, the requirements that person must meet and the information and documents he must furnish;
(h) require, in the case of a private establishment not contemplated in sections 176 and 177, that the permit holder give security at the time of its issuance, and determine the amount, form and term of the security and the modalities of its collection, payment, administration and use;
(i) determine, according to the category of establishment indicated by it, the divisions, services and departments to be included in the organization plan of an establishment, the functions of the head of each such division, service and department and, as the case may be, his qualifications and the form and content of the organization plan and the methods or rules according to which it must be prepared;
(i.0.1) determine, in the case of a regional council, the form and content of the regional medical and dental staffing plan and the methods and rules according to which it must be prepared;
(i.0.2) determine, for the purposes of the preparation of a regional medical and dental staffing plan or of an organization plan of an establishment, the methods or rules relating to the computation of the medical and dental staff, which may vary according to regions, to the categories, classes or kinds of establishments, and to the activities of an establishment;
(i.1) determine, in the case of establishments other than hospital centres, the mode of appointment of the heads of divisions, services or departments contemplated in paragraph i and the person or authority appointing them;
(i.2) determine, in the case of hospital centres, the mode of appointment of the head of the pharmacy department and the pharmacists as well as the person or authority appointing them;
(i.3) identify, in the case of establishments other than hospital centres, divisions, services or departments for which the organization plan of an establishment, instead of providing that they be set up, may provide for the designation of a person responsible for the activities that would be carried on in such a division, service or department;
(i.4) provide, in the case of a hospital centre, for the designation of a person responsible for activities to be carried on in the radiology clinical department, in the clinical department of medical biology laboratories, and in the pharmacy department;
(i.5) determine the functions and required qualifications of the person responsible contemplated in paragraphs i.3 and i.4, his mode of appointment and the person or authority who or which appoints him;
(i.6) designate the hospital centres the organization plan of which must include the establishment of a community health department;
(j) determine the status that the board of directors of hospital centres may grant to physicians, dentists and pharmacists, the conditions upon which the status is granted, the powers related to the status and the standards relating to the granting of privileges to a physician or a dentist;
(j.1) determine the committees that the council of physicians, dentists and pharmacists of a hospital centre is to establish, the functions of these committees, standards relating to their composition, the mode of appointment of their members and the operation of the committees, and standards relating to the establishment, transmission and the person responsible for keeping the records of the committees;
(j.2) determine the procedure according to which disciplinary measures may be taken by the board of directors of a hospital centre in respect of a physician, a dentist or a pharmacist, and the circumstances in which such measures may be imposed;
(j.3) determine the person or authority who or which may suspend the privileges of a physician or a dentist, or the status of a pharmacist, in case of emergency, and the procedure applicable for such a suspension;
(k) determine, for each category and class of establishments, and for the regional councils, the books, accounts and statistics they must keep, the reports and information they must supply to the Minister, the audit of those reports and the time at which they must be submitted;
(l) prescribe the obligation for the board of directors of an establishment to establish an auditing committee and, in the case of a hospital centre, an advisory committee to the general management, and determine the functions and powers of the committees, their operating rules, their composition, the qualifications of their members and the mode of their appointment;
(m) prescribe standards respecting the accounting, finance, and budgets of regional councils, public establishments and of private establishments contemplated in section 177, particularly in respect ofi. the master budget contemplated in section 178;
ii. the preparation of the itemized budget and the plan to balance the budget contemplated in section 178 and the date they are to be submitted to the Minister and, in the case of an establishment, to the regional council concerned;
iii. the items of the itemized budget or of the plan for which the approval of the Minister is required before their implementation;
iv. allowable expenses for financing by the Minister, the activities with which they are connected and the cases or circumstances in which an establishment or a regional council is entitled, in addition to the financing of its allowable expenses, to the reimbursement by the Minister of other expenses specified in the regulation;
v. the modalities of payment of the sums to be paid to the regional councils and the establishments by the Minister;
vi. the use of the revenues by a regional council or an establishment, that is, the portion of those revenues that is to be set off against expenses or returned to the Minister and the portion to be kept or, in the case of an establishment, to be paid to the regional council concerned to be used for such purposes as the regulation prescribes or allows the Minister to prescribe;
(n) determine, in respect of establishments or regional councils,i. the standards governing fees or costs for the supply of goods or services, the accepting of gifts, and endowment funds or funds for special uses;
ii. the cases or circumstances in which the authorization of the Minister or of the regional council is required, in connection with the matters referred to in this paragraph;
(o) compel an establishment or a regional council to appoint an auditor for its financial statements or to use the services of an auditor appointed exofficio by the Minister and determinei. the matters with which the auditor’s report is to deal;
ii. the time at which the report is to be sent to the board of directors and the Minister;
iii. the modalities of acceptance or refusal of the report by the board of directors;
(o.1) determine the items of information with respect to financial statements that a public establishment or a regional council must make public at the time of the annual public information meeting held by it and the form in which they are to be presented;
(p) (subparagraph repealed);
(q) determine the categories or classes of establishments that must offer emergency services to beneficiaries who require such services, prescribe the cases where beneficiaries are entitled to receive emergency services and, as the case may be, determine the care these services include, fix the maximum period for the occupancy of a bed by a beneficiary in an emergency service, and provide for the measures to be taken by an establishment in case of disaster;
(r) prescribe the measures to be adopted by every establishment and regional council as well as every person holding an employment or carrying on an occupation therein in order to preclude or cause to cease conflicts of interest to which occasion might be given by the award of contracts between an establishment or regional council and a person or firm in which such persons hold a direct or indirect interest;
(s) determine the cases, conditions or circumstances where an establishment that cannot itself carry out diagnostic tests must entrust the establishments or laboratories indicated by it with such tests and, when these cannot carry them out, specify the information the establishment must supply to the regional council concerned to obtain authorization to use another laboratory.