Hawaii Revised Statutes Division 1. Government § 321-14.6

(1) Elects to receive the medicare designation as a rural emergency hospital;

(2) Provides emergency treatment and stabilization services for an average length of stay of twenty-four hours or less;

(3) Meets the requirements of title 42 United States Code section 1395x(kkk)(2);  and

(4) Passes inspection and receives a recommendation from the department to the federal Centers for Medicare and Medicaid Services to operate as a rural emergency hospital.