An Act amending the act of July 19, 1979 (P.L.130, No.48), known as the Health Care Facilities Act, in licensing of health care facilities, providing for dialysis centers.

HB 475 amends Pennsylvania's Health Care Facilities Act to establish staffing requirements for dialysis centers. It mandates that all dialysis facilities - whether hospital-owned, Commonwealth-run, or independent - must maintain at least one trained dialysis caregiver for every four patients receiving active treatment. The bill defines "dialysis caregiver" to include physicians, nurse practitioners, registered nurses, licensed practical nurses, and dialysis technicians, who must provide direct care during hemodialysis or peritoneal dialysis for end-stage renal disease. This requirement applies to both inpatient and outpatient settings and directly affects all dialysis centers operating under Pennsylvania licensing.