License form and information; tax warrant list

Sec. 11. (a) An applicant must submit an application for a license on a form prepared by the state department showing that: (1) the applicant is of reputable and responsible character; (2) the applicant is able to comply with the minimum standards for a hospital, an ambulatory outpatient surgical center, or a birthing center, and with rules adopted under this chapter; and (3) the applicant has complied with section 15.4 of this chapter. (b) The application must contain the following additional information: (1) The name of the applicant. (2) The type of institution to be operated. (3) The location of the institution. (4) The name of the person to be in charge of the institution. (5) If the applicant is a hospital, the range and types of services to be provided under the general hospital license, including any service that would otherwise require licensure by the state department under the authority of IC 16-19. (6) Other information the state department requires. (c) If the department of state revenue notifies the state department that a person is on the most recent tax warrant list, the state department shall not issue or renew the person's license until: (1) the person provides to the state department a statement from the department of state revenue that the person's tax warrant has been satisfied; or (2) the state department receives a notice from the commissioner of the department of state revenue under IC 6-8.1-8-2(k).