42 CFR § 491.4 - Compliance with Federal, State and local laws.
---
identifier: "/us/cfr/t42/s491.4"
source: "ecfr"
legal_status: "authoritative_unofficial"
title: "42 CFR § 491.4 - Compliance with Federal, State and local laws."
title_number: 42
title_name: "Public Health"
section_number: "491.4"
section_name: "Compliance with Federal, State and local laws."
chapter_name: "CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES"
subchapter_number: "G"
subchapter_name: "STANDARDS AND CERTIFICATION"
part_number: "491"
part_name: "CERTIFICATION OF CERTAIN HEALTH FACILITIES"
positive_law: false
currency: "2026-04-05"
last_updated: "2026-04-05"
format_version: "1.1.0"
generator: "[email protected]"
authority: "42 U.S.C. 263a and 1302."
cfr_part: "491"
---
# 491.4 Compliance with Federal, State and local laws.
The rural health clinic or FQHC and its staff are in compliance with applicable Federal, State and local laws and regulations.
(a) *Licensure of clinic or center.* The clinic or center is licensed pursuant to applicable State and local law.
(b) *Licensure, certification or registration of personnel.* Staff of the clinic or center are licensed, certified or registered in accordance with applicable State and local laws.
[57 FR 24982, June 12, 1992]