42 CFR § 491.7 - Organizational structure.
---
identifier: "/us/cfr/t42/s491.7"
source: "ecfr"
legal_status: "authoritative_unofficial"
title: "42 CFR § 491.7 - Organizational structure."
title_number: 42
title_name: "Public Health"
section_number: "491.7"
section_name: "Organizational structure."
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: "2026-03-24"
last_updated: "2026-03-24"
format_version: "1.1.0"
generator: "[email protected]"
authority: "42 U.S.C. 263a and 1302."
cfr_part: "491"
---
# 491.7 Organizational structure.
(a) *Basic requirements.* (1) The clinic or center is under the medical direction of a physician, and has a health care staff that meets the requirements of § 491.8.
(2) The organization's policies and its lines of authority and responsibilities are clearly set forth in writing.
(b) *Disclosure.* The clinic or center discloses the names and addresses of:
(1) Its owners, in accordance with section 1124 of the Social Security Act (42 U.S.C. 132 A-3);
(2) The person principally responsible for directing the operation of the clinic or center; and
(3) The person responsible for medical direction.
[57 FR 24983, June 12, 1992]