The U.S. Centers for Medicare & Medicaid Services now requires facilities to comply with the 2012 editions of NFPA 101 and NFPA 99

NFPA offers resources to help stakeholders affected by this long-awaited decision

May 4, 2016 – The U.S. Centers for Medicare & Medicaid Services (CMS) has published Medicare and Medicaid Programs; Fire Safety Requirements for Certain Health Care Facilities that requires health care facilities to migrate from using the 2000 edition of NFPA 101®, Life Safety Code® (LSC) to the 2012 edition; and mandates direct compliance with the 2012 edition of NFPA 99, Health Care Facilities Code, for the first time. Since 1970, hospitals, nursing homes, ambulatory surgical centers and related facilities have needed to demonstrate that their fire and life safety programs satisfied different editions of NFPA 101 in order to meet the requirements of the Conditions of Participation (COP), as defined by CMS. Health care providers that participate in federal reimbursement programs are required to meet the CMS COP expectations.

The federal rule-making process to recognize the 2012 NFPA code edition requirements was a long term initiative that garnered more than 350 public comments when the draft rule was published in 2014. Healthcare facilities are expected to update and comply with NFPA 101 and NFPA 99, respectively by July 5, 2016.

CMS identified several provisions of the 2012 editions of the LSC and NFPA 99 that have been permitted for use since 2012. A number of substantive changes made to the 2012 editions of NFPA 101 and NFPA 99 were already permitted through the categorical waiver process outlined in Survey & Certification (S&C) letters. Code elements such as furniture and equipment in corridors, community cooking options, special door locking permissions, medical gas master alarms monitored by a central computer, and emergency generator testing are among the already permitted subjects.

“Consideration for new sleeping and treatment suite designs, person-centered care models, and equipment currently used in the healing environment are just a few of the changes integrated into the 2012 edition of NFPA 101,” said Robert Solomon, NFPA division manager for Building Fire Protection and Life Safety. “Acknowledging these changing factors and the risk-based assessment currently required by NFPA 99 - and used by providers, designers and authorities having jurisdiction - ensures that patients and residents are provided the level of fire and life safety protection expected today.”

In anticipation of this final rule, NFPA has created a CMS resource page with code requirements, training, webinars and other relevant content to help users as they transition from the 2000 edition of these two codes to the 2012 versions. Among the products and programs being offered by NFPA are:

NFPA will continue to add and update resources to help familiarize stakeholders with the 2012 edition of these codes.

About the National Fire Protection Association (NFPA)
Founded in 1896, NFPA is a global, nonprofit organization devoted to eliminating death, injury, property and economic loss due to fire, electrical and related hazards. The association delivers information and knowledge through more than 300 consensus codes and standards, research, training, education, outreach and advocacy; and by partnering with others who share an interest in furthering the NFPA mission. For more information visit All NFPA codes and standards can be viewed online for free at

Contact: Lorraine Carli, Public Affairs Office: +1 617 984-7275