The Montana Department of Health and Environmental Sciences was given the responsibility, under the 1967 Session Laws, to license hospitals, long-term care facilities, nursing homes, and related institutions. Included in this function are the approval of new facilities, expansion of facilities, changes in classification, and inspection for adherence to standards. The Health Services and Medical Facilities Division and its Licensing and Certification Bureau also act as the agents for the United States Health Care Financing Administration in approving health care facilities for Medicare patients. Among the reasons a health care facility's license or Medicare approval can be revoked are failure to meet minimum standards of construction and fire safety, failure to provide sufficient medical staff with the proper qualifications, conviction of a felony by the hospital manager, mistreatment or neglect of patients, and financial inadequacy. Licensing and Certification Bureau staff inspect each hospital, nursing home, and home care agency on a regular basis. Any inadequacies in significant areas of performance have to be corrected before the license can be renewed.