The proposed rule amendments to rule 64B8-9.009 require that in certain office settings, either the physician or the facility must have a transfer agreement with a licensed hospital. The proposed rule amendments to Rule 64B8-9.0091, specify that when the physician is performing the procedures outlined in the rule, and in instances where the facility is already registered, the physician must document compliance with the transfer agreement and training requirements. Additionally, another form of authorization is not necessary in an office which is registered with the Department.