Relating to an exemption from boiler registration and inspection requirements for certain boilers in medical equipment and autoclaves.

Contracts

• Vendor Agreements: Renegotiate third-party maintenance contracts to remove fees for "state inspection coordination" on exempt devices.
• Leases: Review commercial lease agreements that require "valid state operating certificates" for all equipment; issue notice to landlords that certificates will no longer be issued for these specific medical devices by operation of law.

Hiring/Training

• Maintenance Protocols: Transition facilities staff from state-mandated inspection cycles to strict manufacturer-recommended maintenance schedules. Without state inspections, negligence defense in the event of failure relies entirely on internal logs.

Reporting & Record-Keeping

• Exemption Verification: Create a "Regulatory Exemption File" for each deregulated unit containing FDA classification, volume/pressure specs, and manufacturer data sheets to prove exemption status during general site audits.
• Asset Audits: Verify equipment meets the specific exemption criteria: FDA regulated, shell $\le$ 16 inches, heating surface $\le$ 20 sq ft, gross volume $\le$ 5 cu ft, and pressure $\le$ 100 psi.

Fees & Costs

• Budget Adjustments: Eliminate budget line items for TDLR Certificate of Operation fees ($70/year) and inspection fees ($70/visit) for qualifying units starting FY2026.