NFPA 99, Health Care Facilities Code 2018

Help improve safety, system reliability, and patient protection in health care environments with NFPA 99, Health Care Facilities Code.

NFPA 99 provides comprehensive, risk-based requirements for the design, installation, testing, operation, and maintenance of critical systems supporting patient care within health care facilities. The code addresses essential infrastructure systems whose failure could directly impact patient safety and clinical operations.

Updated every three years through the NFPA consensus standards development process, NFPA 99 reflects evolving health care technologies, operational practices, and emerging risks, including cybersecurity concerns and modern power system requirements.

Who Uses NFPA 99?

NFPA 99 is an essential resource for professionals responsible for the design, operation, maintenance, and inspection of health care facility systems, including:

• Health care facility engineers and facility managers
• Electrical engineers and contractors
• Medical gas system installers and inspectors
• Health care architects and system designers
• Authorities having jurisdiction (AHJs)
• Safety officers and compliance professionals

These professionals rely on NFPA 99 to help ensure that systems supporting patient care are properly designed, installed, tested, maintained, and operated to reduce risks and improve occupant safety.

Highlights

Key updates and changes to the 2018 edition of NFPA 99 include:

• Revised Chapter 4 requirements clarifying responsibilities for conducting risk assessments and determining risk categories
• Expanded Chapter 5 provisions permitting the use of oxygen concentrators as central supply sources for piped medical gas systems
• Revised requirements allowing corrugated medical tubing as an approved material for medical gas and vacuum systems
• Complete reorganization of Chapter 6 to group related requirements and eliminate duplicated provisions for different types of essential electrical systems (EES)
• Revised Chapter 7 requirements covering wireless phone and paging integration as well as clinical information systems
• Reorganized Chapter 14 consolidating inspection, testing, and maintenance requirements for hyperbaric facilities into a single section
• Addition of new Chapter 15, Dental Gas and Vacuum Piping Systems, addressing systems not fully covered under standard medical gas requirements
• Inclusion of fire extinguisher selection requirements in Chapter 16 for health care-specific spaces

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