; (cc) the facility is wholly owned by the covered entity; (dd) the Secretary has made a determination, under the process described in section 413.65(b) of title 42, Code of Federal Regulations (or any successor regulations), that the facility meets the Medicare provider-based standards under section 413.65 of title 42, Code of Federal Regulations (or any successor regulations); (ee) the facility provides a full range of outpatient services, in addition to drugs; and (ff) the facility adheres to the charity care policy and any sliding fee scale policy of the parent hospital. (II) De-registration If at any time following registration one or more of the standards listed above are no longer satisfied, a registered hospital shall immediately notify the Secretary, de-register the facility, and keep the facility from making any purchases under the drug discount program under this section or representing to third parties that it may purchase under such program. (ii) Hospital eligibility standards for hospitals not owned or operated by a unit of State or local government For purposes of subparagraphs (L)(i) and (M) of paragraph (4): (I) A private hospital has been formally granted governmental powers by a unit of State or local government if— (aa) the Secretary receives a certification from a State or local governmental entity that such governmental entity has formally delegated, through State or local statute or regulation or, if permitted by applicable State or local law, through a contract with a State or local government, to the hospital a power, described in detail in the certification; (bb) the power delegated as described in item (aa)— (AA) is a bona fide power that is usually or exclusively exercised by sovereign governments, and is not merely the power to provide health care services on behalf of the government or to otherwise act on behalf of the government; and (BB) in the case of a hospital, is limited to the power to tax, issue government bonds, or quarantine individuals with communicable diseases