SALINA, Kan. (AP) — A Kansas hospital has found a way to get patients to observe its no-tobacco rule: They’re being sent home.

Salina Regional Health Center and its clinics have been tobacco-free since 2007. But vice president of human resources David Moody tells The Salina Journal that some patients continue to sneak cigarettes or chew tobacco.

Starting in August, patients were warned that tobacco users would be discharged and considered to have left against medical advice. That includes removing any intravenous tubes, ending all treatment and telling patients to arrange for a ride home.

Moody says some patients have already been ousted. He’s not sure if there’s a procedure to readmit patients who agree to adhere.

The mandate covers the Salina hospital, Lindsborg Community Hospital and the center’s eight Salina clinics.