Ch. 864                            MARVIN MANDEL, Governor                                  1769

the budget, or in any bond issue bill making appropriations for the purpose. In
selecting sites and making architectural plans for each institution, provision shall
be made for possible expansion and for the later addition of a unit for the
treatment of chronic diseases of children. The State Board of Health shall appoint
the personnel necessary for the operation of the [hospitals] CENTERS, within the
limits of the budgetary appropriations.

The State Board of Health shall promulgate policies establishing the type and
scope of services rendered, and qualifications and standards for admission and
discharge. The [hospitals] CENTERS are permitted to develop and establish
out-patient clinics for preadmission evaluation, post-discharge care, and other
home health care service.

The [hospitals] CENTERS are authorized to further medical knowledge by
maintaining facilities for supporting medical research by exploring new methods
and means of treating those problems peculiar to the chronically ill and disabled
persons.

The [hospitals] CENTERS are authorized to conduct such educational and
training programs as will assist physicians and ancillary professional, scientific, and
other personnel, of the [chronic disease hospitals] CHRONIC DISEASE
CENTERS and other treatment facilities, to improve their knowledge and skills,
thereby insuring a high standard of patient care.

599.

Admission to the [chronic hospitals] CHRONIC DISEASE CENTERS shall
be made on the basis of a statement by a physician who, after an examination,
finds that the patient is in need of chronic [hospital] DISEASE CENTER care,
and the review and approval of the application by the chronic [hospital]
DISEASE CENTER. No patient shall be admitted who has mental disease of the
type requiring care in a mental hospital, or an orthopedic disease for which
medical treatment is available to the patient in a special orthopedic hospital.

Patients may be admitted who can pay part or all of the costs of their care,
only when the special facilities required by their conditions are not otherwise
obtainable elsewhere in Maryland.

The [hospitals] CENTERS shall be primarily and principally conducted for
legal residents of Maryland. Out-of-State patients may be served in the chronic
disease [hospitals] CENTERS provided that they are admitted and discharged in
accord with specific regional health programs or specific demonstration or study
projects which have been approved by the State Department of Health; and
provided that the full cost of services to the patients is reimbursed to the State.

If, in the opinion of the medical staff of the [hospital] CENTER, any patient
should be discharged who has received maximum [hospital] CENTER benefit at
that institution, he shall be discharged upon a written order by a medical staff
member.

If, upon discharge, the patient refuses or fails to leave the [hospital] CENTER
after being directed by competent authority, the superintendent may take all
necessary legal steps to effect discharge, under an adequate plan for treatment and
care.

In the case of patients where the State is financing all or any part of [hospital]
costs, transfer to another facility approved under existing federal programs is
authorized. If the patient refuses to apply for assistance from any applicable State
or federal or local program, the superintendent of the [hospital] CENTER, or a