ROBERT L. EHRLICH, JR., Governor

Ch. 21

(3) (i) Assess fees for each nursing home equal to the sum of:

1.       The amount equal to one-half of the total fees to be
assessed on nursing homes under subsection [(d)(1)(ii)] (D)(1) of this section times the
ratio of admissions of the nursing home to total admissions of all nursing homes; and

2.       The amount equal to one-half of the total fees to be
assessed on nursing homes under subsection [(d)(1)(ii)] (D)(1) of this section times the
ratio of gross operating revenue of each nursing home to total gross operating
revenues of all nursing homes;

(ii) Establish minimum and maximum assessments; and

(iii) On or before June 30 of each year, assess each nursing home a
fee in accordance with item (i) of this item.

DRAFTER'S NOTE:

Error: Erroneous cross-reference in § 19-111(h) of the Health — General
Article.

Occurred: Ch. 702, Acts of 1999.
19-319.

(e) (1) As a condition of licensure, each hospital shall establish a
[credentialling] CREDENTIALING process for the physicians who are employed by or
who have staff privileges at the hospital.

(2) The Secretary shall, by regulation and in consultation with hospitals,
physicians, interested community and advocacy groups, and representatives of the
Maryland Defense Bar and Plaintiffs' Bar, establish minimum standards for a
[credentialling] CREDENTIALING process which shall include:

(i) A formal written appointment process documenting the
physician's education, clinical expertise, licensure history, insurance history, medical
history, claims history, and professional experience.

(ii) A requirement that an initial appointment to staff not be
complete until the physician has successfully completed a probationary period.

(iii) A formal, written reappointment process to be conducted at
least every 2 years. The reappointment process shall document the physician's
pattern of performance by analyzing claims filed against the physician, data dealing
with utilization, quality, and risk, a review of clinical skills, adherence to hospital
bylaws, policies and procedures, compliance with continuing education requirements,
and mental and physical status.

(4) If a hospital fails to establish or maintain a [credentialling]
CREDENTIALING process required under this subsection, the Secretary may impose
the following penalties:

(i) Delicensure of the hospital; or
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