682                             LAWS OF MARYLAND                       CH. 443

The Board of Health is hereby authorized and directed to promul-
gate rules and regulations to carry out the intent of this Act, and
such rules and regulations shall provide for certified annual finan-
cial statement from each such nursing home with the following
minimum informational requirements:

(A)     Personnel employed and all remuneration, perquisites and
expenses paid.

(B)    All expenses incurred by the said institutions.

(C)    Rates and fees charged for services furnished by the said
institution.

Such information shall be required annually for at least the term
of the Certificates of Indebtedness authorized under this Act.

Any changes in the rates for services rendered by such public
or nonprofit nursing home must be approved by the Board of Health
before such rate changes shall become effective; provided that such
changes shall be approved by the Board if they reasonably carry
out the intent of the Act. All such financial information shall be
filed by such public or nonprofit nursing home with the Board of
Health prior to the issuance of any license to operate a nursing
home for the next ensuing year. All such information, except indi-
vidual patient records, shall be public information and available
for inspection during regular business hours at the offices of the
Board of Health.

(b)     Any use of State funds shall be only for the construction
and equipping of public and other nonprofit nursing homes and for
the purpose of reports, plans and specifications in connection there-
with, and for the purpose of site improvements, surveys and pro-
grams in connection therewith, under said Subchapter IV, as amended
from time to time. In the event of default of the terms of these
grants by the sponsor, State grants shall be recovered proportion-
ately and in the same manner that Federal funds are recovered under
the provisions of said Subchapter IV, as amended from time to time.

(c)    Any public or other nonprofit group sponsoring or operat-
ing a nursing home in this State which is eligible for a Federal
grant under said Subchapter IV, as amended from time to time,
may petition the State Department of Health for a grant toward
the cost of the same project. Grants shall be subject to the following
limitations:

(1)    All Federal grants available for this purpose shall be applied
first to the cost of construction and equipment of each nursing home.
State grants shall be used to supplement Federal grants cumulatively
for the period of this Act in such a manner that grants from these
combined State and Federal sources provide not more than 66⅔%
of the total construction and equipment costs of any nursing home.
When Federal grants are not available, State grants shall be applied
at a rate not to exceed 66⅔% of the total construction and equipment
costs of any nursing home until such time as total State grants equal
total Federal grants.

(2)   Any State grants made in excess of limitation (1) shall not
exceed 50% of the total construction and equipment costs of any
nursing home.