1354                             Laws of Maryland                      [Ch. 442

system of accounting and financial reporting, including such cost
allocation methods as it may prescribe, by which hospitals and related
institutions shall record their revenues, expenses, other income and
other outlays, assets and liabilities, and units of service. All institu-
tions under the Commission's jurisdiction shall adopt the system for
their fiscal year period, starting on or after [April 1, 1972]
April 1, 1973.

568U.

FROM AND AFTER JULY 1, [1974] 1975, THE COMMISSION
SHALL HAVE THE POWER TO INITIATE SUCH REVIEWS
OR INVESTIGATIONS AS MAY BE NECESSARY TO ASSURE
ALL PURCHASERS OF HEALTH CARE INSTITUTIONAL
SERVICES THAT THE TOTAL COSTS OF THE INSTITUTION
ARE REASONABLY RELATED TO THE TOTAL SERVICES
OFFERED BY THE INSTITUTION, THAT THE INSTITUTION'S
AGGREGATE RATES ARE REASONABLY RELATED TO THE
INSTITUTION'S AGGREGATE COSTS; AND THAT RATES
ARE SET EQUITABLY AMONG ALL PURCHASERS OR CLASSES
OF PURCHASERS OF SERVICES WITHOUT UNDUE DISCRIMI-
NATION OR PREFERENCE.

IN ORDER TO PROPERLY DISCHARGE THESE OBLIGA-
TIONS, THE COMMISSION SHALL HAVE FULL POWER TO
REVIEW AND APPROVE THE REASONABLENESS OF RATES
ESTABLISHED OR REQUESTED BY ANY INSTITUTION SUB-
JECT TO THE PROVISIONS OF THIS SUBTITLE. NO INSTI-
TUTION SHALL CHARGE FOR SERVICES AT A RATE OTHER
THAN THOSE ESTABLISHED IN ACCORDANCE WITH THE
PROCEDURES ESTABLISHED HEREUNDER.

IN THE INTEREST OF PROMOTING THE MOST EFFICIENT
AND EFFECTIVE USE OF HEALTH CARE INSTITUTIONAL
SERVICE, THE COMMISSION MAY PROMOTE AND APPROVE
ALTERNATIVE METHODS OF RATE DETERMINATION AND
PAYMENT OF AN EXPERIMENTAL NATURE THAT MAY BE
IN THE PUBLIC INTEREST AND CONSISTENT WITH THE
PURPOSES OF THIS SUBTITLE.

568W.

FROM AND AFTER JULY 1, [1974] 1975, NO INSTITUTION
SUBJECT TO THE PROVISIONS OF THIS SUBTITLE SHALL
CHANGE OR AMEND THAT SCHEDULE OF RATES AND
CHARGES OF THE TYPE AND CLASS WHICH CANNOT BE
CHANGED WITHOUT PRIOR APPROVAL OF THE COMMIS-
SION, EXCEPT IN ACCORDANCE WITH THE FOLLOWING
PROCEDURE:

(1) ANY REQUEST FOR A CHANGE IN RATE SCHEDULES
OR OTHER CHARGES MUST BE FILED IN WRITING WITH
SUCH SUPPORTING DATA AS THE INSTITUTION SEEKING
THE CHANGE DEEMS APPROPRIATE. UNLESS THE COM-
MISSION ORDERS OTHERWISE AS PROVIDED FOR HERE-
UNDER, NO INSTITUTION SHALL ESTABLISH SUCH
CHANGES EXCEPT AFTER 30 DAYS NOTICE TO THE COM-