BLAIR LEE III,

Acting Governor

2665

FUNDS BY OR ON BEHALF OF A HEALTH CARE FACILITY WHICH
INVOLVES BUILDING, RENOVATION, OR MODERNIZATION PROJECTS OF
THE HEALTH CARE FACILITY, OR THE PURCHASE OR LEASE OF
EQUIPMENT BY OR ON BEHALF OF A HEALTH CARE FACILITY, OR ANY
OTHER EXPENDITURE WHICH, UNDER GENERALLY ACCEPTED ACCOUNTING
PRINCIPLES, IS NOT CHARGEABLE AS AN EXPENSE OF MAINTENANCE.

(E)    "CERTIFICATE OF NEED" MEANS THE WRITTEN
CERTIFICATION BY THE STATE AGENCY THAT A PROPOSED HEALTH
CARE PROJECT IS IN THE PUBLIC NEED, IN ACCORDANCE WITH THE
REQUIREMENTS OF THE FEDERAL ACT AND THIS SUBTITLE.

(F)    "COUNCIL" MEANS THE STATEWIDE HEALTH COORDINATING
COUNCIL FOR THE STATE OF MARYLAND.

(G)    "DEPARTMENT" MEANS THE DEPARTMENT OF HEALTH AND
MENTAL HYGIENE.

(H) "FEDERAL ACT" MEANS THE NATIONAL HEALTH PLANNING
AND RESOURCES DEVELOPMENT ACT OF 1974, AS AMENDED, AND
REGULATIONS PROMULGATED PURSUANT TO THE ACT.

(I) "HEALTH CARE FACILITY" MEANS:

(1)    A HOSPITAL OR RELATED INSTITUTION AS
DEFINED IN ARTICLE 43, § 556 OF THE CODE;

(2)    A HEALTH MAINTENANCE ORGANIZATION AS
DEFINED IN ARTICLE 43, § 842 OF THE CODE;

(3)         AN AMBULATORY SURGICAL FACILITY WHICH IS

NOT PART OF A HOSPITAL AND WHICH PROVIDES SURGICAL TREATMENT
TO PATIENTS NOT REQUIRING OVERNIGHT HOSPITALIZATION. THE
TERM AMBULATORY SURGICAL FACILITY DOES NOT INCLUDE THE
OFFICE OF A PRIVATE PHYSICIAN OR DENTIST, WHETHER ORGANIZED
FOR INDIVIDUAL OR FOR GROUP PRACTICE; OR

(4) A KIDNEY DISEASE TREATMENT FACILITY, AS
DEFINED BY REGULATIONS OF THE UNITED STATES DEPARTMENT OF
HEALTH, EDUCATION AND WELFARE.

HOWEVER, "HEALTH CARE FACILITY" DOES NOT MEAN ANY

HOSPITAL OR RELATED, INSTITUTION OPERATED OR LISTED AND

CERTIFIED BY THE FIRST CHURCH OF CHRIST, SCIENTIST, BOSTON,
MASSACHUSETTS.

(J) "HEALTH CARE PROJECT" MEANS:

(1) THE DEVELOPMENT OF ANY NEW HEALTH CARE

FACILITY;

(1)    THE CONSTRUCTION, DEVELOPMENT, OR OTHER

ESTABLISHMENT OF A NEW HEALTH CARE FACILITY;

(2)    IN ANY EXISTING HEALTH CARE FACILITY:

(I) THE RELOCATION OF OR CHANGE IN THE

TYPE OR SCOPE OF HEALTH CARE SERVICES, INCLUDING HEALTH CARE