2334

LAWS OF MARYLAND

Ch. 678

(5) ALL OTHER HEALTH INSTITUTIONS, SERVICES OR
PROGRAMS THAT MAY BE SPECIFIED AS REQUIRING CERTIFICATION OF
NEED UNDER THE FEDERAL ACT.

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 construction, development, or other
establishment of a new health care facility;

(2)  In any existing health care facility:

(i) The relocation to a new site or change
in the type or scope of health care services, including
health care services offered in space leased from the health
care facility, OR IN A BUILDING LOCATED ON LAND LEASED FROM
THE HEALTH CARE FACILITY, in excess of limits upon such
change or relocation established by the State agency, except
that this provision shall not apply, UNLESS THE FEDERAL ACT
REQUIRES OTHERWISE, to an increase or decrease in magnitude
of any single patient service over a 2-year period, by which
the facility plans to change the volume of the service by
less than 25 percent, OR FOR NEW HEALTH CARE SERVICES, IN
WHICH THE CHANGE IN VOLUME RESULTS IN ANNUAL OPERATING
REVENUE OF LESS THAN $75,000 FOR A 12-MONTH PERIOD;

(ii) A change in bed capacity, except
[that] this provision shall not apply, UNLESS THE FEDERAL
ACT REQUIRES OTHERWISE, to a change in bed capacity which
does not increase the total number of beds by more than 10
beds or more than 10 percent of the total bed capacity,
whichever is less, over a 2-year period[;

[ (iii) A capital expenditure, except
that this provision shall not apply to:

(A)  Expenditures of less than
$150,000; or

(B)  Expenditures for site
acquisitions].

(3)  THE OBLIGATION OF A CAPITAL EXPENDITURE
OTHER THAN SITE ACQUISITION;

(4)  THE ACQUISITION OR OF MAJOR MEDICAL
EQUIPMENT, INCLUDING EQUIPMENT WHICH WILL NOT BE OWNED BY OR
LOCATED IN A HEALTH CARE FACILITY, DONATIONS, LEASES OF
MAJOR MEDICAL EQUIPMENT, AND AN ACQUISITION OF EQUIPMENT
THROUGH A TRANSFER OF IT FOR LESS THAN FAIR MARKET VALUE IF
ITS FAIR MARKET VALUE IS AT LEAST $150,000.;

(5)  THE OFFERING OF NEW INSTITUTIONAL HEALTH
SERVICES; OR