1292                                      LAWS OF MARYLAND                                    Ch. 108

(d)  Relocation.

(1)  A certificate of need is required before a
health care facility is moved to another site.

(2)  This subsection does not apply if the State
agency adopts limits for relocations and the proposed
relocation does not exceed those limits.

(e)  Change in services.

(1)  A certificate of need is required before the
type or scope of any health care service is changed if the
health care service is offered:

(i) By a health care facility;

(ii) In space that is leased from a health
care facility; or

(iii) In space that is on land leased from
a health care facility.

(2)  This subsection does not apply if:

(i) The State agency adopts limits for
changes in health care services and the proposed change
would not exceed those limits;

(ii) The proposed change would increase or
decrease the volume of one patient service and, during a
2-year period, the change is less than 25 percent of that
volume; or

(iii) The proposed change would add a new
health care service and, during a 1-year period, the annual
operating revenue that would result from the addition is
less than $75,000.

(f)  Bed capacity.

(1)  A certificate of need is required before the
bed capacity of a health care facility is changed.

(2)  This subsection does not apply to an
increase in bed capacity if, during a 2-year period, the
increase would not exceed the lesser of 10 percent of the
total bed capacity or 10 beds.

(g)  Capital expenditures.

(1) A certificate of need is required before any
of the following capital expenditures are made by or on

behalf of a health care facility: