HARRY HUGHES, Governor

1295

(ii) Is not owned by or located in a
health care facility if, at least 30 days before making the
contractual arrangement to acquire the equipment, written
notice of the intent to make the arrangement is filed with
the State agency and the State agency does not find, within
30 days after the State agency receives the notice, that the
equipment will be used to provide services to inpatients of
a hospital.]

[19-113.

(a)   "Health maintenance organization" defined.

In this section, "health maintenance organization"
means a health maintenance organization under Subtitle 7 of
this title or under the federal Public Health Service Act of
1975.

(b)  Certificate of need.

A certificate of need is. required before a health
maintenance organization or an ambulatory care facility:

(1)  Offers any health service:

(i) Through a health care facility;

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

(iii) In space on land leased from a
health care facility;

(2)  To provide those services, makes an
expenditure, if a certificate of need would be required
under § 19-112(g) of this subtitle for the expenditure by or
on behalf of a health care facility;

(3)  Acquires medical equipment if a certificate
of need would be required under § 19-112(h) of this subtitle
for the acquisition by a health care facility; or

(4)  Does anything else for which the Federal Act
requires a certificate of need and that the State agency has
not exempted from that requirement.]

[19-114.

The State agency shall adopt rules and regulations that
set standards for applying for and issuing certificates of
need.]

[19-115.

(a) Notice.