1326                                  LAWS OF MARYLAND                                Ch. 108

(G) (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
COMMISSION ADOPTS LIMITS FOR RELOCATIONS AND THE PROPOSED
RELOCATION DOES NOT EXCEED THOSE LIMITS.

(H) (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 ANY
INCREASE OR DECREASE IN BED CAPACITY IF, DURING A 2 YEAR
PERIOD, THE INCREASE OR DECREASE WOULD NOT EXCEED THE LESSER
OF 10 PERCENT OF THE TOTAL BED CAPACITY OR 10 BEDS.

(I) A CERTIFICATE OF NEED IS REQUIRED BEFORE THE
NUMBER OF KIDNEY DIALYSIS STATIONS OF A HEALTH CARE FACILITY
IS CHANGED.

(J) (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 COMMISSION ADOPTS LIMITS FOR
CHANGES IN HEALTH CARE SERVICES AND THE PROPOSED CHANGE
WOULD NOT EXCEED THOSE LIMITS;

(II) 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 $250,000 AFTER AN ANNUAL ADJUSTMENT FOR INFLATION,
BASED ON AN APPROPRIATE INDEX SPECIFIED BY THE COMMISSION;
OR

(III) 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.

(K) (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: