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ROBERT L. EHRLICH, JR., Governor H.B. 1015
(ii) Changes the type or scope of health care services offered by
eliminating the facility's capability to admit or retain patients for overnight
hospitalization;
(iii) Retains an emergency or urgent care center; and
(iv) Complies with the regulations adopted by the Secretary under §
19-307.1 of this title.
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(3) (i) "Health care service" means any clinically related patient
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service.
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(ii) "Health care service" includes a medical service.
(4) "Medical service" means:
(i) Any of the following categories of health care services:
1. Medicine, surgery, gynecology, addictions;
2. Obstetrics;
3. Pediatrics;
4. Psychiatry;
5. Rehabilitation;
6. Chronic care;
7. Comprehensive care;
8. Extended care;
9. Intermediate care; or
10. Residential treatment; or
(ii) Any subcategory of the rehabilitation, psychiatry,
comprehensive care, or intermediate care categories of health care services for which
need is projected in the State health plan.
(c) The Commission shall adopt rules and regulations for applying for and
issuing certificates of need.
(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] HOSPITAL:
(i) Any expenditure that, under generally accepted accounting
principles, is not properly chargeable as an operating or maintenance expense, if:
1. The expenditure is made as part of an acquisition,
improvement, or expansion, and, after adjustment for inflation as provided in the
regulations of the Commission, the total expenditure, including the cost of each study,
survey, design, plan, working drawing, specification, and other essential activity, is
more than [$1,250,000] $10,000,000;
- 3751 -
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