HARRY HUGHES, Governor                                      3173

(ii) Acquisition of a health care facility if,
at least 30 days before making the contractual arrangement to
acquire the facility, written notice of the intent to make the
arrangement is filed with the Commission and the Commission does
not find, within 30 days after the Commission receives notice,
that the health services or bed capacity of the facility will be
changed;

(iii) Acquisition of business or office
equipment that is not directly related to patient care;

(iv) Capital expenditures to the extent that
they are directly related to the acquisition and installation of
major medical equipment; [or]

(v) A capital expenditure made as part of a
consolidation or merger of 2 or more health care facilities, or
conversion of a health care facility or part of a facility to a
nonhealth-related use if:

1.  At least 45 days before an expenditure
is made, written notice of intent is filed with the Commission;

2.  Within 45 days of receiving notice,
the Commission in its sole discretion finds that the proposed
consolidation, merger, or conversion:

A.  Is not inconsistent with the State
health plan or the institution-specific plan developed by the
Commission as appropriate;

B.  Will result in the delivery of more
efficient and effective health care services; and

C.  Is in the public interest; and

3.  Within 45 days of receiving notice,
the Commission shall notify the health care facility of its
finding; OR

(VI) A CAPITAL EXPENDITURE FOR EQUIPMENT,

CONSTRUCTION, OR RENOVATION THAT DOES NOT CHANGE THE HEALTH
SERVICES OR BED CAPACITY OF THE FACILITY.

(VI) A CAPITAL EXPENDITURE BY A NURSING HOME
FOR EQUIPMENT, CONSTRUCTION, OR RENOVATION THAT:

1. IS NOT DIRECTLY RELATED TO PATIENT
CARE; AND

2. IS NOT DIRECTLY RELATED TO ANY CHANGE
IN PATIENT CHARGES OR OTHER RATES.