Ch. 139

LAWS OF MARYLAND

(vii) Any other health institution, service, or
program for which Part I of this subtitle requires a certificate
of need.

(2) "Health care facility" does not include:

(i) A hospital or related institution that is
operated, or is listed and certified, by the First Church of
Christ Scientist, Boston, Massachusetts;

(ii) For the purpose of providing an exemption
from a certificate of need under § 19-115 of this subtitle, a
facility to provide domiciliary, personal, or nursing care
constructed by a provider of continuing care, as defined by
Article 70B of the Code, if:

1.  The facility is for the exclusive use
of the provider's subscribers;

2.  The number of comprehensive care
nursing beds in the facility does not exceed 20 percent of the
number of independent living units at the continuing care
community; and

3.  The facility is located on the campus
of the continuing care facility;

(iii) A kidney disease treatment facility, as
defined by rule or regulation of the United States Department of
Health and Human Services;

(iv) The kidney disease treatment stations and
services provided by or on behalf of a hospital or related
institution; or

(v) 1. The office of one or more private
physicians, podiatrists, or dentists, regardless of whether such
office is eligible or receives reimbursement from third party
payors as an ambulatory surgical facility or center, if that
office provides services only within a single medical or surgical
subspecialty as determined by the Health Resources Planning
Commission in regulation, if the office is used only for the
physician's patients or patients of the group, and if the office
includes not more than 4 surgical suites.

2. For the purposes of this paragraph
subspecialty includes ophthalmology.

(f) "Health service area" means an area of this State that
the Governor designates as appropriate for planning and
developing of health services.

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