WILLIAM DONALD SCHAEFER, Governor Ch. 767

2. Does not increase patient charges or
hospital rates[.]; OR

(VIII)  NOTWITHSTANDING ANY OTHER PROVISION OF
THIS SUBSECTION, A CAPITAL EXPENDITURE BY A HOSPITAL AS DEFINED
IN § 19-301 OF THIS TITLE, FOR A PROJECT IN EXCESS OF $1,250,000
FOR EQUIPMENT CONSTRUCTION OR RENOVATION THAT:

1.  MAY BE RELATED TO PATIENT CARE; AND

2.  DOES NOT REQUIRE, OVER THE ENTIRE
PERIOD OR SCHEDULE OF DEBT SERVICE ASSOCIATED WITH THE PROJECT, A
TOTAL CUMULATIVE INCREASE IN PATIENT CHARGES OR HOSPITAL RATES OF
MORE THAN $1,500,000 TO FINANCE OR AMORTIZE THE EXPENDITURE FOR
THE CAPITAL COSTS ASSOCIATED WITH THE PROJECT AS DETERMINED BY
THE COMMISSION, AFTER CONSULTATION WITH THE HEALTH SERVICES COST
REVIEW COMMISSION .

3.  AT LEAST 45 DAYS BEFORE THE PROPOSED
EXPENDITURE IS MADE, A HOSPITAL SHALL NOTIFY THE COMMISSION AND
WITHIN 45 DAYS OF RECEIPT OF THE RELEVANT FINANCIAL INFORMATION,
THE COMMISSION SHALL MAKE THE FINANCIAL DETERMINATION REQUIRED
UNDER ITEM 2. OF THIS SUBPARAGRAPH; AND

4.  THE RELEVANT FINANCIAL INFORMATION TO
BE SUBMITTED BY A HOSPITAL SHALL BE DEFINED IN REGULATIONS
PROMULGATED BY THE COMMISSION, AFTER CONSULTATION WITH THE HEALTH
SERVICES COST REVIEW COMMISSION; OR

(IX)  A PLANT DONATED TO A HOSPITAL AS DEFINED
IN § 19-301 OF THIS TITLE, WHICH DOES NOT REQUIRE A CUMULATIVE
INCREASE IN PATIENT CHARGES OR HOSPITAL RATES OF MORE THAN
$1,500,000 FOR CAPITAL COSTS ASSOCIATED WITH THE DONATED PLANT AS
DETERMINED BY THE COMMISSION, AFTER CONSULTATION WITH THE HEALTH
SERVICES COST REVIEW COMMISSION.

1.  AT LEAST 45 DAYS BEFORE THE PROPOSED
DONATION IS MADE, A HOSPITAL SHALL NOTIFY THE COMMISSION AND
WITHIN 45 DAYS OF RECEIPT OF THE RELEVANT FINANCIAL INFORMATION,
THE COMMISSION SHALL MAKE THE FINANCIAL DETERMINATION REQUIRED
UNDER THIS SUBPARAGRAPH.

2.  THE RELEVANT FINANCIAL INFORMATION TO
BE SUBMITTED BY A HOSPITAL SHALL BE DEFINED IN REGULATIONS
PROMULGATED BY THE COMMISSION, AFTER CONSULTATION WITH THE HEALTH
SERVICES COST REVIEW COMMISSION.

[(6)] (5) Paragraph [(5)(vi) and (vii)] (4)(VI),
(VII), AND (VIII) (6) PARAGRAPH (5)(VI), (VII), (VIII) AND (IX)
of this subsection may not be construed to permit a facility to
offer a new [patient] HEALTH care service for which a certificate
of need is otherwise required.

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