PARRIS N. GLENDENING, Governor                             Ch. 499

3. More than the fee as provided under paragraph (1)(ii)2 of
this subsection; or

(ii) Any amount for a diagnostic test for which payment may not be
made pursuant to paragraph (2) of this subsection.

(4) On or before January 1, 1995, the Commission shall adopt regulations to
enforce the provisions of this subsection.]

SECTION 2. 4. AND BE IT FURTHER ENACTED, That Section(s) 19-1001
through 19-1007, inclusive, and the subtitle "Subtitle 10. Major Medical Equipment" and
Section(s) 19-1101 through 19-1109, inclusive, and the subtitle "Subtitle 11. Freestanding
Birthing Centers" of Article - Health - General of the Annotated Code of Maryland be
repealed.

SECTION 3. 5. AND BE IT FURTHER ENACTED, That the Secretary of Health
and Mental Hygiene shall adopt regulations to implement the licensing provisions of Title
19, Subtitle 3B of the Health - General Article on or before October 1, 1995 May 1, 1996,
and that: (1) for ambulatory surgical facilities, freestanding endoscopy facilities, and
kidney dialysis centers, the licensing regulations shall be based on, but not limited to,
existing regulatory standards for Medicare reimbursement of facilities certified by the
Health Care Financing Administration of the United States Department of Health and
Human Services; and (2) for freestanding birthing centers and freestanding facilities
utilizing major medical equipment, the licensing regulations shall be based on existing
licensure regulations.

SECTION 4. AND BE IT FURTHER ENACTED, That, except as otherwise
provided in Section 3 of this Act, the Secretary of Health and Mental Hygiene shall adopt
regulations to implement the provisions of Title 19, Subtitle 3B of the Health General
Article on or before May 1, 1996.

SECTION 6. AND BE IT FURTHER ENACTED, That the Health Resources Planning
Commission shall examine various options to help develop incentives for health care
industries, providers, and ambulatory surgical facilities to locate in the urban and rural areas
of the State that have the highest and most urgent need for health care services.

SECTION 5. 7. AND BE IT FURTHER ENACTED, That the Health Resources
Planning Commission shall adopt regulations on the development of subacute care units
to undertake a comprehensive approach to examine the wide range of issues relating to
subacute care, while at the same time affording the opportunity for some acute care
general hospitals that do not currently own or operate units separately licensed as
extended care facilities or comprehensive care facilities to obtain certificates of need in
order to establish new comprehensive care facility units to provide subacute care. The
regulations shall: (1) establish applicable criteria and standards, including standards
requiring an applicant for a hospital-based subacute care unit to demonstrate the need to
establish a subacute care unit; and (2) allow the Commission to approve no more than 10
hospital-based units within a subacute bed pool of comprehensive care beds that shall not
exceed 175 beds statewide.

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