PARRIS N. GLENDENING, Governor                             Ch. 549

ORGANIZATION, MEDICAL SERVICES ORGANIZATION, MANAGED CARE

ORGANIZATION, OR PHYSICIAN/HOSPITAL ORGANIZATION; AND

(6) SEEKS REIMBURSEMENT FROM PAYORS AS AN INDIVIDUAL
PHYSICIAN OFFICE, GROUP PRACTICE, FEDERALLY QUALIFIED HEALTH CENTER,
MARYLAND QUALIFIED HEALTH CENTER, OR FREESTANDING CLINIC.

[(b)](C) (1) "Ambulatory surgical facility" means any center, service, office,
facility, or office of one or more health care practitioners or a group practice, as defined
in § 1-301 of the Health Occupations Article, that:

(i) Has two or more operating rooms;

(ii) Operates primarily for the purpose of providing surgical services to
patients who do not require overnight hospitalization; and

(iii) Seeks reimbursement from payors as an ambulatory surgical
facility.

(2)     For purposes of this subtitle, the office of one or more health care
practitioners or a group practice with two operating rooms may be exempt from the
certificate of need requirements under this subtitle if the Commission finds, in its sole
discretion, that:

(i) A second operating room is necessary to promote the efficiency,
safety, and quality of the surgical services offered; and

(ii) The office meets the criteria for exemption from the certificate of
need requirements as an ambulatory surgical facility in accordance with regulations
adopted by the Commission.

(3)     "AMBULATORY SURGICAL FACILITY" DOES NOT INCLUDE AN
AMBULATORY PRIMARY CARE FACILITY.

[(e)] (D) "Certificate of need" means a certification of public need issued by the
Commission under this subtitle for a health care project.

[(d)](E) "Commission" means the State Health Resources Planning Commission.

[(e)](F) "Federal Act" means the National Health Planning and Resources
Development Act of 1974 (Public Law 93-641), as amended.

[(f)] (G) (1)    "Health care facility" means:

(i)     A hospital, as defined in § 19-301 of this title;

(ii)    A related institution, as defined in § 19-301 of this title;

(iii)   An ambulatory surgical facility;

(IV)   AN AMBULATORY PRIMARY CARE FACILITY;

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