Section 19-147 – Ratings Examiners
(a) The Commission shall approve an entity that meets the requirements of this section to be a ratings examiner. (b) To be approved by the Commission as a ratings examiner, an entity examining a physician rating system shall require a physician rating system to: (1) Use only quality of performance and cost efficiency as measurement categories; (2) Calculate and […]
Section 19-125 – Certificate of Need — Ambulatory Care Facilities
A certificate of need is required before an ambulatory care facility: (1) Offers any health service: (i) Through a health care facility; (ii) In space leased from a health care facility; or (iii) In space on land leased from a health care facility; (2) To provide those services, makes an expenditure, if a certificate of need would be required under […]
Section 19-126 – Certificate of Need — Action on Applications
(a) If the Commission receives an application for a certificate of need for a change in the bed capacity of a health care facility, as required under § 19–120 of this subtitle, or for a health care project that would create a new health care service or abolish an existing health care service, the Commission shall […]
Section 19-127 – Injunction
The circuit court for the county where a health care project is being developed or operated in violation of this Part II of this subtitle may enjoin further development or operation.
Section 19-128 – Appeal of Administrative Decision
(a) (1) In this section, “aggrieved party” means: (i) An interested party who presented written comments on the application to the Commission and who would be adversely affected by the decision of the Commission on the project; or (ii) The Secretary. (2) The grounds for appeal by the Secretary shall be that the decision is inconsistent with the State health […]
Section 19-129 – Merger or Consolidation of Hospitals
(a) Notwithstanding the fact that a merger or consolidation may limit free economic competition, the Commission may approve the merger or consolidation of 2 or more hospitals if the merger or consolidation: (1) Is not inconsistent with the State health plan or any institution-specific plan; (2) Will result in the delivery of more efficient and effective hospital services; […]
Section 19-130 – Maryland Trauma Physician Services Fund
(a) (1) In this section the following words have the meanings indicated. (2) “Fund” means the Maryland Trauma Physician Services Fund. (3) “Maryland Trauma Specialty Referral Centers” means: (i) The Johns Hopkins Health System Burn Program; (ii) The Eye Trauma Center at the Wilmer Eye Institute at The Johns Hopkins Hospital; and (iii) The Curtis National Hand Center at Union Memorial Hospital. […]
Section 19-132 – Definitions
(a) In this Part III of this subtitle the following words have the meanings indicated. (b) “Ambulatory surgical facility” has the meaning stated in § 19–3B–01 of this title. (c) “Carrier” means: (1) An insurer or nonprofit health service plan that holds a certificate of authority and provides health insurance policies or contracts in the State in accordance with […]
Section 19-133 – Maryland Medical Care Data Base
(a) In this section, “code” means: (1) The applicable Current Procedural Terminology (CPT) code as adopted by the American Medical Association; or (2) If a CPT code is not available, the applicable code under an appropriate uniform coding scheme approved by the Commission. (b) The Commission shall establish a Maryland medical care data base to compile statewide data on […]
Section 19-134 – Medical Care Electronic Claims Clearinghouses
(a) (1) In order to more efficiently establish a medical care data base under § 19–133 of this subtitle, the Commission shall establish standards for the operation of one or more medical care electronic claims clearinghouses in Maryland and may license those clearinghouses meeting those standards. (2) In adopting regulations under this subsection, the Commission shall consider appropriate […]