Section 19-219 – Review and Approval of Costs, Rates, Quality, and Efficiency; Investigations
(a) The Commission may review the costs, and rates, quality, and efficiency of facility services, and make any investigation that the Commission considers necessary to assure each purchaser of health care facility services that: (1) The total costs of all hospital services offered by or through a facility are reasonable; (2) The aggregate rates of the facility are […]
Section 19-220 – Rate Review and Approval Procedures
(a) (1) To have the statistical information needed for rate review and approval, the Commission shall compile all relevant financial and accounting information. (2) The information shall include: (i) Necessary operating expenses; (ii) Appropriate expenses that are incurred in providing services to patients who cannot or do not pay; (iii) Incurred interest charges; and (iv) Reasonable depreciation expenses that are based on […]
Section 19-221 – Accounting Principles for Rate Determinations
The Commission shall use any reasonable, relevant, or generally accepted accounting principles to determine reasonable rates for each facility.
Section 19-222 – Change of Rate Structures or Charges
(a) (1) A facility may not change any rate schedule or charge of any type or class defined under § 19-220(b) of this subtitle, unless the facility files with the Commission a written notice of the proposed change that is supported by any information that the facility considers appropriate. (2) Unless the Commission orders otherwise in conformity to […]
Section 19-223 – Fee for Closed or Delicensed Hospitals
The Commission shall assess a fee on all hospitals whose rates have been approved by the Commission to pay for: (1) To the extent provided for in Title 10, Subtitle 3, Part IV of the Economic Development Article, the amounts required by § 10–350 of the Economic Development Article with respect to public obligations or closure […]
Section 19-224 – Report of Transactions With Nonprofit Facility by Trustee, Director, or Officer
(a) This section applies to each person that is concurrently: (1) A trustee, director, or officer of any nonprofit facility in this State; and (2) An employee, partner, director, officer, or beneficial owner of 3 percent or more of the capital account or stock of: (i) A partnership; (ii) A firm; (iii) A corporation; or (iv) Any other business entity. (b) Each person […]
Section 19-225 – Hearings and Investigations
(a) In any matter that relates to a facility’s cost of services and consistent with the all–payer model contract, the Commission may: (1) Hold a public hearing; (2) Conduct an investigation; (3) Require the filing of any information; or (4) Subpoena any witness or evidence. (b) The Executive Director of the Commission may administer oaths in connection with any hearing or […]
Section 19-226 – Further Investigations
(a) If the Commission considers a further investigation necessary or desirable to authenticate information in a report that a facility files under this subtitle, consistent with the all–payer model contract, the Commission may make any necessary further examination of the records or accounts of the facility, in accordance with the rules or regulations of the Commission. […]
Section 19-227 – Appeals
(a) (1) Any person aggrieved by a final decision of the Commission under this subtitle may take a direct judicial appeal. (2) The appeal shall be made as provided for judicial review of final decisions in the Administrative Procedure Act. (b) (1) An appeal from a final decision of the Commission under this section shall be taken in the name […]
Section 19-214.3 – Violations of 19-214.1 or 19-214.2
(a) (1) (i) The Commission shall establish a process for a patient or a patient’s authorized representative to file with the Commission a complaint against a hospital for an alleged violation of § 19–214.1 or § 19–214.2 of this subtitle. (ii) The process established under subparagraph (i) of this paragraph shall: 1. Include the option for a patient or a […]