(a) (1) Except for a facility that is operated or is listed and certified by the First Church of Christ Scientist, Boston, Massachusetts, the Commission has jurisdiction over hospital services offered by or through all facilities. (2) The jurisdiction of the Commission over any identified physician service shall terminate for a facility on the request of the facility. […]
The Commission shall: (1) Require each facility to disclose publicly: (i) Its financial position; and (ii) As computed by methods that the Commission determines, the verified total costs incurred and revenue generated by the facility in providing health services; (2) Review for reasonableness and certify the rates and revenue of each facility; (3) Keep informed as to whether a facility […]
(a) (1) In this section the following words have the meanings indicated. (2) “Facilities” means hospitals and related institutions whose rates have been approved by the Commission. (b) The Commission shall assess and collect user fees on facilities as defined in this section. (c) (1) The total fees assessed by the Commission may not exceed $16,000,000. (2) The total user fees assessed […]
(a) The Commission shall assess the underlying causes of hospital uncompensated care and make recommendations to the General Assembly on the most appropriate alternatives to: (1) Reduce uncompensated care; and (2) Assure the integrity of the payment system. (b) The Commission may adopt regulations establishing alternative methods for financing the reasonable total costs of hospital uncompensated care and the […]
(a) (1) In this section the following words have the meanings indicated. (2) “Financial hardship” means medical debt, incurred by a family over a 12–month period, that exceeds 25% of family income. (3) “Medical debt” means out–of–pocket expenses, excluding co–payments, coinsurance, and deductibles, for medical costs billed by a hospital. (b) (1) The Commission shall require each acute care hospital and […]
(a) (1) Each hospital annually shall submit to the Commission: (i) At times prescribed by the Commission, the hospital’s policy on the collection of debts owed by patients; and (ii) A report including: 1. The total number of patients by race or ethnicity, gender, and zip code of residence against whom the hospital, or a debt collector used by the […]
(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 […]
(a) (1) After public hearings and consultation with any appropriate advisory committee, the Commission shall adopt, by rule or regulation, a uniform accounting and financial reporting system that: (i) Includes any cost allocation method that the Commission determines; and (ii) Requires each facility to record its income, revenues, assets, expenses, outlays, liabilities, and units of service. (2) Each facility shall […]
(a) At the end of the fiscal year for a facility, at least 120 days following a merger or a consolidation, and at any other interval that the Commission sets, the facility shall file: (1) A balance sheet that details its assets, liabilities, and net worth; (2) A statement of income and expenses; (3) The most recent Form 990 […]
(a) Except as provided in subsection (c) of this section, a facility shall notify the Commission at least 30 days prior to executing any financial transaction, contract, or other agreement that would: (1) Pledge more than 50% of the operating assets of the facility as collateral for a loan or other obligation; (2) Result in more than 50% […]
(a) The Commission shall require each facility to give the Commission information that: (1) Concerns the total financial needs of the facility; (2) Concerns its current and expected resources to meet its total financial needs; (3) Includes the effect of any proposal made, under Subtitle 1 of this title, on comprehensive health planning; and (4) Includes physician information sufficient to […]
(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 […]
(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 […]
The Commission shall use any reasonable, relevant, or generally accepted accounting principles to determine reasonable rates for each facility.
(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 […]
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 […]
(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 […]
(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 […]
(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. […]
(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 […]
