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 […]
Section 19-211 – Jurisdiction of Commission
(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. […]
Section 19-212 – Financial Status
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 […]
Section 19-213 – User Fees
(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 […]
Section 19-214 – Hospital Uncompensated Care and Disproportionate Share Hospital Payment
(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 […]
Section 19-214.1 – Financial Assistance Policy
(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 […]
Section 19-214.2 – Debt Collection Policy
(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 […]