§ 9435. Exclusions
§ 9435. Exclusions (a) Excluded from this subchapter are offices of physicians, dentists, or other practitioners of the healing arts, meaning the physical places that are occupied by such providers on a regular basis in which such providers perform the range of diagnostic and treatment services usually performed by such providers on an outpatient basis […]
§ 9437. Criteria
§ 9437. Criteria A certificate of need shall be granted if the applicant demonstrates that the project serves the public good and the Board finds: (1) The proposed project aligns with statewide health care reform goals and principles because the project: (A) takes into consideration health care payment and delivery system reform initiatives; (B) addresses […]
§ 9439. Competing applications
§ 9439. Competing applications (a) The Board shall provide by rule a process by which any person wishing to offer or develop a new health care project may submit a competing application when a substantially similar application is pending. The competing application must be filed and completed in a timely manner, and the original application […]
§ 9431. Policy and purpose
§ 9431. Policy and purpose (a) It is declared to be the public policy of this State that the general welfare and protection of the lives, health, and property of the people of this State require that all new health care projects be offered or developed in a manner that avoids unnecessary duplication and contains […]
§ 9432. Definitions
§ 9432. Definitions As used in this subchapter: (1) “Ambulatory surgical center” means a facility or portion of a facility that provides surgical care not requiring an overnight stay. The office of a dentist in which activities are limited to dentistry and oral or maxillofacial surgical procedures shall not be deemed an ambulatory surgical center […]
§ 9420. Conversion of nonprofit hospitals
§ 9420. Conversion of nonprofit hospitals (a) Policy and purpose. The State has a responsibility to assure that the assets of nonprofit entities, which are impressed with a charitable trust, are managed prudently and are preserved for their proper charitable purposes. (b) Definitions. As used in this section: (1) “Charitable assets” means the fair market […]
§ 9421. Pharmacy benefit management; registration; insurer audit of pharmacy benefit manager activities
§ 9421. Pharmacy benefit management; registration; insurer audit of pharmacy benefit manager activities (a) A pharmacy benefit manager shall not do business in this State without first registering with the Commissioner on a form and in a manner prescribed by the Commissioner. (b) In accordance with rules adopted by the Commissioner, pharmacy benefit managers operating […]
§ 9422. Credit card payments optional for providers
§ 9422. Credit card payments optional for providers (a) As used in this section: (1) “Credit card payment” means a type of electronic funds transfer in which a health insurer or its contracted vendor issues a single-use series of numbers associated with payment for health care services delivered by a health care provider and chargeable […]
§ 9418d. Contract amendments
§ 9418d. Contract amendments (a) A health care contract may be amended by mutual agreement of the parties. (b) Absent mutual agreement of the parties, a health care contract may be amended only as follows: (1) The contracting entity shall provide to the participating provider notice of the amendment and the amendment in writing not […]
§ 9418e. Most favored nation clauses prohibited
§ 9418e. Most favored nation clauses prohibited No later than 180 days after the effective date of this section, no contracting entity shall do any of the following: (1) offer to a provider, hospital, pharmacist, or pharmacy a health care contract that includes a most favored nation clause; (2) enter into a health care contract […]