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<section article="ghg" article_name="Health - General" number="19-119" title_number="19" title_name="Health Care Facilities" subtitle_number="1" subtitle_name="Health Care Planning and Systems Regulation">
  <level label="a">
    <text>The Commission shall develop and adopt an institution-specific plan to guide possible capacity reduction.</text>
  </level>
  <level label="b">
    <text>The institution-specific plan shall address:</text>
    <level label="1">
      <text>Accurate bed count data for licensed beds and staffed and operated beds;</text>
    </level>
    <level label="2">
      <text>Cost data associated with all hospital beds and associated services on a hospital-specific basis;</text>
    </level>
    <level label="3">
      <text>Migration patterns and current and future projected population data;</text>
    </level>
    <level label="4">
      <text>Accessibility and availability of beds;</text>
    </level>
    <level label="5">
      <text>Quality of care;</text>
    </level>
    <level label="6">
      <text>Current health care needs, as well as growth trends for such needs, for the area served by each hospital;</text>
    </level>
    <level label="7">
      <text>Hospitals in high growth areas; and</text>
    </level>
    <level label="8">
      <text>Utilization.</text>
    </level>
  </level>
  <level label="c">
    <text>In the development of the institution-specific plan the Commission shall give priority to the conversion of acute capacity to alternative uses where appropriate.</text>
  </level>
  <level label="d">
    <level label="1">
      <text>The Commission shall use the institution-specific plan in reviewing certificate of need applications for conversion, expansion, consolidation, or introduction of hospital services in conjunction with the State health plan.</text>
    </level>
    <level label="2">
      <text>If there is a conflict between the State health plan and any rule or regulation adopted by the Commission in accordance with Title 10, Subtitle 1 of the State Government Article to implement an institution-specific plan that is developed for identifying any excess capacity in beds and services, the provisions of whichever plan that is most recently adopted shall control.</text>
    </level>
    <level label="3">
      <text>Immediately upon adoption of the institution-specific plan the Commission shall begin the process of incorporating the institution-specific plan into the State health plan and shall complete the incorporation within 12 months.</text>
    </level>
    <level label="4">
      <text>A State health plan developed or adopted after the incorporation of the institution-specific plan into the State health plan shall include the criteria in subsection (b) of this section in addition to the criteria in § 19-118 of this subtitle.</text>
    </level>
  </level>
</section>
