# Health - General (GHG)

## Title 19. Health Care Facilities

### Subtitle 1. Health Care Planning and Systems Regulation

#### Section 19-125

A certificate of need is required before an ambulatory care facility:

(1) Offers any health service:

  (i) Through a health care facility;

  (ii) In space leased from a health care facility; or

  (iii) In space on land leased from a health care facility;

(2) To provide those services, makes an expenditure, if a certificate of need would be required under Sec. 19-120(k) of this subtitle for the expenditure by or on behalf of a health care facility; or

(3) Does anything else for which the federal act requires a certificate of need and that the Commission has not exempted from that requirement.

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Md. Code Ann., Health-Gen. (as displayed at mgaleg.maryland.gov, October 16, 2026)