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<section article="ghg" article_name="Health - General" number="19-201" title_number="19" title_name="Health Care Facilities" subtitle_number="2" subtitle_name="Health Services Cost Review Commission">
  <level label="a">
    <text>In this subtitle the following words have the meanings indicated.</text>
  </level>
  <level label="b">
    <text>“All–payer model contract” means the payment model demonstration agreement authorized under § 1115A of the Social Security Act, including any amendments to the agreement, between the State and the federal Center for Medicare and Medicaid Innovation.</text>
  </level>
  <level label="c">
    <text>“Commission” means the State Health Services Cost Review Commission.</text>
  </level>
  <level label="d">
    <text>“Facility” means, whether operated for a profit or not:</text>
    <level label="1">
      <text>Any hospital; or</text>
    </level>
    <level label="2">
      <text>Any related institution.</text>
    </level>
  </level>
  <level label="e">
    <level label="1">
      <text>“Hospital services” means:</text>
      <level label="i">
        <text>Inpatient hospital services as enumerated in Medicare Regulation 42 C.F.R. § 409.10, as amended;</text>
      </level>
      <level label="ii">
        <text>Emergency services, including services provided at a freestanding medical facility licensed under Subtitle 3A of this title;</text>
      </level>
      <level label="iii">
        <text>Outpatient services provided at a hospital;</text>
      </level>
      <level label="iv">
        <text>Outpatient services, as specified by the Commission in regulation, provided at a freestanding medical facility licensed under Subtitle 3A of this title that has received:</text>
        <level label="1">
          <text>A certificate of need under § 19–120(o)(1) of this title; or</text>
        </level>
        <level label="2">
          <text>An exemption from obtaining a certificate of need under § 19–120(o)(3) of this title; and</text>
        </level>
      </level>
      <level label="v">
        <text>Identified physician services for which a facility has Commission–approved rates on June 30, 1985.</text>
      </level>
    </level>
    <level label="2">
      <text>“Hospital services” includes a hospital outpatient service:</text>
      <level label="i">
        <text>Of a hospital that, on or before June 1, 2015, is under a merged asset hospital system;</text>
      </level>
      <level label="ii">
        <text>That is designated as a part of another hospital under the same merged asset hospital system to make it possible for the hospital outpatient service to participate in the 340B Program under the federal Public Health Service Act; and</text>
      </level>
      <level label="iii">
        <text>That complies with all federal requirements for the 340B Program and applicable provisions of 42 C.F.R. § 413.65.</text>
      </level>
    </level>
    <level label="3">
      <text>“Hospital services” does not include:</text>
      <level label="i">
        <text>Outpatient renal dialysis services; or</text>
      </level>
      <level label="ii">
        <text>Outpatient services provided at a limited service hospital as defined in § 19–301 of this title, except for emergency services.</text>
      </level>
    </level>
  </level>
  <level label="f">
    <level label="1">
      <text>“Related institution” means an institution that is licensed by the Department as:</text>
      <level label="i">
        <text>A comprehensive care facility that is currently regulated by the Commission; or</text>
      </level>
      <level label="ii">
        <text>An intermediate care facility–intellectual disability.</text>
      </level>
    </level>
    <level label="2">
      <text>“Related institution” includes any institution in paragraph (1) of this subsection, as reclassified from time to time by law.</text>
    </level>
  </level>
</section>
