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<section article="ghg" article_name="Health - General" number="19-219" future_version_removed="true" title_number="19" title_name="Health Care Facilities" subtitle_number="2" subtitle_name="Health Services Cost Review Commission">
  <level label="a">
    <text>The Commission may review the costs, and rates, quality, and efficiency of facility services, and make any investigation that the Commission considers necessary to assure each purchaser of health care facility services that:</text>
    <level label="1">
      <text>The total costs of all hospital services offered by or through a facility are reasonable;</text>
    </level>
    <level label="2">
      <text>The aggregate rates of the facility are related reasonably to the aggregate costs of the facility; and</text>
    </level>
    <level label="3">
      <text>Except as provided in § 19–214.2(l) of this subtitle, the rates are set equitably among all purchasers or classes of purchasers without undue discrimination or preference.</text>
    </level>
  </level>
  <level label="b">
    <level label="1">
      <text>To carry out its powers under subsection (a) of this section, the Commission may review and approve or disapprove the reasonableness of any rate or amount of revenue that a facility sets or requests.</text>
    </level>
    <level label="2">
      <text>A facility shall:</text>
      <level label="i">
        <text>Charge for services only at a rate set in accordance with this subtitle; and</text>
      </level>
      <level label="ii">
        <text>Comply with the applicable terms and conditions of the all–payer model contract.</text>
      </level>
    </level>
    <level label="3">
      <text>Consistent with the all–payer model contract, in determining the reasonableness of rates, the Commission may take into account objective standards of efficiency and effectiveness.</text>
    </level>
  </level>
  <level label="c">
    <text>Consistent with the all–payer model contract, and notwithstanding any other provision of this subtitle, the Commission may:</text>
    <level label="1">
      <text>Establish hospital rate levels and rate increases in the aggregate or on a hospital–specific basis;</text>
    </level>
    <level label="2">
      <text>Promote and approve alternative methods of rate determination and payment of an experimental nature for the duration of the all–payer model contract; and</text>
    </level>
    <level label="3">
      <text>On request of the Secretary, assist in the implementation of federally approved model programs.</text>
    </level>
  </level>
</section>
