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<section article="ghg" article_name="Health - General" number="19-220" title_number="19" title_name="Health Care Facilities" subtitle_number="2" subtitle_name="Health Services Cost Review Commission">
  <level label="a">
    <level label="1">
      <text>To have the statistical information needed for rate review and approval, the Commission shall compile all relevant financial and accounting information.</text>
    </level>
    <level label="2">
      <text>The information shall include:</text>
      <level label="i">
        <text>Necessary operating expenses;</text>
      </level>
      <level label="ii">
        <text>Appropriate expenses that are incurred in providing services to patients who cannot or do not pay;</text>
      </level>
      <level label="iii">
        <text>Incurred interest charges; and</text>
      </level>
      <level label="iv">
        <text>Reasonable depreciation expenses that are based on the expected useful life of property or equipment.</text>
      </level>
    </level>
  </level>
  <level label="b">
    <text>The Commission shall define, by regulation, the types and classes of charges that may not be changed, except as specified in § 19-222 of this subtitle.</text>
  </level>
  <level label="c">
    <text>The Commission shall obtain from each facility its current rate schedule and each later change in the schedule that the Commission requires.</text>
  </level>
  <level label="d">
    <text>Consistent with the all–payer model contract approved by the federal Center for Medicare and Medicaid Innovation, the Commission shall:</text>
    <level label="1">
      <text>Permit a nonprofit facility to charge reasonable rates that will permit the facility to provide, on a solvent basis, effective and efficient service that is in the public interest; and</text>
    </level>
    <level label="2">
      <text>Permit a proprietary profit–making facility to charge reasonable rates that:</text>
      <level label="i">
        <text>Will permit the facility to provide effective and efficient service that is in the public interest; and</text>
      </level>
      <level label="ii">
        <text>Based on the fair value of the property and investments that are related directly to the facility, include enough allowance for and provide a fair return to the owner of the facility.</text>
      </level>
    </level>
  </level>
  <level label="e">
    <text>In the determination of reasonable rates for each facility, as specified in this section, the Commission shall take into account all of the cost of complying with recommendations made, under Subtitle 1 of this title, on comprehensive health planning.</text>
  </level>
  <level label="f">
    <text>In reviewing rates or charges or considering a request for change in rates or charges, the Commission shall permit a facility to charge rates that, in the aggregate, will produce enough total revenue to enable the facility to meet reasonably each requirement specified in this section.</text>
  </level>
  <level label="g">
    <text>Except as otherwise provided by law, in reviewing rates or charges or considering a request for changes in rates or charges, the Commission may not hold executive sessions.</text>
  </level>
</section>
