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<section article="ghu" article_name="Human Services" number="10-409" title_number="10" title_name="Department of Aging" subtitle_number="4" subtitle_name="Continuing Care">
  <level label="a">
    <text>A provider may not collect deposits for continuing care or begin construction of a new facility until the Department approves a feasibility study.</text>
  </level>
  <level label="b">
    <text>A person who intends to submit a feasibility study under subsection (c) of this section shall file with the Department a statement of intent to provide continuing care at least 30 days before the person submits the feasibility study to the Department.</text>
  </level>
  <level label="c">
    <text>A feasibility study shall:</text>
    <level label="1">
      <text>be filed in a form satisfactory to the Department; and</text>
    </level>
    <level label="2">
      <text>include at least the following information:</text>
      <level label="i">
        <text>a statement of the purpose of the proposed construction or conversion;</text>
      </level>
      <level label="ii">
        <text>documentation of the financial resources of the provider;</text>
      </level>
      <level label="iii">
        <text>a statement of the capital expenditures necessary to accomplish the project and the plan for acquiring the necessary capital;</text>
      </level>
      <level label="iv">
        <text>a plan demonstrating the financial feasibility of the proposed project, including future funding sources;</text>
      </level>
      <level label="v">
        <text>a study that demonstrates the market for the project;</text>
      </level>
      <level label="vi">
        <text>an actuarial forecast reviewed by a qualified actuary;</text>
      </level>
      <level label="vii">
        <text>a statement of the planned fee structure, including any proposed escalator or other automatic adjustment provision;</text>
      </level>
      <level label="viii">
        <text>a description of the facility proposed to be used or being used for continuing care;</text>
      </level>
      <level label="ix">
        <text>a copy of the proposed escrow and deposit agreements; and</text>
      </level>
      <level label="x">
        <text>the form and substance of any proposed advertisement, advertising campaign, or promotional material for the facility that is available at the time of filing.</text>
      </level>
    </level>
  </level>
  <level label="d">
    <text>The Department may approve a feasibility study if the Department determines that:</text>
    <level label="1">
      <text>the number of comprehensive care or assisted living beds in the facility for which licenses are required by the Maryland Department of Health is not inconsistent with the State health plan;</text>
    </level>
    <level label="2">
      <text>a reasonable financial plan has been submitted for developing and operating the project;</text>
    </level>
    <level label="3">
      <text>a market for the facility appears to exist;</text>
    </level>
    <level label="4">
      <text>a recognized authority prepared the feasibility study;</text>
    </level>
    <level label="5">
      <text>the actuarial forecast supports the projections for the project;</text>
    </level>
    <level label="6">
      <text>the Department has approved the escrow agreement and deposit agreement; and</text>
    </level>
    <level label="7">
      <text>the approved escrow agreement is executed by the provider and the financial institution.</text>
    </level>
  </level>
</section>
