<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".06-1" citation="COMAR 10.07.01.06-1" title_num="10" subtitle_num="07" chapter_num="01" heading="Licensed Bed Capacity.">
  <paragraph num="A.">
    <text>On or before July 1, 2000, and each July 1 thereafter, the Secretary shall determine the authorized licensed bed capacity for each hospital classified as a general hospital.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Methodology for Calculating Total Authorized Licensed Bed Capacity.</text>
    <paragraph num="(1)">
      <text>The average daily census for each general hospital shall be obtained from the most current Health Services Cost Review Commission inpatient utilization data for a 12-month period.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The calculation of average daily census shall include the utilization of inpatient medical-surgical, gynecology, obstetric, pediatric, and acute psychiatric service beds. Newborn services are excluded from the calculation of average daily census.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The total licensed bed capacity for each general hospital shall equal 140 percent of the calculated average daily census for all inpatient acute care hospital services.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Application for Designation of Licensed Bed Capacity by Service.</text>
    <paragraph num="(1)">
      <text>The Secretary shall annually forward to each general hospital its calculated total licensed bed capacity for the next licensure period and the current allocation of beds by major service category.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>In a format specified by the Secretary, each general hospital shall notify the Department of its designation of total beds by major service category for the next licensure period.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The Maryland Health Care Commission shall review and approve the designation of total beds by major service category.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>This section does not permit a general hospital to reallocate bed capacity in a manner inconsistent with applicable statute and regulations.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>On or before July 1, 2000, and each July 1 thereafter, the Secretary shall delicense any licensed hospital beds determined to be excess bed capacity under Regulation .07B of this chapter.</text>
  </paragraph>
  <paragraph num="E.">
    <text>Temporary Adjustments to Calculated Licensed Bed Capacity.</text>
    <paragraph num="(1)">
      <text>If necessary to adequately meet demand for services, a general hospital may exceed its calculated licensed bed capacity if:</text>
      <paragraph num="(a)">
        <text>On average for the 12-month period, the hospital does not exceed its licensed bed capacity based on the annual calculation; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The hospital includes in its monthly report to the Health Services Cost Review Commission the following information:</text>
        <paragraph num="(i)">
          <text>The number of days in the month the hospital exceeded its licensed bed capacity, and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>The number of beds that were in excess on each of those days.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>A hospital exceeding its calculated licensed bed capacity shall notify the Department within 5 business days of the effective dates of the change in a format specified by the Secretary.</text>
    </paragraph>
  </paragraph>
</regulation>