<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".03" citation="COMAR 10.12.03.03" title_num="10" subtitle_num="12" chapter_num="03" heading="Licensing Procedures.">
  <paragraph num="A.">
    <text>A person desiring to operate a facility shall:</text>
    <paragraph num="(1)">
      <text>Be in compliance with all applicable federal, State, and local laws and regulations and be accredited as a cosmetic surgical facility by:</text>
      <paragraph num="(a)">
        <text>The American Association for Accreditation of Ambulatory Surgical Facilities;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The Accreditation Association for Ambulatory Health Care;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>The Joint Commission; or</text>
      </paragraph>
      <paragraph num="(d)">
        <text>An accreditation organization approved by the Secretary; or</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Be certified to participate in the Medicare Program, as enacted in Title XVIII of the Social Security Act.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>In addition to the requirement of §A of this regulation, a person desiring to operate a facility shall:</text>
    <paragraph num="(1)">
      <text>File a complete application on a form provided by the Department;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Pay the licensure fee set forth in Regulation .02 of this chapter; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Submit to an initial survey upon request by the Department.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>An officer of a corporation or association shall apply for a license on behalf of the entity. The owner shall apply on behalf of a sole proprietorship. An applicant shall submit the names of the entity's board members, owners, and investors having at least 2 percent ownership.</text>
  </paragraph>
  <paragraph num="D.">
    <text>An authorized individual of a government unit or agency shall apply for a license on behalf of the government unit or agency.</text>
  </paragraph>
  <paragraph num="E.">
    <text>Based on information provided to the Department by the applicant and the Department's own investigation, the Secretary shall:</text>
    <paragraph num="(1)">
      <text>Approve the application unconditionally if the applicant complies with all requirements of this chapter;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Approve the application conditionally; or</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Deny the application if the applicant:</text>
      <paragraph num="(a)">
        <text>Has been convicted of:</text>
        <paragraph num="(i)">
          <text>A felony that relates to Medicaid or Medicare; or,</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>A crime involving moral turpitude; or</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>Does not comply with the requirements of this chapter.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="F.">
    <text>Denial of License for Prior Revocation or Consent to Surrender License. The Secretary may deny a license to:</text>
    <paragraph num="(1)">
      <text>A corporate applicant if the corporate entity has an owner, director, officer, or other person with a substantial interest:</text>
      <paragraph num="(a)">
        <text>Whose conduct caused the revocation of a prior license; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Who held the same or similar position in another corporate entity that had its license revoked;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>An individual applicant:</text>
      <paragraph num="(a)">
        <text>Whose conduct caused the revocation of a prior license; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Who held a position as owner, director, or officer in a corporate entity which had its license revoked; or</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>An individual or corporate applicant that has consented to surrender a license as a result of a license revocation action.</text>
    </paragraph>
  </paragraph>
  <paragraph num="G.">
    <text>The Secretary shall also consider the factors identified in Regulation .10C of this chapter when deciding whether to deny a license.</text>
  </paragraph>
  <paragraph num="H.">
    <text>A person aggrieved by a decision of the Secretary under this regulation may appeal the Secretary's action by filing a request for a hearing in accordance with Regulation .12 of this chapter.</text>
  </paragraph>
  <paragraph num="I.">
    <text>Renewal of License.</text>
    <paragraph num="(1)">
      <text>At least 60 days before a license expires, the licensee shall submit a renewal application to the Secretary.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The Secretary shall renew the license for an additional 3-year period for a licensee that meets the requirements of this chapter.</text>
    </paragraph>
  </paragraph>
  <paragraph num="J.">
    <text>Temporary License.</text>
    <paragraph num="(1)">
      <text>The Department shall issue a temporary license not to exceed 1 year to a facility that has filed an application to be:</text>
      <paragraph num="(a)">
        <text>Certified to participate in the Medicare Program, as enacted in Title XVIII of the Social Security Act; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Accredited by:</text>
        <paragraph num="(i)">
          <text>The American Association for Accreditation of Ambulatory Surgical Facilities;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>The Accreditation Association for Ambulatory Health Care;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>The Joint Commission; or</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>An accreditation organization approved by the Secretary.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>The Department may extend the period for a temporary license beyond 1 year for good cause.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The Department shall issue a license to a facility once the facility has:</text>
      <paragraph num="(a)">
        <text>Received certification or accreditation; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Met all the other requirements for licensure as a cosmetic surgical facility.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>The Department shall void a temporary license upon receiving notice that the facility’s application for certification or accreditation has been denied.</text>
    </paragraph>
  </paragraph>
  <paragraph num="K.">
    <text>Transfer or Assignment of License Prohibited. If the sale, transfer, assignment, or lease of a cosmetic surgical facility causes a change in the person or persons who control or operate the facility, the Department shall consider the facility to be a new facility and the licensee shall conform to all regulations applicable at the time of transfer of operations.</text>
  </paragraph>
  <paragraph num="L.">
    <text>Return of License. The current license shall become void immediately and the licensee shall return the license to the Secretary if the facility:</text>
    <paragraph num="(1)">
      <text>Is sold or leased;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Ceases to operate;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Moves to a new permanent location;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Has had its Medicare Program certification or accreditation issued by an accreditation organization denied or revoked; or</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Has its license denied, suspended or revoked.</text>
    </paragraph>
  </paragraph>
</regulation>