An out-of-State institution or other out-of-State entity may not use the name “college”, “university”, “regional higher education center”, or word of similar import, in a manner that connotes the offering of a postsecondary educational course or program, unless that institution has first met the criteria established by, and obtained a certificate of approval from, the Commission in the manner provided by law. Change of Institutional Designation. An out-of-State institution may not change its institutional designation within the State without the approval of the Commission. An institution shall pay a fee of $250 with an application to the Commission to change its institutional designation. An out-of-State institution shall use within the State a title appropriate to the programs and degrees it offers in the State.