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<regulation prefix="Regulation" num=".01" citation="COMAR 32.02.02.01" title_num="32" subtitle_num="02" chapter_num="02" heading="Definitions.">
  <paragraph num="A.">
    <text>In this chapter, the following terms have the meanings indicated.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Terms Defined.</text>
    <paragraph num="(1)">
      <text>“Act” means the portion of Human Services Article, Title 10, Subtitle 4,, Annotated Code of Maryland, as specified in §10-402(a).</text>
    </paragraph>
    <paragraph num="(2)">
      <text>“Actuarial balance sheet” means a balance sheet that uses actuarial principles and practices to determine the value of certain items in the balance sheet based on actuarial techniques involving reasonable assumptions about contingencies, inflation, and the time value of money as applied to current subscribers, which items include the present value of:</text>
      <paragraph num="(a)">
        <text>Future periodic fees;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The costs of providing promised future services; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>The obligation for refundable entrance fees.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>“Agreement” means an agreement between a provider and subscriber that is a contract to provide continuing care at home.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>“Assisted living unit” means a unit in which the services rendered will require the provider to be licensed as an assisted living program under Health-General Article, §19-1805, Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Authority Recognized by the Department.</text>
      <paragraph num="(a)">
        <text>"Authority recognized by the Department" means a person whom the Department determines has the knowledge and experience of the continuing care industry necessary to produce the particular materials required by a given regulation in this chapter.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>"Authority recognized by the Department" includes an independent consultant or an employee of a provider or related entity.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(6)">
      <text>“Authorized officer” means an individual holding one of the following positions with a provider:</text>
      <paragraph num="(a)">
        <text>An officer;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>A general partner;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Any individual who serves on the governing body; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>A trustee of the provider.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(7)">
      <text>“Break-even point” means the projected point at which a provider's total revenue from continuing care at home agreements will begin to equal or exceed the provider's total expenses.</text>
    </paragraph>
    <paragraph num="(8)">
      <text>“Certified financial statement” means a financial statement, prepared in accordance with generally accepted accounting principles by an independent certified public accountant, that includes an audit opinion, balance sheet, income statement, statement of cash flows, and the related notes to the financial statement.</text>
    </paragraph>
    <paragraph num="(9)">
      <text>“Certified financial statement for the most recent fiscal year for which a certified financial statement is available” means:</text>
      <paragraph num="(a)">
        <text>For providers who annually receive a certified financial statement within 120 days of the end of their fiscal year, the most recently dated financial statement; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>For any other providers, assuming that a certified financial statement is obtainable under generally accepted auditing standards, a certified financial statement that is not greater than 120 days old.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(10)">
      <text>“Chief executive officer” means the individual whose primary responsibility is to oversee all aspects of the operation of the provider.</text>
    </paragraph>
    <paragraph num="(11)">
      <text>“Committee” means Financial Review Committee.</text>
    </paragraph>
    <paragraph num="(12)">
      <text>“Continuing care at home” means furnishing services, either directly or by contractual arrangement, to the public where:</text>
      <paragraph num="(a)">
        <text>The services include health services and assistance with the maintenance of a subscriber's dwelling;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The health services include:</text>
        <paragraph num="(i)">
          <text>Medical services,</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Nursing services,</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Assisted living or comprehensive care services in an assisted living or comprehensive care facility, or</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Assistance with the activities of daily living, other than the provision of meals, in a subscriber's dwelling;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(c)">
        <text>The services are offered to individuals who are:</text>
        <paragraph num="(i)">
          <text>60 years old or older, and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Not related to the provider by blood or marriage;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(d)">
        <text>The services are offered for:</text>
        <paragraph num="(i)">
          <text>The life of the subscriber, or</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>A period in excess of 1 year; and</text>
        </paragraph>
      </paragraph>
      <paragraph num="(e)">
        <text>The services are offered under a written agreement that requires:</text>
        <paragraph num="(i)">
          <text>A transfer of assets from the subscriber to the provider,</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>An entrance fee, or</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Both a transfer of assets and an entrance fee.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(13)">
      <text>Control.</text>
      <paragraph num="(a)">
        <text>“Control” means the power to direct, or cause the direction of, the management and policies of a provider through the ownership of voting securities, by contract, or otherwise.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>“Control” includes a parent or sole corporate member of a corporation directly participating in the initiation or approval of policies directly affecting the operations, including approval of budgets or approval of the chief executive officer of the provider.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(14)">
      <text>“Department” means the Maryland Department of Aging.</text>
    </paragraph>
    <paragraph num="(15)">
      <text>“Deposit” means a portion of the entrance fee.</text>
    </paragraph>
    <paragraph num="(16)">
      <text>Deposit Agreement.</text>
      <paragraph num="(a)">
        <text>“Deposit agreement” means a preliminary agreement between the subscriber and the provider by which the provider reserves for the subscriber the right to contract for continuing care at home in return for payment by the subscriber of a deposit.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>“Deposit agreement” includes any agreement of similar form and use, regardless of title, including priority agreement and reservation agreement.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(17)">
      <text>Entrance Fee.</text>
      <paragraph num="(a)">
        <text>“Entrance fee” means a sum of money or other consideration, other than a surcharge, paid initially or in deferred payments, that:</text>
        <paragraph num="(i)">
          <text>Assures a subscriber continuing care at home for a term of more than 1 year or for life; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Is at least equal to the greater of either 12 times the monthly cost of the basic periodic fees charged under an agreement or $5,000.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>“Entrance fee” includes a fee of similar form and application, regardless of title.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(18)">
      <text>“Escrow agreement” means an agreement between the provider and a financial institution by which deposits and entrance fees are held in Maryland by the financial institution until release is permitted by law or regulation.</text>
    </paragraph>
    <paragraph num="(19)">
      <text>“Facility” means a physical plant and related grounds, other than a subscriber's dwelling, used to provide assisted living or comprehensive care services to continuing care at home subscribers, in accordance with this chapter.</text>
    </paragraph>
    <paragraph num="(20)">
      <text>“Financial difficulty” means the current or impending financial condition of a provider which currently impairs or may impair the ability of the provider to meet existing or future obligations to subscribers or other creditors.</text>
    </paragraph>
    <paragraph num="(21)">
      <text>“Fiscal year” means the fiscal year of the provider.</text>
    </paragraph>
    <paragraph num="(22)">
      <text>“Generally accepted accounting principles” means those accounting principles and practices adopted by the Financial Accounting Standards Board and the American Institute of Certified Public Accountants, which include the principles expressed in the American Institute of Certified Public Accountants' “Audit and Accounting Guide for Health Care Organizations”.</text>
    </paragraph>
    <paragraph num="(23)">
      <text>“Governing body” means an individual or group of individuals with authority to direct, control, and manage the policies and business affairs of the provider, including groups such as boards of directors, boards of trustees, management committees, and executive committees.</text>
    </paragraph>
    <paragraph num="(24)">
      <text>“MDH” means the Maryland Department of Health.</text>
    </paragraph>
    <paragraph num="(25)">
      <text>“MHCC” means the Maryland Health Care Commission.</text>
    </paragraph>
    <paragraph num="(26)">
      <text>“Person” means an individual, firm, association, corporation, company, trust, partnership, limited liability company, public body, or other business or nonprofit entity.</text>
    </paragraph>
    <paragraph num="(27)">
      <text>“Processing fee” means a one-time fee charged by the provider to determine the financial, mental, and physical eligibility of an individual who seeks to enter a continuing care at home agreement.</text>
    </paragraph>
    <paragraph num="(28)">
      <text>“Provider” means a person who is an applicant for, or the holder of, a certificate of registration to provide continuing care at home.</text>
    </paragraph>
    <paragraph num="(29)">
      <text>“Qualified actuary” means a member in good standing of the American Academy of Actuaries.</text>
    </paragraph>
    <paragraph num="(30)">
      <text>“Records” means the information, books, and data maintained for the operation of a provider in accordance with this chapter.</text>
    </paragraph>
    <paragraph num="(31)">
      <text>“Renewal” means the renewal of a certificate of registration required annually to permit the provider to continue to offer continuing care at home to the public.</text>
    </paragraph>
    <paragraph num="(32)">
      <text>“Secretary” means the Secretary of Aging.</text>
    </paragraph>
    <paragraph num="(33)">
      <text>“Subscriber” means an individual for whom continuing care at home is purchased under an agreement.</text>
    </paragraph>
    <paragraph num="(34)">
      <text>Subscriber's Dwelling.</text>
      <paragraph num="(a)">
        <text>“Subscriber's dwelling” means a house, apartment, condominium, cooperative, or other place where a subscriber lives and has agreed to live while receiving continuing care at home services.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>“Subscriber's dwelling” does not include facilities licensed by the Maryland Department of Health as an assisted living program or a comprehensive care facility or by the Department as a continuing care facility under COMAR 32.02.01.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(35)">
      <text>“Surcharge” means a separate and additional charge, other than a second-person entrance fee, imposed simultaneously with the entrance fee, that may be required of some, but not all, subscribers because of a condition or circumstance that applies only to those subscribers.</text>
    </paragraph>
    <paragraph num="(36)">
      <text>Unit.</text>
      <paragraph num="(a)">
        <text>“Unit” means a suite, room, cottage, apartment, or any other type of quarters that is located at a facility in which a subscriber is to reside while receiving assisted living or comprehensive care benefits under a continuing care at home agreement.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>“Unit” includes individual beds licensed for assisted living and comprehensive care so that each assisted living bed and comprehensive care bed constitutes a unit.</text>
      </paragraph>
      <paragraph num="(c)">
        <text>“Unit” does not include a subscriber's dwelling.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>