(a) In this Part II of this subtitle the following words have the meanings indicated. (a-1) "Acquisition" means: (1) A transfer of stock or assets that results in a change of the person that controls a health care facility; or (2) The transfer of more than 25% of stock or ownership interest in a health care facility. (b) "Ambulatory surgical facility" means any center, service, office, facility, or office of one or more health care practitioners or a group practice that: (1) Has three or more operating rooms; (2) Operates primarily for the purpose of providing surgical services to patients who do not require overnight hospitalization; and (3) Seeks reimbursement from payors as an ambulatory surgical facility. (c) "Certificate of need" means a certification of public need issued by the Commission under this Part II of this subtitle for a health care project. (d) (1) "Health care facility" means: (i) A hospital, as defined in § 19-301 of this title; (ii) A limited service hospital, as defined in § 19-301 of this title; (iii) A related institution, as defined in § 19-301 of this title; (iv) An ambulatory surgical facility; (v) An inpatient facility that is organized primarily to help in the rehabilitation of disabled individuals, through an integrated program of medical and other services provided under competent professional supervision; (vi) A home health agency, as defined in § 19-401 of this title; (vii) A hospice, as defined in § 19-901 of this title; (viii) A freestanding medical facility, as defined in § 19-3A-01 of this title; and (ix) Any other health institution, service, or program for which this Part II of this subtitle requires a certificate of need. (2) "Health care facility" does not include: (i) A hospital or related institution that is operated, or is listed and certified, by the First Church of Christ Scientist, Boston, Massachusetts; (ii) For the purpose of providing an exception to the requirement for a certificate of need under § 19-120 of this subtitle, a facility to provide comprehensive care constructed by a provider of continuing care, as defined in § 10-401 of the Human Services Article, if: 1. Except as provided under § 19-123 of this subtitle, the facility is for the exclusive use of the provider's subscribers who have executed continuing care agreements, including continuing care at home agreements, and paid entrance fees that are at least equal to the lowest entrance fee charged for an independent living unit, an assisted living unit, or a continuing care at home agreement before entering the continuing care community, regardless of the level of care needed by the subscribers at the time of admission; 2. The facility is located on the campus of the continuing care community; and 3. The number of comprehensive care nursing beds in the community does not exceed: A. 24 percent of the number of independent living units in a community having less than 300 independent living units; or B. 20 percent of the number of independent living units in a community having 300 or more independent living units; (iii) For the purpose of providing an exception to the requirement for a certificate of need under § 19-120 of this subtitle, a facility to provide comprehensive care that: 1. Is owned and operated by the Maryland Department of Veterans and Military Families; and 2. Restricts admissions to individuals who meet the residency requirements established by the Maryland Department of Veterans and Military Families and are: A. Veterans who were discharged or released from the uniformed services under honorable conditions; B. Former members of a reserve component, as defined in § 9-901 of the State Government Article; or C. Nonveteran spouses of eligible veterans; (iv) Except for a facility to provide kidney transplant services or programs, a kidney disease treatment facility, as defined by rule or regulation of the United States Department of Health and Human Services; (v) Except for kidney transplant services or programs, the kidney disease treatment stations and services provided by or on behalf of a hospital or related institution; or (vi) The office of one or more individuals licensed to practice dentistry under Title 4 of the Health Occupations Article, for the purposes of practicing dentistry. (e) "Health care practitioner" means any individual who is licensed, certified, or otherwise authorized under the Health Occupations Article to provide health care services. (f) "Health service area" means an area of this State that the Governor designates as appropriate for planning and developing of health services. (g) "Local health planning agency" means the health department of a jurisdiction or a body designated by the local health department to perform health planning functions. (h) "State health plan" means the State health plan for facilities and services.
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