(a) In this section, "facilities" means hospitals and related institutions whose rates have been approved by the Commission. (b) The Commission shall assess and collect user fees on facilities as defined in this section. (c) (1) The total fees assessed by the Commission may not exceed the greater of: (i) 0.1% of the immediately preceding fiscal year's budgeted, regulated, gross hospital revenue; or (ii) The largest amount determined under this paragraph for a fiscal year during the immediately preceding 5 fiscal years. (2) The total user fees assessed by the Commission may not exceed the Special Fund appropriation for the Commission by more than 20%. (3) The user fees assessed by the Commission shall be used exclusively to cover the actual documented direct costs of fulfilling the statutory and regulatory duties of the Commission in accordance with the provisions of this subtitle and any administrative costs for services to the Commission provided by the Department. (4) The Commission shall pay all funds collected from fees assessed in accordance with this section into the Health Services Cost Review Commission Fund. (5) The user fees assessed by the Commission may be expended only for purposes authorized by the provisions of this subtitle. (6) The amount specified in paragraph (1) of this subsection limits only the total user fees the Commission may assess in a fiscal year. (d) (1) There is a Health Services Cost Review Commission Fund. (2) The Fund is a special continuing, nonlapsing fund that is not subject to § 7-302 of the State Finance and Procurement Article. (3) The Treasurer shall separately hold, and the Comptroller shall account for, the Fund. (4) The Fund shall be invested and reinvested in the same manner as other State funds. (5) Any investment earnings shall be retained to the credit of the Fund. (6) The Fund shall be subject to an audit by the Office of Legislative Audits as provided for in § 2-1220 of the State Government Article. (7) This section may not be construed to prohibit the Fund from receiving funds from any other source. (8) (i) The Fund shall be used only to provide funding for the Commission and for the purposes authorized under this subtitle. (ii) The costs of the Commission include the administrative costs incurred by the Department on behalf of the Commission. (e) The Commission shall: (1) Assess user fees for each facility equal to the sum of: (i) The amount equal to one half of the total user fees times the ratio of admissions of the facility to total admissions of all facilities; and (ii) The amount equal to one half of the total user fees times the ratio of gross operating revenue of each facility to total gross operating revenues of all facilities; (2) Establish minimum and maximum assessments; and (3) Assess each facility on or before June 30 of each year. (f) (1) On or before September 1 of each year, each facility assessed under this section shall make payment to the Commission. (2) The Commission shall make provision for partial payments. (g) Any bill not paid within 30 days of an agreed payment date may be subject to an interest penalty to be determined by the Commission. (h) (1) This section shall terminate and be of no effect on the first day of July following the cessation of a waiver by law or agreement for Medicare and Medicaid between the State of Maryland and the federal government. (2) (i) If notice of intent to terminate is made by the federal government to this State before the first day of an intervening session of the Maryland General Assembly, this section shall expire June 30 of the following calendar year. (ii) Under no circumstances shall less than 7 calendar months occur between notice of termination and expiration of this section.
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