(a) An accreditation organization shall apply to the Secretary for approval. (b) Prior to approval of an accreditation organization, the Secretary shall: (1) Determine that the standards of the accreditation organization are equal to or more stringent than existing State requirements; (2) Evaluate the survey or inspection process of the accreditation organization to ensure the integrity of the survey or inspection process; and (3) Enter into a formal written agreement with the accreditation organization that includes requirements for: (i) Notice of all surveys and inspections; (ii) Sharing of complaints and other relevant information; (iii) Participation of the Department in accreditation organization activities; and (iv) Any other provision necessary to ensure the integrity of the accreditation and licensure process. (c) (1) When an approved accreditation organization has issued a final report finding a health care facility or a health care staff agency to be in substantial compliance with the accreditation organization's standards, the Department shall accept the report as evidence that the health care facility or health care staff agency has met State licensure requirements and shall grant the health care facility or health care staff agency deemed status. (2) A health care facility or a health care staff agency that fails to achieve substantial compliance with the standards of an approved accreditation organization may be subject to the provisions of § 19-360 of this title. (d) (1) An approved accreditation organization shall send the Department any preliminary and final report of each inspection and survey at the time it is sent to the health care facility or health care staff agency. (2) A final report of an approved accreditation organization shall be made immediately available to the public on request. (3) A preliminary or final report of an approved accreditation organization is not admissible in evidence in any civil action or proceeding. (e) The Department may inspect an accredited health care facility or a health care staff agency to: (1) Determine compliance with any quality requirement; (2) Follow up on any serious problem identified by an approved accreditation organization; (3) Investigate a complaint; or (4) Validate the findings of an approved accreditation organization. (f) The Department may participate in or observe a survey or inspection of a health care facility or a health care staff agency conducted by an approved accreditation organization. (g) On a determination by the Secretary that an approved accreditation organization has failed to meet its obligations under this section, the Secretary may withdraw: (1) The approval from the accreditation organization; and (2) The deemed status given to a health care facility or a health care staff agency by the accreditation organization. §19-2401. IN EFFECT // EFFECTIVE UNTIL JUNE 30, 2028 PER CHAPTER 19 OF 2017 // (a) The General Assembly finds that: (1) The financial viability of the Prince George's County Regional Medical Center and the State's investment in the Center is contingent on high quality clinical programs at the existing Prince George's Hospital Center and the new Prince George's County Regional Medical Center; (2) The ability of the University of Maryland Medical System to develop and maintain high quality clinical programs at the existing Prince George's Hospital Center and to transition to the new Prince George's County Regional Medical Center is contingent on State operating and capital funding in specific years; (3) The ability to protect the State's investment in the new Prince George's County Regional Medical Center is jeopardized by the provisions of the Budget Reconciliation and Financing Act of 2017, as introduced, that alter both the operating and capital obligations mandated by Chapter 13 of the Acts of 2016; and (4) The changed circumstances and the need to protect the State's investment require additional support in future years to ensure the financial viability of the new Prince George's County Regional Medical Center and ultimately the ability of the State to end State support for the Center. (b) (1) Subject to subsection (c) of this section, for the purpose of providing an operating grant to ensure and assist in the transition of a new Prince George's County Regional Medical System to the University of Maryland Medical System Corporation: (i) For fiscal year 2018, the Governor shall include in the budget bill an appropriation of $28,000,000; (ii) For fiscal year 2019, the Governor shall include in the budget bill an appropriation of $27,000,000; (iii) For fiscal years 2020 and 2021, the Governor shall include in the budget bill an appropriation of $15,000,000; and (iv) For fiscal years 2022 through 2028, the Governor shall include in the budget bill an appropriation of $10,000,000. (2) Subject to subsection (c) of this section, Prince George's County shall provide a combination of matching funds and other financial assistance to the University of Maryland Medical System Corporation that constitutes total financial assistance as follows: (i) $15,000,000 annually for fiscal year 2017 through fiscal year 2019; and (ii) $5,000,000 annually for fiscal years 2020 and 2021. (c) The State and county funds described in subsection (b) of this section: (1) Shall be used to support the transition of the Prince George's County Regional Medical Center from operation under the Dimensions Health Care System to operation as a participating institution of the University of Maryland Medical System Corporation; and (2) May be used only for: (i) Providing increased access to critical health care services for the region served by the Prince George's County Regional Medical Center and improving the quality of the services provided; and (ii) Facilitating cost containment measures to prevent additional operating losses for the Prince George's County Regional Medical Center and its affiliated institutions. (d) (1) The Governor shall include in the capital or operating budget bill the following amounts that are equal to the capital funds committed by Prince George's County to be used for the construction of the Prince George's County Regional Medical Center: (i) $11,300,000 for fiscal year 2018; (ii) $48,000,000 for fiscal year 2019; and (iii) $56,200,000 for fiscal year 2020. (2) Prince George's County shall provide matching funds of $208,000,000 for the capital construction of the Prince George's County Regional Medical Center.
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