reglab/housing_qa huggingface dataset:
MD. Health - General Code Ann. §  19-214 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 2 - Health Services Cost Review Commission|Part II - Health Care Facility Rate Setting|Section 19-214 - Hospital Uncompensated Care and Disproportionate Share Hospital Payment

    (a)    The Commission shall assess the underlying causes of hospital uncompensated care and make recommendations to the General Assembly on the most appropriate alternatives to:        (1)    Reduce uncompensated care; and        (2)    Assure the integrity of the payment system.    (b)    The Commission may adopt regulations establishing alternative methods for financing the reasonable total costs of hospital uncompensated care and the disproportionate share hospital payment provided that the alternative methods:        (1)    Are in the public interest;        (2)    Will equitably distribute the reasonable costs of uncompensated care and the disproportionate share hospital payment;        (3)    Will fairly determine the cost of reasonable uncompensated care and the disproportionate share hospital payment included in hospital rates;        (4)    Will continue incentives for hospitals to adopt fair, efficient, and effective credit and collection policies; and        (5)    Will not result in significantly increasing costs to Medicare or termination of the all–payer model contract.    (c)    Any funds generated through hospital rates under an alternative method adopted by the Commission in accordance with subsection (b) of this section may only be used to finance the delivery of hospital uncompensated care and the disproportionate share hospital payment.    (d)    (1)    Each year, the Commission shall assess a uniform, broad–based, and reasonable amount in hospital rates to reflect the aggregate reduction in hospital uncompensated care realized from the expansion of health care coverage under Chapter 7 of the Acts of the 2007 Special Session of the General Assembly.        (2)    (i)    1.    The Commission shall ensure that the assessment amount equals 1.25% of projected regulated net patient revenue.                2.    Each hospital shall remit its assessment amount to the Health Care Coverage Fund established under § 15–701 of this article.            (ii)    Any savings realized in averted uncompensated care as a result of the expansion of health care coverage under Chapter 7 of the Acts of the 2007 Special Session of the General Assembly that are not subject to the assessment under paragraph (1) of this subsection shall be shared among purchasers of hospital services in a manner that the Commission determines is most equitable.        (3)    (i)    Funds generated from the assessment under this subsection may be used only to supplement coverage under the Medical Assistance Program beyond the eligibility requirements in existence on January 1, 2008.            (ii)    Any funds remaining after the expenditure of funds under subparagraph (i) of this paragraph has been made may be used for the general operations of the Medicaid program.
MD. Health - General Code Ann. §  19-215 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 2 - Health Services Cost Review Commission|Part II - Health Care Facility Rate Setting|Section 19-215 - Uniform Accounting and Financial Reporting System

    (a)    (1)    After public hearings and consultation with any appropriate advisory committee, the Commission shall adopt, by rule or regulation, a uniform accounting and financial reporting system that:            (i)    Includes any cost allocation method that the Commission determines; and            (ii)    Requires each facility to record its income, revenues, assets, expenses, outlays, liabilities, and units of service.        (2)    Each facility shall adopt the uniform accounting and financial reporting system.    (b)    In conformity with this subtitle, the Commission may allow and provide for modifications in the uniform accounting and financial reporting system to reflect correctly any differences among facilities in their type, size, financial structure, or scope or type of service.
MD. Health - General Code Ann. §  19-216 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 2 - Health Services Cost Review Commission|Part II - Health Care Facility Rate Setting|Section 19-216 - Required Reports of Facilities

    (a)    At the end of the fiscal year for a facility, at least 120 days following a merger or a consolidation, and at any other interval that the Commission sets, the facility shall file:        (1)    A balance sheet that details its assets, liabilities, and net worth;        (2)    A statement of income and expenses;        (3)    The most recent Form 990 that the facility filed with the Internal Revenue Service; and        (4)    Any other report that the Commission requires about costs incurred in providing services.    (b)    (1)    A report under this section shall:            (i)    Be in the form that the Commission requires;            (ii)    Conform to the uniform accounting and financial reporting system adopted under this subtitle; and            (iii)    Be certified by the facility’s certified public accountant.        (2)    If the Commission requires, responsible officials of a facility also shall attest that, to the best of their knowledge and belief, the report has been prepared in conformity with the uniform accounting and financial reporting system adopted under § 19–211 of this subtitle.
MD. Health - General Code Ann. §  19-217 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 2 - Health Services Cost Review Commission|Part II - Health Care Facility Rate Setting|Section 19-217 - Notification of Certain Financial Transactions, Contracts or Agreements Required

    (a)    Except as provided in subsection (c) of this section, a facility shall notify the Commission at least 30 days prior to executing any financial transaction, contract, or other agreement that would:        (1)    Pledge more than 50% of the operating assets of the facility as collateral for a loan or other obligation;        (2)    Result in more than 50% of the operating assets of the facility being sold, leased, or transferred to another person or entity; or        (3)    Result in more than 50% of all corporate voting rights or governance reserve powers being transferred to or assumed by another person or entity.    (b)    Except as provided in subsection (c) of this section, the Commission shall publish a notice of the proposed financial transaction, contract, or other agreement reported by a facility in accordance with subsection (a) of this section in a newspaper of general circulation in the area where the facility is located.    (c)    The provisions of this section do not apply to any financial transaction, contract, or other agreement made by a facility with any issuer of tax–exempt bonds, including the Maryland Health and Higher Education Facilities Authority, the State, or any county or municipal corporation of the State, if a notice of the proposed issuance of revenue bonds that meets the requirements of § 147(f) of the Internal Revenue Code has been published.
MD. Health - General Code Ann. §  19-218 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 2 - Health Services Cost Review Commission|Part II - Health Care Facility Rate Setting|Section 19-218 - Additional Information

    (a)    The Commission shall require each facility to give the Commission information that:        (1)    Concerns the total financial needs of the facility;        (2)    Concerns its current and expected resources to meet its total financial needs;        (3)    Includes the effect of any proposal made, under Subtitle 1 of this title, on comprehensive health planning; and        (4)    Includes physician information sufficient to identify practice patterns of individual physicians across all facilities.    (b)    The identities of individual physicians are confidential and are not discoverable or admissible in evidence in a civil or criminal proceeding, and may only be disclosed to the following:        (1)    The utilization review committee of a Maryland hospital;        (2)    The Medical and Chirurgical Faculty of the State of Maryland;        (3)    The State Board of Physicians;        (4)    The Office of Health Care Quality in the Department;        (5)    The Maryland Health Care Commission; or        (6)    An investigatory body under the State or federal government.
MD. Health - General Code Ann. §  19-220 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 2 - Health Services Cost Review Commission|Part II - Health Care Facility Rate Setting|Section 19-220 - Rate Review and Approval Procedures

    (a)    (1)    To have the statistical information needed for rate review and approval, the Commission shall compile all relevant financial and accounting information.        (2)    The information shall include:            (i)    Necessary operating expenses;            (ii)    Appropriate expenses that are incurred in providing services to patients who cannot or do not pay;            (iii)    Incurred interest charges; and            (iv)    Reasonable depreciation expenses that are based on the expected useful life of property or equipment.    (b)    The Commission shall define, by regulation, the types and classes of charges that may not be changed, except as specified in § 19-222 of this subtitle.    (c)    The Commission shall obtain from each facility its current rate schedule and each later change in the schedule that the Commission requires.    (d)    Consistent with the all–payer model contract approved by the federal Center for Medicare and Medicaid Innovation, the Commission shall:        (1)    Permit a nonprofit facility to charge reasonable rates that will permit the facility to provide, on a solvent basis, effective and efficient service that is in the public interest; and        (2)    Permit a proprietary profit–making facility to charge reasonable rates that:            (i)    Will permit the facility to provide effective and efficient service that is in the public interest; and            (ii)    Based on the fair value of the property and investments that are related directly to the facility, include enough allowance for and provide a fair return to the owner of the facility.    (e)    In the determination of reasonable rates for each facility, as specified in this section, the Commission shall take into account all of the cost of complying with recommendations made, under Subtitle 1 of this title, on comprehensive health planning.    (f)    In reviewing rates or charges or considering a request for change in rates or charges, the Commission shall permit a facility to charge rates that, in the aggregate, will produce enough total revenue to enable the facility to meet reasonably each requirement specified in this section.    (g)    Except as otherwise provided by law, in reviewing rates or charges or considering a request for changes in rates or charges, the Commission may not hold executive sessions.
MD. Health - General Code Ann. §  19-221 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 2 - Health Services Cost Review Commission|Part II - Health Care Facility Rate Setting|Section 19-221 - Accounting Principles for Rate Determinations

    The Commission shall use any reasonable, relevant, or generally accepted accounting principles to determine reasonable rates for each facility.
MD. Health - General Code Ann. §  19-223 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 2 - Health Services Cost Review Commission|Part II - Health Care Facility Rate Setting|Section 19-223 - Fee for Closed or Delicensed Hospitals

    The Commission shall assess a fee on all hospitals whose rates have been approved by the Commission to pay for:        (1)    To the extent provided for in Title 10, Subtitle 3, Part IV of the Economic Development Article, the amounts required by § 10–350 of the Economic Development Article with respect to public obligations or closure costs of a closed or delicensed hospital; and        (2)    Funding the Hospital Employees Retraining Fund.
MD. Health - General Code Ann. §  19-224 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 2 - Health Services Cost Review Commission|Part II - Health Care Facility Rate Setting|Section 19-224 - Report of Transactions With Nonprofit Facility by Trustee, Director, or Officer

    (a)    This section applies to each person that is concurrently:        (1)    A trustee, director, or officer of any nonprofit facility in this State; and        (2)    An employee, partner, director, officer, or beneficial owner of 3 percent or more of the capital account or stock of:            (i)    A partnership;            (ii)    A firm;            (iii)    A corporation; or            (iv)    Any other business entity.    (b)    Each person specified in subsection (a) of this section shall file with the Commission an annual report that discloses, in detail, each business transaction between any business entity specified in subsection (a)(2) of this section and any facility that the person serves as specified in subsection (a)(1) of this section, if any of the following is $10,000 or more a year:        (1)    The actual or imputed value or worth to the business entity of any transaction between it and the facility; or        (2)    The amount of the contract price, consideration, or other advances by the facility as part of the transaction.    (c)    A report under this section shall be:        (1)    Signed and verified; and        (2)    Filed in accordance with the procedures and on the form that the Commission requires.    (d)    A person that willfully fails to file any report required by this section is guilty of a misdemeanor and on conviction is subject to a fine not exceeding $500.
MD. Health - General Code Ann. §  19-225 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 2 - Health Services Cost Review Commission|Part II - Health Care Facility Rate Setting|Section 19-225 - Hearings and Investigations

    (a)    In any matter that relates to a facility’s cost of services and consistent with the all–payer model contract, the Commission may:        (1)    Hold a public hearing;        (2)    Conduct an investigation;        (3)    Require the filing of any information; or        (4)    Subpoena any witness or evidence.    (b)    The Executive Director of the Commission may administer oaths in connection with any hearing or investigation under this section.
MD. Health - General Code Ann. §  19-226 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 2 - Health Services Cost Review Commission|Part II - Health Care Facility Rate Setting|Section 19-226 - Further Investigations

    (a)    If the Commission considers a further investigation necessary or desirable to authenticate information in a report that a facility files under this subtitle, consistent with the all–payer model contract, the Commission may make any necessary further examination of the records or accounts of the facility, in accordance with the rules or regulations of the Commission.    (b)    The examination under this section may include a full or partial audit of the records or accounts of the facility that is:        (1)    Provided by the facility; or        (2)    Performed by:            (i)    The staff of the Commission;            (ii)    A third party for the Commission; or            (iii)    The Legislative Auditor.
MD. Health - General Code Ann. §  19-227 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 2 - Health Services Cost Review Commission|Part II - Health Care Facility Rate Setting|Section 19-227 - Appeals

    (a)    (1)    Any person aggrieved by a final decision of the Commission under this subtitle may take a direct judicial appeal.        (2)    The appeal shall be made as provided for judicial review of final decisions in the Administrative Procedure Act.    (b)    (1)    An appeal from a final decision of the Commission under this section shall be taken in the name of the person aggrieved as appellant and against the Commission as appellee.        (2)    The Commission is a necessary party to an appeal at all levels of the appeal.        (3)    The Commission may appeal any decision that affects any of its final decisions to a higher level for further review.        (4)    On grant of leave by the appropriate court, any aggrieved party or interested person may intervene or participate in an appeal at any level.    (c)    Any person, government agency, or nonprofit health service plan that contracts with or pays a facility for health care services has standing to participate in Commission hearings and shall be allowed to appeal final decisions of the Commission.
MD. Health - General Code Ann. §  19-302 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 3 - Hospitals and Related Institutions|Part I - Definitions; General Provisions|Section 19-302 - Scope of Subtitle

    (a)    This subtitle does not apply to a dispensary or first aid treatment facility that is maintained only to provide services for:        (1)    Employees of a commercial or industrial plant;        (2)    Employees or students of an educational institution; or        (3)    Individuals in a convent, county home, motel, hotel, apartment, or facility, if the individuals are able to live independently.    (b)    This subtitle applies to the provision of home health care services by a hospital or related institution to 2 or more unrelated individuals, whether the services are provided directly or under contract with a home health agency.
MD. Health - General Code Ann. §  19-304 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 3 - Hospitals and Related Institutions|Part I - Definitions; General Provisions|Section 19-304 - Reporting Unexpected Occurrences or Incidents; Analysis

    (a)    A hospital or related institution shall:        (1)    Report an unexpected occurrence related to an individual’s medical treatment that results in death or serious disability that is not related to the natural course of the individual’s illness or underlying disease condition; and        (2)    Submit the report to the Department within 5 days of the hospital’s or related institution’s knowledge of the occurrence.    (b)    A hospital or related institution may report to the Department an unexpected occurrence or other incident related to an individual’s medical treatment that does not result in death or serious disability.    (c)    A hospital or related institution shall:        (1)    Conduct a root cause analysis of an occurrence required to be reported under subsection (a) of this section; and        (2)    Unless the Department approves a longer time period, submit the root cause analysis to the Department within 60 days of the hospital’s or related institution’s knowledge of the occurrence.    (d)    If a hospital or related institution fails to comply with subsection (a) or (c) of this section, the Secretary may impose a fine of $500 per day for each day the violation continues.    (e)    The Secretary shall adopt regulations to implement this section.
MD. Health - General Code Ann. §  19-305 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 3 - Hospitals and Related Institutions|Part I - Definitions; General Provisions|Section 19-305 - Notification of Change in Condition or Adverse Event by Residential Treatment Centers

    (a)    (1)    In this section the following words have the meanings indicated.        (2)    “Adverse event” means an unexpected occurrence that:            (i)    Is related to a resident’s medical or behavioral treatment; and            (ii)    Is not related to the natural course of the resident’s illness or underlying disease condition.        (3)    “Change in condition” means a significant change in a resident’s physical, mental, or psychological status including:            (i)    Life-threatening conditions;            (ii)    Clinical complications including significant somatic symptoms that require the assessment of or treatment by qualified medical personnel;            (iii)    The need to discontinue a medication or treatment because of:                1.    Adverse consequences; or                2.    The need to begin a new form of treatment;            (iv)    Evaluation at or admission to a hospital;            (v)    Injuries that require the assessment of or treatment by qualified medical personnel;            (vi)    The use of restraint or seclusion; and            (vii)    Suicide attempts.    (b)    (1)    Within 24 hours, in accordance with State and federal confidentiality laws, a residential treatment center shall attempt to notify a resident and a resident’s representative, family member, legal guardian, or custodian of:            (i)    A change in condition;            (ii)    An adverse event; and            (iii)    Corrective action, if appropriate.        (2)    If a residential treatment center sends a notice to an individual under paragraph (1) of this subsection, the individual may send a written response to the residential treatment center instructing the residential treatment center that:            (i)    The individual waives the notification required under paragraph (1) of this subsection; or            (ii)    The individual requires notification only in the circumstances specified in writing by the individual.    (c)    A residential treatment center shall document the notification required under subsection (b)(1) of this section and the response of the resident and the resident’s representative, family member, legal guardian, or custodian in the resident’s medical record.    (d)    If the Department determines that a residential treatment center failed to notify a resident and a resident’s representative, family member, legal guardian, or custodian under subsection (b)(1) of this section, the Department shall require the residential treatment center, as part of a plan of correction, to notify the resident and the resident’s representative, family member, legal guardian, or custodian as soon as possible.