Maryland Health - General Section 19-125

      A certificate of need is required before an ambulatory care facility:

            (1)      Offers any health service:

                  (i)      Through a health care facility;

                  (ii)      In space leased from a health care facility; or

                  (iii)      In space on land leased from a health care facility;

            (2)      To provide those services, makes an expenditure, if a certificate of need would be required under § 19-120(k) of this subtitle for the expenditure by or on behalf of a health care facility; or

            (3)      Does anything else for which the federal act requires a certificate of need and that the Commission has not exempted from that requirement.