Maryland Health - General Section 19-131
§ 19-131.
  (a)   On or before July 1, 2008, the Commission, in consultation with the Health Services Cost Review Commission and the Department of Health and Mental Hygiene, shall propose emergency regulations to establish a review process to approve facilities in the State that may seek licensure as a freestanding medical facility, as provided in Subtitle 3A of this title.
  (b)   The regulations shall include:
    (1)   A process to identify areas of the State in which a freestanding medical facility could meet health care service delivery needs;
    (2)   A process for submitting and acting on applications;
    (3)   Criteria for evaluating and approving applications, including:
      (i)   Documentation that the proposed freestanding medical facility will meet the licensure requirements of Subtitle 3A of this title;
      (ii)   The efficiency and effectiveness of the proposed freestanding medical facility in meeting the health care needs of the health planning region;
      (iii)   The types of equipment and level of staffing specified, in relation to the services the freestanding medical facility proposes to provide; and
      (iv)   Costs to both public and private payers; and
    (4)   Appropriate notice and opportunity for a hearing and judicial review, in accordance with the Administrative Procedure Act.
  (c)   A facility that is approved under this section to seek licensure as a freestanding medical facility shall provide to the Commission information, as specified by the Commission, on the configuration, location, operation, and utilization, including patient-level utilization, of the freestanding medical facility.
  (d)   A freestanding medical facility pilot project is exempt from the review process in subsections (a) and (b) of this section.