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| 3. Capital expenditures. Except as provided in subsection 6, the | | obligation by or on behalf of a health care facility of any capital | | expenditure of $2,400,000 or more. Capital expenditures in the | | case of a natural disaster, major accident or equipment failure for | | replacement equipment or for parking lots and garages, information | | and communications systems and physician office space do not | | require a certificate of need.__Beginning September 30, 2004 and | | annually thereafter, the threshold amount for review must be | | updated by the commissioner to reflect the change in the Consumer | | Price Index medical index; |
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| | | 4. New health service. The offering or development of any | new health service. For purposes of this section, "new health | service" includes only the following: |
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| | A. The obligation of any capital expenditures by or on | behalf of a health care facility of $110,000 or more that is | associated with the addition of a health service that was | not offered on a regular basis by or on behalf of the health | care facility within the 12-month period prior to the time | the services would be offered; or |
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| | B. The addition of a health service that is to be offered | by or on behalf of a health care facility that was not | offered on a regular basis by or on behalf of the health | care facility within the 12-month period prior to the time | the services would be offered and that, for the 3rd fiscal | year of operation, including a partial first year, following | addition of that service, is projected to entail incremental | annual operating costs directly attributable to the addition | of a new health service of at least $400,000. |
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| | A certificate of need is not required for a health care facility | that extends a current service within the defined primary service | area of the health care facility by purchasing within a 12-month | time period new equipment costing in the aggregate less than | $1,200,000; |
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| | | Sec. C-8. 22 MRSA §335, sub-§1, as enacted by PL 2001, c. 664, §2, is | | repealed and the following enacted in its place: |
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| | | 1.__Basis for decision.__Based solely on a review of the | | record maintained under subsection 6, the commissioner shall | | approve an application for a certificate of need if the | | commissioner determines that the project: |
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| | | A.__Meets the conditions set forth in subsection 7; |
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| | | B.__Is consistent with the State Health Plan; |
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