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.
Maryland Legal Code