| E. There is a substantial change proposed in the design of | the health care nursing facility or the type of | construction. |
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| | Sec. 22. 22 MRSA §336, sub-§§1 and 2, as enacted by PL 2001, c. 664, | §2, are amended to read: |
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| | 1. Maintenance projects. The commissioner shall issue a | certificate of need for a project that primarily involves the | maintenance of a health nursing facility if the commissioner | determines that the project: |
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| A. Will result in no or a minimal additional expense to the | public or to the health care nursing facility's clients; |
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| B. Will be in compliance with other applicable state and | local laws and regulations; and |
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| C. Will significantly improve or, in the alternative, not | significantly adversely affect the health and welfare of any | person currently being served by the health care nursing | facility. |
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| | 2. Life safety codes; previous certificate of need. The | commissioner shall issue a certificate of need for a project that | is required solely to meet federal, state or local life safety | codes if the project involves a health nursing facility, major | medical equipment or a new health service that has previously | received a certificate of need. |
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| | Sec. 23. 22 MRSA §345, as enacted by PL 2001, c. 664, §1, is | amended to read: |
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| §345. Division of project to evade cost limitation prohibited |
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| | A health care nursing facility or other party required to | obtain a certificate of need may not separate portions of a | single project into components, including, but not limited to, | site facility and equipment, to evade the cost limitations or | other requirements of section 329. |
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| | Sec. 24. 22 MRSA §347, as enacted by PL 2001, c. 664, §2, is | amended to read: |
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| §347. Withholding of license |
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| | A new health care nursing facility, as defined in section 328, | is eligible to obtain a license under the applicable state law if | the facility has obtained a certificate of need as required by | this chapter. The license of any facility does not extend to | include and may not otherwise be deemed to allow the |
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